ArticleInternational journal of spine surgery2021
The Expanding Frontier of Outpatient Spine Surgery.
Article in International journal of spine surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Response to the Letter to the Editor for "The First Wave: National Adoption and Economic Shifts of Posterior Cervical Decompression and Fusion in Hospital-Owned Ambulatory Surgery Centers".Global spine journal · 2026Article
- Intraoperative and Postoperative Safety of Outpatient Anterior Lumbar Spine Surgery: A Multicenter Experience.International journal of spine surgery · 2026Article
- Feasibility and safety of outpatient spine surgery: insights from 555 neurosurgical interventions.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Review
- Article
- Cost Comparison of Sports Medicine Procedures in Ambulatory Surgery Centers Versus Hospital Outpatient Departments for Medicare Recipients.Orthopaedic journal of sports medicine · 2025Article
- Savings Associated With Bundled Payments for Outpatient Spine Surgery Among Medicare Beneficiaries.JAMA health forum · 2025Article
- Ambulatory surgery center versus outpatient hospitals: a comparison of reimbursements for patients undergoing anterior cervical discectomy and fusion.The spine journal : official journal of the North American Spine Society · 2025Article
- Ultrasound-triggered release of vancomycin from a novel spinal device: Antibiotic release and efficacy in vivo.International journal of pharmaceutics · 2025Article
- Database analysis comparing incidence and complication rates between inpatient and outpatient laminotomies for lumbar disc herniation.North American Spine Society journal · 2024Article
- In Vitro and In Vivo Evaluation of Ultrasound-Triggered Release From Novel Spinal Device.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2023Article
- The use of machine learning for predicting candidates for outpatient spine surgery: a review.Journal of spine surgery (Hong Kong) · 2023Review
- Awake Spinal Fusion Is Associated with Reduced Length of Stay, Opioid Use, and Time to Ambulation Compared to General Anesthesia: A Matched Cohort Study.World neurosurgery · 2023Article
- Patterns of Intrathecal Ossification in Arachnoiditis Ossificans: A Retrospective Case Series.AJNR. American journal of neuroradiology · 2023Article
- Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2014, inpatient spinal fusion surgery had the highest aggregate cost of any inpatient surgery performed in the United States, costing 12 billion dollars. As the national health care system seeks to improve value-based care, there is increased motivation to perform surgery on an outpatient basis. To ensure improved patient outcomes with this transition, patient selection has become increasingly important to identify who would most benefit from outpatient spine fusion, for example. This demands an improved understanding of the demographics of patients who have been receiving outpatient spine fusion on which the spine surgery community can build to improve cost-effective care delivered.
methodsThe Healthcare Cost and Utilization Project, State Ambulatory Surgery Databases, and Agency for Healthcare Research and Quality databases were queried for demographic data regarding all-cause outpatient spine surgery between 2012 and 2014. Outpatient surgery volume was compared with inpatient surgery volume-which was provided by the State Inpatient Databases.
resultsA total of 1,164,040 spine fusion procedures were identified between 2012 and 2014, of which 132,900 procedures were performed as outpatient surgery (11.4%). Of all fusion procedures amongst 18- to 44-year-old patients, 18.4% were outpatient. A larger proportion of white patients, rather than black or Hispanic patients, underwent ambulatory procedures (12.14% vs 9.53% vs 7.46%, respectively); 16.54% of spinal fusion procedures for patients with private insurance was performed on an outpatient basis. Based on patient income, 76% of all outpatient fusions were performed on patients who live in "not low" income ZIP codes.
conclusionsThere has been a gradual trend toward performing more outpatient spinal fusion procedures over the studied period. This study has also revealed unique trends in the demographics of patients who have received outpatient spine fusion during this time. LEVEL OF EVIDENCE: 3.
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