Tag: Patient Selection

Ambulatory general surgery safe for older adults when patients are carefully selected

Editor's Note Older age alone should not exclude patients from ambulatory general surgery. A retrospective study published in Cureus on August 27 found that patients over 75 undergoing short-stay general surgical procedures experienced complication and reintervention rates comparable to younger peers, despite higher comorbidity and anesthetic risk scores. The analysis…

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By: Tarsilla Moura
September 16, 2025
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Outpatient artificial disc replacement proves safe, efficient, game-changing for spine surgery

Editor's Note Artificial disc replacement (ADR) no longer requires a hospital stay. In one of the largest analyses to date, a California surgical team reviewed 1,043 outpatient ADR cases over 6 years and found zero immediate hospital transfers, zero transfusions, and every patient discharged home in under 24 hours, LA…

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By: Tarsilla Moura
September 16, 2025
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August poll results: Service line shifts push ASCs to expand capacity, redefine readiness

The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…

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By: Tarsilla Moura
September 3, 2025
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Endoscopy case highlights risks of complex patients in ASCs

Editor's Note A malpractice case involving a 69-year-old man undergoing an endoscopy at an ambulatory surgery center (ASC) spotlights the risks of managing high-comorbidity patients outside a hospital setting. According to a May 13 report in Anesthesiology News, the patient experienced a hypoxic event that led to permanent brain injury…

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By: Tarsilla Moura
September 2, 2025
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CMS plan to phase out inpatient only list sparks debate over safety for vulnerable patients

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is moving to eliminate its Inpatient Only (IPO) List over the next 3 years, a decision that could permanently shift more surgical procedures from hospitals to outpatient settings. According to an August 24 article from Fierce Healthcare, the policy promises…

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By: Tarsilla Moura
September 2, 2025
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Expert lessons on building successful total joints programs in ASCs

By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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By: Tarsilla Moura
August 26, 2025
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Robotic surgery shows better outcomes in select emergency colorectal cases, poised for wider use

Editor's Note Robotic-assisted surgery is proving to be a strong option for emergency colorectal procedures, offering lower complication rates, shorter hospital stays, and fewer conversions to open surgery than conventional approaches. According to a July 23 article from the Journal of the American College of Surgeons, this approach—long established in…

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By: Tarsilla Moura
August 12, 2025
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Colonoscopy follow-up safe after 75: Study finds age alone shouldn’t guide decisions

Editor's Note Routine colonoscopy surveillance after polyp removal is safe for adults over 75 and should not be ruled out based on age alone, according to a new study from Kaiser Permanente published on May 27 in Clinical Gastroenterology and Hepatology. The research, conducted as part of the National Cancer…

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By: Tarsilla Moura
June 3, 2025
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Study: Outpatient PCI safety comparable for ASCs, HOPDs

Editor's Note The first study to evaluate percutaneous coronary interventions (PCI) in Medicare beneficiaries treated at ambulatory surgery centers (ASCs) found similar short-term safety outcomes as hospital outpatient departments (HOPDs). As detailed in an announcement from The Society for Cardiovascular Angiography & Interventions (SCAI), the research was presented on May…

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By: Matt Danford
May 8, 2025
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Pembrolizumab sets new standard in advanced head and neck cancer surgery, trial shows

Editor's Note According to results from a randomized trial, titled KEYNOTE-689, adding pembrolizumab (Keytruda) to surgery and standard adjuvant therapy significantly prolongs event-free survival (EFS) in patients with resectable, locally advanced head and neck squamous cell carcinoma (HNSCC), MedPage Today April 28 reports. Experts are calling the findings a major…

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By: Tarsilla Moura
April 29, 2025
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