Same-Day Outpatient Lower-Extremity Joint Replacement: A Critical Analysis Review

Area of Science:

• Orthopedic Surgery
• Healthcare Economics
• Patient Safety

Background:

• Total joint arthroplasty (TJA) is increasingly being considered for performance at standalone ambulatory surgery centers (ASCs).
• This transition presents significant financial implications for all stakeholders involved in healthcare delivery.
• However, the shift must not compromise patient safety or outcomes.

Purpose of the Study:

• To evaluate the economic considerations of moving total joint arthroplasty (TJA) to ambulatory surgery centers (ASCs).
• To emphasize the critical role of patient selection in ensuring safety and preventing readmissions.
• To highlight the need for ASC TJA programs to mitigate complications linked to discharge delays.

Main Methods:

• This study reviews the economic and safety aspects of ambulatory TJA.
• It emphasizes the importance of patient selection criteria.
• It discusses strategies for complication reduction in outpatient settings.

Main Results:

• Capitalizing on the economics of ASC TJA without proven superior outcomes risks patient safety.
• Effective patient selection is paramount for maximizing safety and minimizing complications and readmissions.
• Reducing complications associated with discharge delays is a key focus for ambulatory TJA programs.

Conclusions:

• The transition to ASC-based TJA offers financial benefits but necessitates a strong focus on patient safety.
• Optimal patient selection and streamlined discharge processes are essential for successful and safe ambulatory TJA.
• Further research should validate superior outcomes for ASC TJA to justify the shift without compromising safety.