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Current trends in ambulatory spine surgery: a systematic review
Edward M DelSole1, Heeren S Makanji1, Mark F Kurd1
1Department of Spine Surgery, Rothman Orthopaedic Institute, Philadelphia, PA, USA.
Journal of Spine Surgery (Hong Kong)
|October 29, 2019
Summary
Ambulatory spine surgery is increasingly used for cost-effectiveness. Current research focuses on safety, patient selection, and quality, but lacks high-level evidence, indicating a need for prospective studies.
Area of Science:
- Orthopedics
- Surgical Innovation
- Health Services Research
Background:
- Spine surgery is transitioning to outpatient settings to balance quality care with cost reduction.
- Ambulatory surgery centers offer a lower-cost alternative to traditional inpatient hospitalizations.
Purpose of the Study:
- To review current literature on trends in ambulatory spine surgery.
- To identify research focus areas and evidence gaps in outpatient spine procedures.
Main Methods:
- Systematic review of English language literature published within the last five years.
- Adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Main Results:
- Research emphasizes ambulatory surgery safety, including complication rates, patient selection criteria, and readmission prevention protocols.
- Studies focus on ensuring the non-inferiority of ambulatory spine surgery compared to inpatient care.
- A significant gap exists, with no Level I or II evidence published in the past five years.
Conclusions:
- Current research trends highlight safety and quality in ambulatory spine surgery.
- There is a critical need for high-quality, prospective studies (Level I/II evidence) to further validate outpatient spine procedures.
