Survey on incidence of surgical procedures and percentage of ambulatory surgery in 6 European countries

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Delphia Jemimah Matthews
6 years ago
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1 Survey on incidence of surgical procedures and percentage of ambulatory surgery in 6 European countries Jost Brökelmann, Claus Toftgaard +++ Quelle: ambulatory surgery 2013; 19. 4: Link to article with trunketed table 2: Complete table 2: Table 2: Comparison of selected surgical procedures based upon cases according to OECD rules 1 Cataract Inpatient special inpatient Total inpatient Day cases Outpatient Total AS Total % AS7 98 % 99 % 80 % 96 % 98 % 99 % Incidence FR Squint Inpatient Special inpatient Total inpatient Day cases Outpatient 288 Total AS Total % AS 94 % 89 % 6 % 88 % 91 % 87 % Incidence FR Thanks to Statistisches Bundesamt/Federal Statistical Office, Germany, for providing OECD rules 2 DRG statistics of hospitals (Germany) 3 emergencies (England) 4 EBM statistics for Belegkrankenhäuser (Germany) 5 hourly cases of DRG statistics of hospitals. Day cases of KG 2 statistics ( 115b SGB V) not available 6 AS = ambulatory surgery: day cases + outpatient cases (specialized doctor's offices, Day Surgery Centers, etc.) 7 Percentage of ambulatory surgery (AS) to total cases 8 Incidence = frequency ratio (FR): cases per population

2 Myringotomy with tube insertion Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 90 % 99 % 29 % 99 % 93 % 81 % Incidence FR Tonsillectomy Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 38 % 70 % 4 % 29 % 41 % 37 % Incidence FR Rhinoplasty Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 31 % 65 % 25 % 32 % 62 % 68 % Incidence FR

3 Bron.-Mediastinoscopy Inpatient Special inpatient Total inpatient Day cases Outpatient 1 Total AS Total N/A % AS 70 % 17 % 11 % 58 % 83 % Incidence FR , Surgical removal tooth Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 95 % 90 % 65 % 97 % 95 % 95 % Incidence FR Endoscopic female sterilisation Inpatient Special inpatient Total inpatient Day cases Outpatient 13 Total AS Total N/A % AS 86 % 93 % 1 % 77 % 63 % Incidence FR Legal abortion Inpatient Special inpatient Total inpatient

4 Day cases Outpatient 4 Total AS Total N/A N/A % AS 63 % 88 % 25 % 98 % Incidence FR Dilatation and curettage of uterus Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 88 % 69 % 53 % 91 % 75 % 95 % Incidence FR Hysterectomy (LAVH) Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total N/A 240 % AS 0,5 % 2 % 5 % 2 % 13 % Incidence FR Repair cysto- rectocele Inpatient Special inpatient Total inpatient Day cases Outpatient 618 Total AS Total % AS 2 % 14 % 1 % 0.4 % 32 % 56 % 9 Ian Jackson: abdominal + vaginal hysterectomies were counted

5 Incidence FR Knee arthroscopy Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total N/A % AS 83 % 83 % 24 % 86 % 95 % Incidence FR Arthroscopic meniscus Inpatient no data Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 84 % 94 % 51 % 96 % 97 % Incidence FR Removal bone implants Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 64 % 74 % 34 % 74 % 75 % 90 % Incidence FR Repair deform. on foot Inpatient Special inpatient Total inpatient Data not available because pooled with arthroscopic meniscus 11 Data not available because pooled with knee arthroscopy

6 Day cases Outpatient Total AS Total % AS 61 % 61 % 26 % 55 % 56 % 79 % Incidence FR Carpal tunnel release Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 96 % 93 % 74 % 98 % 93 % 95 % Incidence FR Baker cyst Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total N/A N/A % AS 82 % 46 % 94 % 93 % Incidence FR Dupuytrens contracture Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 82 % 90 % 76 % 77 % 71 % 89 % Incidence FR ,6

7 Crusiate ligament repair Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total N/A % AS 22 % 80 % 25 % 50 % 90 % Incidence FR Disc operations Inpatient Special inpatient Total inpatient Day cases Outpatient 16 Total AS Total % AS 3 % 5 % 0,03 % 3 % 13 % 1 % Incidence FR Breast lump Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 60 % 36 % 7 % 33 % 44 % 53 % Incidence FR Mastectomy Inpatient Special inpatient Total inpatient

8 Day cases Outpatient 457 Total AS Total % AS 4 % 5 % 2 % 5 % 11 % 11 % Incidence FR Cholecystectomy laparo. Inpatient Special inpatient N/A Total inpatient Day cases Outpatient N/A Total AS Total N/A % AS 32 % 28 % 20 % 22 % 63 % Incidence FR Laparoscopic antireflux Inpatient Special inpatient 53 0 Total inpatient Day cases Outpatient 3 Total AS Total % AS 4 % 7 % 0,6 % 5 % 6 % 16 % Incidence FR Haaemorrhoidectomy Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 66 % 57 % 32 % 54 % 95 % 92 % Incidence FR

9 Hernia Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 66 % 63 % 14 % 63 % 74 % 82 % Incidence FR Circumcision Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 88 % 86 % 79 % 97 % 92 % 95 % Incidence FR Orchiodectomy + -pexy Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 65 % 57 % 19 % 84 % 56 % 79 % Incidence FR

10 Male sterilisation Inpatient Special inpatient 7 N/A Total inpatient Day cases N/A Outpatient N/A Total AS Total N/A N/A % AS 98 % 99 % 99 % 100 % Incidence FR TURP Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 3 % 2 % 2 % 3 % 2 % 8 % Incidence FR Coloscopy w/wo biopsy Inpatient Special inpatient Total inpatient Day cases Outpatient 0 Total AS Total N/A % AS 94 % 19 % 0,3 % 86 % 96 % Incidence FR Removal of colon polyps Inpatient Special inpatient Total inpatient Day cases Outpatient 2 Total AS

11 Total N/A % AS 95 % 12 % 0,2 % 89 % 98 % Incidence FR Varicose veins Inpatient Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 79 % 85 % 52 % 69 % 94 % 99 % Incidence FR Breast reduction Inpatient Special inpatient Total inpatient Day cases Outpatient 142 Total AS Total N/A % AS 4 % 14 % 2 % 29 % 5 % Incidence FR Abdominoplasty Inpatient Special inpatient 4 46 Total inpatient Day cases Outpatient 29 Total AS Total N/A % AS 1 % 13 % 0,4 % 9 % 2 % Incidence FR Pilonoidal cyst Inpatient

12 Special inpatient Total inpatient Day cases Outpatient Total AS Total % AS 36 % % 28 % 64 % 96 % 92 % Incidence FR English survey said 67 %

Ten Year Performance of Ambulatory Surgery in England

Ten Year Performance of Ambulatory Surgery in England Mark Skues 1, Ian Jackson 2 Abstract Introduction: The development of a new cohort of procedures suitable for Ambulatory Surgery has been recently