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Same-day vs different-day elective upper and lower endoscopic procedures by setting

JAMA May 21, 2019

Wang P, et al. - In this retrospective analysis, researchers estimated the rates of different-day upper and lower endoscopic procedures in three types of outpatient settings and examined factors related to the performance of these procedures on different days. In this cohort study of all paired upper and lower endoscopic procedures conducted within a 90-day period among Medicare beneficiaries from January 1, 2011, to June 30, 2018, the rate of different-day procedures was 13.6% in hospital outpatient departments (HOPDs), 22.2% in ambulatory surgery centers (ASCs), and 47.7% in physician offices. Overall, the authors concluded that physician offices and ASCs had much higher different-day procedure rates vs HOPDs. This disparity in practice pattern through practice setting may be an opportunity for common endoscopic procedures to improve quality and save financially.
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