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Outcomes in ambulatory surgery.

Conrad S Myler1, Robert Kerris2, Niraja Rajan3

  • 1Division of Critical Care Anesthesia, Department of Anesthesiology and Perioperative Medicine H187.

Current Opinion in Anaesthesiology
|August 5, 2025
PubMed
Summary
This summary is machine-generated.

Ambulatory surgery offers lower costs than hospital outpatient departments with comparable patient safety. Future criteria for complex procedures will be more nuanced, potentially using machine learning and remote monitoring.

Keywords:
outpatient surgerypatient safetypatient selectionpatient-reported outcomesvalue

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Area of Science:

  • Healthcare Economics
  • Surgical Outcomes
  • Patient Safety

Background:

  • Ambulatory surgery centers (ASCs) and office-based settings are experiencing significant growth.
  • The volume of ambulatory surgeries is projected to increase substantially in the coming decade.

Purpose of the Study:

  • To review current economic and patient safety outcomes in ambulatory surgery.
  • To address the implications of growing procedure volumes in ambulatory settings.

Main Methods:

  • Literature review of economic and patient safety data in ambulatory surgery.
  • Analysis of trends in ambulatory surgery volume and cost-effectiveness.
  • Exploration of emerging technologies like machine learning and remote monitoring.

Main Results:

  • Ambulatory surgery volume is growing, with millions of procedures performed annually.
  • Procedures in ASCs and office-based settings are significantly less expensive than in hospital outpatient departments.
  • Patient safety outcomes are comparable between ambulatory settings and hospital outpatient departments.

Conclusions:

  • Existing universal selection criteria for ambulatory surgery need refinement due to increasing patient and procedural complexity.
  • Machine learning and remote monitoring technologies may enable safer selection for complex surgeries.
  • Patient-reported outcome measures are crucial for identifying adverse events in the ambulatory setting.