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Outcomes and charges associated with outpatient inguinal hernia repair according to method of anesthesia and surgical approach

Abstract Background We conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting. Methods Using New York's state ambulatory surgery databases, we identified discharges for patients who underwent inguinal hernia repair. P... Full description

Journal Title: The American journal of surgery 2015, Vol.209 (3), p.468-472
Main Author: Bourgon, Adam L., D.O
Other Authors: Fox, Justin P., M.D., M.H.S , Saxe, Jonathan M., M.D , Woods, Randy J., M.D
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9610
Link: https://www.ncbi.nlm.nih.gov/pubmed/25547092
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title: Outcomes and charges associated with outpatient inguinal hernia repair according to method of anesthesia and surgical approach
format: Article
creator:
  • Bourgon, Adam L., D.O
  • Fox, Justin P., M.D., M.H.S
  • Saxe, Jonathan M., M.D
  • Woods, Randy J., M.D
subjects:
  • Abridged Index Medicus
  • Ambulatory surgery
  • Ambulatory Surgical Procedures - methods
  • Analysis
  • Anesthesia
  • Anesthesia, Local - methods
  • Female
  • Follow-Up Studies
  • Hernia
  • Hernia, Inguinal - surgery
  • Hernias
  • Herniorrhaphy - methods
  • Hospitals
  • Humans
  • Inguinal hernia
  • Laparoscopy - methods
  • Male
  • Medicare
  • Methods
  • Middle Aged
  • Outcomes
  • Outpatients
  • Physicians
  • Readmission
  • Retrospective Studies
  • Studies
  • Surgery
ispartof: The American journal of surgery, 2015, Vol.209 (3), p.468-472
description: Abstract Background We conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting. Methods Using New York's state ambulatory surgery databases, we identified discharges for patients who underwent inguinal hernia repair. Patients were grouped by method of hernia repair. We compared hospital-based acute care encounters and total charges across groups. Results Locoregional anesthesia (5.2%) experienced a similar frequency of hospital-based acute care encounters within 30 days of discharge when compared with patients receiving general (6.0%) or having a laparoscopic procedure (6.0%). Risk-adjusted charges increased across groups (locoregional = $6,845 vs general = $7,839 vs laparoscopic = $11,340, P < .01). Conclusion Open inguinal hernia repair under local anesthesia reduces healthcare charges.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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descriptionAbstract Background We conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting. Methods Using New York's state ambulatory surgery databases, we identified discharges for patients who underwent inguinal hernia repair. Patients were grouped by method of hernia repair. We compared hospital-based acute care encounters and total charges across groups. Results Locoregional anesthesia (5.2%) experienced a similar frequency of hospital-based acute care encounters within 30 days of discharge when compared with patients receiving general (6.0%) or having a laparoscopic procedure (6.0%). Risk-adjusted charges increased across groups (locoregional = $6,845 vs general = $7,839 vs laparoscopic = $11,340, P < .01). Conclusion Open inguinal hernia repair under local anesthesia reduces healthcare charges.
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subjectAbridged Index Medicus ; Ambulatory surgery ; Ambulatory Surgical Procedures - methods ; Analysis ; Anesthesia ; Anesthesia, Local - methods ; Female ; Follow-Up Studies ; Hernia ; Hernia, Inguinal - surgery ; Hernias ; Herniorrhaphy - methods ; Hospitals ; Humans ; Inguinal hernia ; Laparoscopy - methods ; Male ; Medicare ; Methods ; Middle Aged ; Outcomes ; Outpatients ; Physicians ; Readmission ; Retrospective Studies ; Studies ; Surgery
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descriptionAbstract Background We conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting. Methods Using New York's state ambulatory surgery databases, we identified discharges for patients who underwent inguinal hernia repair. Patients were grouped by method of hernia repair. We compared hospital-based acute care encounters and total charges across groups. Results Locoregional anesthesia (5.2%) experienced a similar frequency of hospital-based acute care encounters within 30 days of discharge when compared with patients receiving general (6.0%) or having a laparoscopic procedure (6.0%). Risk-adjusted charges increased across groups (locoregional = $6,845 vs general = $7,839 vs laparoscopic = $11,340, P < .01). Conclusion Open inguinal hernia repair under local anesthesia reduces healthcare charges.
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abstractAbstract Background We conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting. Methods Using New York's state ambulatory surgery databases, we identified discharges for patients who underwent inguinal hernia repair. Patients were grouped by method of hernia repair. We compared hospital-based acute care encounters and total charges across groups. Results Locoregional anesthesia (5.2%) experienced a similar frequency of hospital-based acute care encounters within 30 days of discharge when compared with patients receiving general (6.0%) or having a laparoscopic procedure (6.0%). Risk-adjusted charges increased across groups (locoregional = $6,845 vs general = $7,839 vs laparoscopic = $11,340, P < .01). Conclusion Open inguinal hernia repair under local anesthesia reduces healthcare charges.
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