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Outcomes of Surgeries Performed in Physician Offices Compared With Ambulatory Surgery Centers and Hospital Outpatient Departments in Florida

机译:与佛罗里达州的门诊手术中心和医院门诊部门相比,内科医生办公室进行的手术结果

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Background:The proportion of outpatient surgeries performed in physician offices has been increasing over time, raising concern about the impact on outcomes.Objective:To use a private insurance claims database to compare 7-day and 30-day hospitalization rates following relatively complex outpatient surgical procedures across physician offices, freestanding ambulatory surgery centers (ASCs), and hospital outpatient departments (HOPDs).Methods:A multivariable logistic regression model was used to compare the risk-adjusted probability of hospitalization among patients after any of the 88 study outpatient procedures at physician offices, ASCs, and HOPDs over 2008-2012 in Florida.Results:Risk-adjusted hospitalization rates were higher following procedures performed in physician offices compared with ASCs for all procedures grouped together, for most procedures grouped by type, and for many individual procedures.Conclusions:Hospitalizations following surgery were more likely for procedures performed in physician offices compared with ASCs, which highlights the need for ongoing research on the safety and efficacy of office-based surgery.
机译:背景:随着时间的推移,在医生办公室进行门诊手术的比例一直在增加,引起了人们对结果影响的担忧。目的:使用私人保险理赔数据库来比较相对复杂的门诊手术后7天和30天的住院率方法:采用多变量Logistic回归模型比较88项研究门诊手术中的任何一项,对经过风险调整的患者中住院的可能性进行比较结果:2008年至2012年在佛罗里达州的医师办公室,ASC和HOPD。结果:在所有组合在一起的过程,大多数按类型分组的过程以及许多单独的过程中,在医师办公室进行的手术后,风险调整后的住院率高于ASC结论:手术后住院治疗的可能性更大与ASC相比,它是在医师办公室进行的,这突显了需要对基于办公室的手术的安全性和有效性进行持续研究的必要性。

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