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Extended Stay Centers: Patient characteristics and appropriate procedures

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Draft report is posted for public comment 2/25/2019 to 8 a.m. 3/28/2019. Public comments will be reviewed at the 4/18/2019 meeting.


​Draft report was posted for public comment 2/25/2019 to 8 a.m. 3/28/2019.


​HTAS reviewed the draft report and approved an edited version to be posted for public comment. Several changes were made in proofreading but they were not substantive.


​Evidence sources:

Berend, K. R., Lombardi, A. V., Jr., Berend, M. E., Adams, J. B., & Morris, M. J. (2018). The outpatient total hip arthroplasty: A paradigm change. Bone Joint Journal, 100-b(1 Supple A), 31-35. doi: 10.1302/0301-620x.100b1.bjj-2017-0514.r1
Berend, M. E., Lackey, W. G., & Carter, J. L. (2018). Outpatient-focused joint arthroplasty is the future: The Midwest Center for Joint Replacement Experience. Journal of  Arthroplasty, 33(6), 1647-1648. doi: 10.1016/j.arth.2018.02.002
Billing, P., Billing, J., Kaufman, J., Stewart, K., Harris, E., & Landerholm, R. (2017). High acuity sleeve gastrectomy patients in a free-standing ambulatory surgical center. Surgery for Obesity and Related Diseases, 13(7), 1117-1121. doi: 10.1016/j.soard.2017.03.012
Browne, J., Jamieson, L., Lewsey, J., van der Meulen, J., Copley, L., & Black, N. (2008). Case-mix & patients' reports of outcome in Independent Sector Treatment Centres: Comparison with NHS providers. BMC Health Services Research, 8, 78. doi:
Chin, K. R., Coombs, A. V., & Seale, J. A. (2015). Feasibility and patient-reported outcomes after outpatient single-level instrumented posterior lumbar interbody fusion in a surgery center: Preliminary results in 16 patients. Spine (Phila Pa 1976), 40(1), E36-42. doi: 10.1097/brs.0000000000000604
Chin, K. R., Pencle, F. J., Coombs, A. V., Brown, M. D., Conklin, K. J., O'Neill, A. M., ... Hothem, E. A. (2016). Lateral lumbar interbody fusion in ambulatory surgery centers: patient selection and outcome measures compared with an inhospital cohort. Spine (Phila Pa 1976), 41(8), 686-692. doi: 10.1097/brs.0000000000001285
Chin, K. R., Pencle, F. J. R., Coombs, A. V., Elsharkawy, M., Packer, C. F., Hothem, E. A., & Seale, J. A. (2017). Clinical outcomes with midline cortical bone trajectory pedicle screws versus traditional pedicle screws in moving lumbar fusions from hospitals to outpatient surgery centers. Clinical Spine Surgery, 30(6), E791-e797. doi: 10.1097/bsd.0000000000000436
Cody, J. P., Pfefferle, K. J., Ammeen, D. J., & Fricka, K. B. (2018). Is outpatient unicompartmental knee arthroplasty safe to perform at an ambulatory surgery center? A comparative study of early post-operative complications. Journal of Arthroplasty, 33(3), 673-676. doi:
Farha, G. J., Green, B. P., & Beamer, R. L. (1994). Laparoscopic cholecystectomy in a freestanding outpatient surgery center. Journal of Laparoendoscopic Surgery, 4(5), 291-294.
Klein, G. R., Posner, J. M., Levine, H. B., & Hartzband, M. A. (2017). Same day total hip arthroplasty performed at an ambulatory surgical center: 90-day complication rate on 549 patients. Journal of Arthroplasty, 32(4), 1103-1106. doi: 10.1016/j.arth.2016.10.013
Paquette, I. M., Smink, D., & Finlayson, S. R. (2008). Outpatient cholecystectomy at hospitals versus freestanding ambulatory surgical centers. Journal of American College of Surgeons, 206(2), 301-305. doi: 10.1016/j.jamcollsurg.2007.07.042
Parcells, B. W., Giacobbe, D., Macknet, D., Smith, A., Schottenfeld, M., Harwood, D. A., & Kayiaros, S. (2016). Total joint arthroplasty in a stand-alone ambulatory surgical center: short-term outcomes. Orthopedics, 39(4), 223-228. doi: 10.3928/01477447-20160419-06
Parikh R, Pollock D, Sharma J, Edwards J. Is there room for prevention? Examining the effect of outpatient facility type on the risk of surgical site infection. Infection Control & Hospital Epidemiology. 2016;37(10):1179-1185. doi:
Reddick, E. J. (1992). Laparoscopic cholecystectomy in freestanding outpatient centers. Journal of Laparoendoscopic Surgery, 2(2), 65-67.
Rosero, E. B., & Joshi, G. P. (2017). Hospital readmission after ambulatory laparoscopic cholecystectomy: Incidence and predictors. Journal of Surgical Research, 219, 108-115. doi: 10.1016/j.jss.2017.05.071
Sasse, K. C., Ganser, J. H., Kozar, M. D., Watson, R. W., 2nd, Lim, D. C., McGinley, L., . . . Beh, J. (2009). Outpatient weight loss surgery: Initiating a gastric bypass and gastric banding ambulatory weight loss surgery center. JSLS, 13(1), 50-55.
Sivaganesan, A., Hirsch, B., Phillips, F. M., & McGirt, M. J. (2018). Spine surgery in the ambulatory surgery center setting: Value-based advancement or safety liability? Neurosurgery, 83(2), 159-165. doi: 10.1093/neuros/nyy057
Smith, W. D., Wohns, R. N., Christian, G., Rodgers, E. J., & Rodgers, W. B. (2016). Outpatient minimally invasive lumbar interbody: Fusion predictive factors and clinical results. Spine (Phila Pa 1976), 41 Suppl 8, S106-122. doi: 10.1097/brs.0000000000001479
Toy, P. C., Fournier, M. N., Throckmorton, T. W., & Mihalko, W. M. (2018). Low rates of adverse events following ambulatory outpatient total hip arthroplasty at a free-standing surgery center. Journal of Arthroplasty, 33(1), 46-50. doi: 10.1016/j.arth.2017.08.026
Trentman, T. L., Mueller, J. T., Gray, R. J., Pockaj, B. A., & Simula, D. V. (2010). Outpatient surgery performed in an ambulatory surgery center versus a hospital: comparison of perioperative time intervals. American Journal of Surgery, 200(1), 64-67. doi:
Villavicencio, A. T., Nelson, E. L., Mason, A., Rajpal, S., & Burneikiene, S. (2013). Preliminary results on feasibility of outpatient instrumented transforaminal lumbar interbody fusion. Journal of Spinal Disorders & Techniques, 26(6), 298-304. doi: 10.1097/BSD.0b013e318246aea2
Voyles, C. R., & Boyd, K. B. (1999). Criteria and benchmarks for laparoscopic cholecystectomy in a free-standing ambulatory center. JSLS, 3(4), 315-318.
Watkins, B. M., Ahroni, J. H., Michaelson, R., Montgomery, K. F., Abrams, R. E., Erlitz, M. D., & Scurlock, J. E. (2008). Laparoscopic adjustable gastric banding in an ambulatory surgery center. Surgery for Obesity and Related Diseases, 4(3 Suppl), S56-62. doi: 10.1016/j.soard.2008.04.008
Wenner, D. E., Whitwam, P., Turner, D., Chadha, A., & Degani, J. (2006). Laparoscopic cholecystectomy and management of biliary tract stones in a freestanding ambulatory surgery center. JSLS, 10(1), 47-51.


​HTAS continued its discussion of this topic.

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