Overlapping orthopedic surgery noninferior for patient safety

Overlapping orthopedic surgery noninferior for patient safety
(HealthDay)—Overlapping inpatient orthopedic surgery is noninferior to nonoverlapping surgery with respect to perioperative complications, according to a study published in the Nov. 21 issue of The Journal of Bone & Joint Surgery.

Christopher J. Dy, M.D., M.P.H., from the Washington University School of Medicine in St. Louis, and colleagues examined the safety of overlapping inpatient for all inpatient orthopedic surgical procedures performed at five academic institutions. Patients who underwent overlapping surgery, defined as two skin incisions open simultaneously for one surgeon, were compared to those who underwent nonoverlapping surgery with respect to the occurrence of a perioperative complication within 30 days of the surgical procedure.

The frequency of overlapping surgery was 40 percent among 14,135 cases. The found frequencies of perioperative complications were 1 and 2 percent in the overlapping surgery and nonoverlapping surgery groups, respectively. Compared with the nonoverlapping surgery group, the overlapping surgery group was noninferior (odds ratio, 0.61); the odds of perioperative complications were reduced with overlapping surgery (odds ratio, 0.61). The overlapping surgery group had a significantly lower chance of all-cause 30-day readmission (odds ratio, 0.67) and shorter length of stay (eβ, 0.94). No difference was seen in mortality.

"It is incumbent on surgeons who perform overlapping to disclose this practice to their and to collect patient-reported outcomes to ensure continuing and to demonstrate benefit to society," the authors write.

Two authors disclosed financial ties to the medical device industry.


Explore further

Multicenter study supports safety of overlapping orthopaedic surgery

More information: Abstract/Full Text

Copyright © 2018 HealthDay. All rights reserved.

Citation: Overlapping orthopedic surgery noninferior for patient safety (2018, December 20) retrieved 25 May 2019 from https://medicalxpress.com/news/2018-12-overlapping-orthopedic-surgery-noninferior-patient.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
1 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more