Outpatient surgery

Outpatient surgery, also known as ambulatory surgery, day surgery,[1] day case surgery, or same-day surgery, is surgery that does not require an overnight hospital stay.[note 1] The term “outpatient” arises from the fact that surgery patients may enter and leave the facility on the same day. The advantages of outpatient surgery over inpatient surgery include greater convenience and reduced costs.[1]: 24–26 

Outpatient surgery may occur in an inpatient facility, in a self-contained unit within a hospital (also known as a hospital outpatient department), in a freestanding self-contained unit (also known as an ambulatory surgery center), or in a physician's office-based unit.[1]: 61  Between the late 20th century and early 21st century, outpatient surgery has grown in popularity in many countries.[1]: 22  In the United States, 65% of surgeries at hospitals in 2012 were conducted on an outpatient basis, compared with 54% in 1992.[2]

Studies have shown that outpatient surgery is as safe as or safer than inpatient surgery. For instance, complication rates and post-surgical hospitalization or readmission rates are comparable, and pain and infection rates are lower after outpatient surgery than inpatient surgery.[1]: 24  Nevertheless, articles in the newsmedia (such as some discussing the 2014 death of Joan Rivers after an outpatient procedure) have questioned the safety of outpatient surgery performed at ambulatory surgery centers.[3][4]

  1. ^ a b c d e Lemos P, Jarrett P, Philip B, eds. (2006). Day surgery: development and practice (PDF). London: International Association for Ambulatory Surgery. ISBN 9892002342. Retrieved 2018-06-11.
  2. ^ Wier LM, Steiner CA, Owens PL (Feb 2015). "Surgeries in hospital-owned outpatient facilities, 2012" (PDF). HCUP Statistical Brief (188). Rockville, Maryland: Agency for Healthcare Research and Quality. Retrieved 2018-06-11.
  3. ^ Boodman SG (2014-12-16). "Popularity of outpatient surgery centers leads to questions about safety". Kaiser Health News. Retrieved 2018-06-11. Federal officials who investigated Rivers' death ... found numerous violations at the accredited clinic ...
  4. ^ Jewett C, Alesia M (2018-03-02). "As surgery centers boom, patients are paying with their lives". Kaiser Health News. Retrieved 2018-06-11. ... more than 260 patients have died since 2013 after in-and-out procedures at surgery centers across the country.


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