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Eligibility of Outpatient Spine Surgery Candidates in a Single Private Practice

Overview of attention for article published in Clinical Spine Surgery, December 2017
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Title
Eligibility of Outpatient Spine Surgery Candidates in a Single Private Practice
Published in
Clinical Spine Surgery, December 2017
DOI 10.1097/bsd.0000000000000374
Pubmed ID
Authors

Kingsley R Chin, Fabio J R Pencle, André V Coombs, Corrine F Packer, Elijah A Hothem, Jason A Seale

Abstract

Level III. To retrospectively review the eligibility of surgical patients meeting predetermined outpatient surgery criteria in a single-surgeon private practice. There is a burgeoning awareness among patients, surgeons, and insurers of the cost benefits and safety of outpatient spine surgeries. At the end of 2014, Centers for Medicare & Medicaid Services have released its final 2015 payment rules and codes for spinal decompression and fusion. This move confirms the safety of procedures being performed in the ambulatory surgery centers (ASCs). We conducted a database review between 2008 and 2014 and identified 1625 orthopedic procedures. All nonsurgical spine procedures were excluded from the study. Eligibility for outpatient spine surgery was based on criteria generated from a combination of published standard of care for major operations and the chief surgeon's experience. A matched cohort based on type of surgery in each facility of all spine surgery patients was created, group 1 (hospital patients) and group 2 (ASC patients). A total of 708 patients underwent spinal surgery during this time period with a 53% female population. A total of 557 of 708 (79%) patients were eligible for outpatient spine surgery. There were 210 surgical procedures in group 1 (inpatient) comprised of 72 decompression and 138 fusion procedures. In group 2 (outpatient), there were 347 procedures made up of 150 patients undergoing decompression and 197 undergoing fusion or disc replacement. To confirm that hospital procedures are eligible to be performed in the ASC, the χ test was performed. We found that ASC-eligible hospital patients can indeed be done in an ASC (P=0.037). Outpatient spine surgery is feasible in 79% of patients in this single-surgeon private practice. On the basis of these results, a majority of spine procedures can be performed in an outpatient setting following our eligibility criteria.

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Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 13%
Student > Bachelor 4 10%
Other 4 10%
Student > Master 4 10%
Student > Postgraduate 3 8%
Other 6 15%
Unknown 13 33%
Readers by discipline Count As %
Medicine and Dentistry 16 41%
Psychology 3 8%
Business, Management and Accounting 2 5%
Nursing and Health Professions 1 3%
Environmental Science 1 3%
Other 3 8%
Unknown 13 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 March 2016.
All research outputs
#20,660,571
of 25,382,440 outputs
Outputs from Clinical Spine Surgery
#1,255
of 1,921 outputs
Outputs of similar age
#338,762
of 444,905 outputs
Outputs of similar age from Clinical Spine Surgery
#21
of 33 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
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Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 444,905 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 33 others from the same source and published within six weeks on either side of this one. This one is in the 6th percentile – i.e., 6% of its contemporaries scored the same or lower than it.