ArticlePlastic and reconstructive surgery. Global open2019
Cost Implications of Varying the Surgical Setting and Anesthesia Type for Trigger Finger Release Surgery.
Article in Plastic and reconstructive surgery. Global open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 26 citations in OpenAlex.
- Expanding Access to Minor Hand Surgery Procedures in Underrepresented Patient Populations: Safety and Efficacy of a Minor Procedure Clinic in an Urban Safety-Net Hospital.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- From wide awake surgery to office surgery.Journal of hand and microsurgery · 2025Article
- WALANT surgery of the hand: state of the art.EFORT open reviews · 2024Review
- Quantitative Analysis of Anesthesia Utilization in Ambulatory Hand Surgery.The Iowa orthopaedic journal · 2023Article
- Organisational capabilities, outcomes, and benefits of trigger finger release surgery in primary care: a service evaluation study.BJGP open · 2023Article
- Moving Minor Hand Surgeries Out of the Operating Room and Into the Office-Based Procedure Room: A Population-Based Trend Analysis.The Journal of hand surgery · 2022Article
- Cost Assessment of Plating Versus Tension Band Wiring Constructs for Treating Mayo Type 2A Olecranon Fractures.The Journal of hand surgery · 2022Article
- Variability in personal protective equipment in cross-sectional interventional abdominal radiology practices.Abdominal radiology (New York) · 2022Article
- Optimizing Costs and Outcomes for Carpal Tunnel Release Surgery: A Cost-Effectiveness Analysis from Societal and Health-Care System Perspectives.The Journal of bone and joint surgery. American volume · 2021Article
- Comparison of Complication Risk Following Trigger Digit Release Performed in the Office Versus the Operating Room: A Population-Based Assessment.The Journal of hand surgery · 2021Article
- Evaluating the Safety of the Hand Surgery Procedure Room: A Single-Center Cohort of 1,404 Surgical Encounters.The Journal of hand surgery · 2021Article
- Comparison of Complication Risk for Open Carpal Tunnel Release: In-office versus Operating Room Settings.Plastic and reconstructive surgery. Global open · 2021Article
- Comparison of direct surgical cost for humeral shaft fracture fixation: open reduction internal fixation versus intramedullary nailing.JSES international · 2021Article
- A Comparison of Open Carpal Tunnel Release Outcomes Between Procedure Room and Operating Room Settings.Journal of hand surgery global online · 2021Article
- The Clinical Impact of Ambient Operating Room Temperature and Other Perioperative Factors on Patient Comfort during Wide-awake Hand Surgery Using Local Anesthesia.The archives of bone and joint surgery · 2021Article
- Evaluation of factors driving cost variation for distal humerus open reduction internal fixation.JSES international · 2021Article
- Cost Implications of Varying the Surgical Setting and Anesthesia Type for De Quervain Release Surgery.Journal of wrist surgery · 2020Article
- Evidence-based Sterility: The Evolving Role of Field Sterility in Skin and Minor Hand Surgery.Plastic and reconstructive surgery. Global open · 2019Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundTrigger finger release (TFR) is a common surgical procedure, representing a financial burden to the healthcare system. Our null hypothesis is that the choice surgical setting [operating room (OR) versus procedure room (PR)] and anesthetic type [local-only or monitored anesthesia care (MAC)] do not affect surgical encounter costs for TFR.
methodsAdult patients undergoing isolated unilateral TFR between May 2014 and December 2017 by 5 fellowship-trained hand surgeons at a single academic medical center were identified by Current Procedural Terminology (CPT) code (26055). We excluded patients undergoing revision surgery, tenosynovectomy, or additional procedures. Using our institution's information technology value tools, we calculated total direct costs for each surgical encounter, which were compared between groups. Univariate and multivariable gamma regression were used to model costs.
resultsOf 210 included patients, 54% (113/210) of cases were performed in the PR and 46% (97/210) in the OR. No significant differences in demographics were observed between PR and OR groups. Compared to local-only in the PR, the OR with local-only, and OR with MAC, demonstrated 2.2- and 3.2-fold greater median costs. Multivariable models suggested that use of the OR independently led to 221% [95% Confidence interval: 137%-345%;
conclusionPerforming TFR in the PR setting under local-only anesthesia minimizes surgical encounter direct costs for this common procedure.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.