Evidence map›Paper›PMID 41084345›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

Moving Lumbar Drain Placement to IR From the Operating Room Creates Time and Cost Savings.

David K Lerner, Saawan Patel, Chau Phung, Khashayar Eshaghi, Alan D Workman, Glenn Pennington, Robert Stetson, Bryan A Pukenas, Joshua H Atkins, Jennifer E Douglas and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

David K LernerDepartment of Otolaryngology-Head and Neck Surgery, University of Miami, Miami, Florida, USA.ORCID https://orcid.org/0000-0002-0431-2920
Saawan PatelDepartment of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Chau PhungDepartment of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Khashayar EshaghiDepartment of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Alan D WorkmanDepartment of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Glenn PenningtonDepartment of Strategic Decision Support, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Robert StetsonDepartment of Strategic Decision Support, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Bryan A PukenasDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Joshua H AtkinsDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jennifer E DouglasDepartment of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Michael A KohanskiDepartment of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
James N PalmerDepartment of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nithin D AdappaDepartment of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSurgeons often place lumbar drains (LD) perioperatively in patients undergoing repair for spontaneous cerebrospinal fluid (CSF) rhinorrhea. We analyzed the cost implications of a transition from operating room (OR) LD placement to a separate Interventional Radiology suite (IR) on the morning of surgery. STUDY

designRetrospective cohort study.

settingTertiary care center.

methodsWe analyzed patients undergoing endoscopic repair of spontaneous CSF rhinorrhea with LD placement from August 2015 to June 2023. Patient factors and inflation-adjusted perioperative costs were compared between groups.

resultsEighty patients were identified, including 42 patients with OR LD placement and 38 patients in IR. All LDs placed prior to August 2019 were performed in the OR, and all after in IR. Most patients were female (86.3%) with average patient age and BMI of 52.8 years and 37.8 kg/m

conclusionTransition from routine OR LD placement to a separate IR suite was associated with savings of about $1500 in direct labor costs per procedure for the hospital, reflecting the reduction in operating room time and associated personnel costs. Importantly, placement of LD in a separate suite allows for increased OR efficiency and productivity by the Otolaryngology team, which may perform an additional procedure prior to the CSF leak repair case.

Indexed as

Cerebrospinal Fluid RhinorrheaCost SavingsDrainageEndoscopyOperating RoomsAdultFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesTime Factorscerebrospinal fluid rhinorrheahealthcare economicsidiopathic intracranial hypertensionoperative surgical proceduresskull base

Identifiers

PMID41084345
PMCPMC12661466

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.