DelSole Edward M, Makanji Heeren S, Kurd Mark F
Department of Spine Surgery, Rothman Orthopaedic Institute, Philadelphia, PA, USA.
J Spine Surg. 2019 Sep;5(Suppl 2):S124-S132. doi: 10.21037/jss.2019.04.12.
Spine surgery continues to move into the ambulatory setting in an effort to pair high-quality care delivery with low-cost facilities. The purpose of this review was to assess the current literature for trends in the practice of ambulatory spine surgery. A systematic review of the English language literature from the past five years was performed utilizing PRISMA standards. The results demonstrate that current focus of research emphasizes the safety of ambulatory surgery-with several studies commenting on complication rates, patient selection, and postoperative protocols to prevent readmissions or complications. Research is also focused on quality of care, and ensuring non-inferiority of ambulatory surgery when compared with traditional inpatient hospitalizations. Importantly, no level I or II literature has been published on the topic in the past five years, suggesting a renewed need for high quality prospective studies.
脊柱手术正不断向门诊环境发展，旨在将高质量的医疗服务与低成本的设施相结合。本综述的目的是评估当前文献中有关门诊脊柱手术实践的趋势。利用PRISMA标准对过去五年的英文文献进行了系统综述。结果表明，当前的研究重点强调门诊手术的安全性——多项研究对并发症发生率、患者选择以及预防再入院或并发症的术后方案进行了评论。研究还聚焦于医疗质量，并确保与传统住院治疗相比，门诊手术并不逊色。重要的是，在过去五年中尚未发表关于该主题的I级或II级文献，这表明重新需要高质量的前瞻性研究。
