Running an ambulatory surgery center (ASC) is not for the faint of heart. ASC leaders are navigating tight margins, stricter-than-ever quality reporting, lean staffing resources, payer squeeze, and a relentless push to be profitable without proper support. And yet, the ASC market is booming. The number of Medicare-certified ASCs has…

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Editor's Note Glucagon-like peptide-1 (GLP-1) receptor agonists may offer orthopedic patients with obesity and type 2 diabetes a powerful tool for preoperative weight loss and potential disease modification, according to a July 10 review article in The Journal of Bone and Joint Surgery. However, the agents carry perioperative risks that…

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Editor's Note Surgeons are performing robotic shoulder replacements in ambulatory surgery centers (ASCs) for the first time, signaling a significant shift in the trajectory of outpatient total joint arthroplasty. According to Outpatient Surgery Magazine May 7, the world’s first robotic total shoulder replacement outside of a hospital took place on…

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Editor's Note Opening a hospital-affiliated ambulatory surgery center (ASC) can shift healthier patients out of the hospital without compromising outcomes for those who remain, according to a new study published in the Journal of the AAOS Global Research & Reviews in April 2025. The retrospective analysis from Luminis Health Anne…

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Editor's Note According to a May 2025 Canadian Medical Association Journal study, creating centralized waitlists for hip and knee replacements can cut surgical wait times without increasing costs or expanding OR capacity, CBC News May 20 reports. The study, led by David Urbach, MD, MSC, head of the surgery department…

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Editor's Note According to a new report by HTF Market Intelligence, the global knee surgical robot market is projected to grow significantly to reach $5.9 billion by 2032, up from $1.7 billion in 2025, Newstrail April 11 reports. This reflects a robust compound annual growth rate (CAGR) of 16.4%, driven…

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Editor's Note A recent Duke University analysis challenges the long‑held assumption that ambulatory surgery centers (ASCs) inherently deliver superior results for outpatient joint replacement, Orthopedics This Week March 18 reports. In the February 2025 Journal of Arthroplasty, researchers report that same‑day discharge total knee arthroplasty (TKA) performed in a tertiary‑care hospital…

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Editor's Note According to a study presented at the American Academy of Orthopaedic Surgeons 2025 Annual Meeting, same-day discharge for total joint arthroplasty (TJA) patients with a history of atrial fibrillation (AF) is both feasible and safe, Medscape March 31 reports. This finding challenges the common assumption that patients with…

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Editor's Note Arthroplasty implants may release metals that accumulate in the central nervous system (CNS), potentially contributing to neurotoxic effects, according to a study published March 28 in JAMA Network Open. Researchers found that patients with large joint replacements had significantly higher levels of cobalt, chromium, titanium, niobium, and zirconium…

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Editor’s Note A growing body of research is shedding new light on the long-running debate about spinal anesthesia (SA) and general anesthesia (GA) in outpatient surgical settings, Outpatient Surgery Magazine March 12 reports. Recent studies suggest both approaches can be considered safe and effective, with the “best” choice often hinging…

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