Old dogs and new tricks: Length of stay for appendicitis improves with an acute care surgery program and transition from private surgical practice to multispecialty group practice

American Surgeon

Volumn 80, Issue 12, 2014, Pages 1250-1255

  Wright, G Paul ^a,b   Ecker, Amie M ^a   Hobbs, David J ^a   Wilkes, Alexander W ^a   Hagelberg, Richard S ^a,b,c   Rodriguez, Carlos H ^a,b,c   Scholten, Donald J ^a,b,c  

^a MICHIGAN STATE UNIVERSITY   (United States)

^b MICHIGAN STATE UNIVERSITY   (United States)

^c SPECTRUM HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE APPENDICITIS; ACUTE CARE SURGERY; ADULT; APPENDECTOMY; CONFERENCE PAPER; CONTROLLED STUDY; DISEASE DURATION; EMERGENCY SURGERY; FEMALE; GROUP PRACTICE; HEALTH CARE DELIVERY; HOSPITAL MANAGEMENT; HUMAN; LAPAROSCOPIC SURGERY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MULTISPECIALTY GROUP PRACTICE; OUTCOME ASSESSMENT; PRIVATE PRACTICE; PROGRAM DEVELOPMENT; RETROSPECTIVE STUDY; SURGICAL APPROACH; APPENDICITIS; COHORT ANALYSIS; COMPARATIVE STUDY; FOLLOW UP; HOSPITAL READMISSION; INTENSIVE CARE; INTERDISCIPLINARY COMMUNICATION; LAPAROSCOPY; LAPAROTOMY; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PREDICTIVE VALUE; PROCEDURES; PROGRAM EVALUATION; RISK ASSESSMENT; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; TERTIARY CARE CENTER; TREATMENT OUTCOME; YOUNG ADULT;

ADULT; APPENDECTOMY; APPENDICITIS; COHORT STUDIES; CRITICAL CARE; FEMALE; FOLLOW-UP STUDIES; GROUP PRACTICE; HUMANS; INTERDISCIPLINARY COMMUNICATION; LAPAROSCOPY; LAPAROTOMY; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; PATIENT READMISSION; PREDICTIVE VALUE OF TESTS; PRIVATE PRACTICE; PROGRAM EVALUATION; RETROSPECTIVE STUDIES; RISK ASSESSMENT; TERTIARY CARE CENTERS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84924925650     PISSN: 00031348     EISSN: 15559823     Source Type: Journal    
DOI: None     Document Type: Conference Paper

References (26)

1. DeFrances CJ, Lucas CA, Buie VC, et al. 2006 National Hospital Discharge Survey. National Health Statistics Reports; no. 5. Hyattsville, MD: National Center for Health Statistics; 2008.
2. Vons C, Barry C, Maitre S, et al. Amoxicillin plus clavulanic acid versus appendicectomy for treatment of acute uncomplicated appendicitis: an open-label non-inferiority, randomised controlled trial. Lancet 2011;377:1573-9.
3. Hansson J, Korner U, Khorram-Manesh A, et al. Randomized clinical trial of antibiotic therapy versus appendicectomy as primary treatment of acute appendicitis in unselected patients. Br J Surg 2009;96:473-81.
4. Schilling PL, Dimick JB, Birkmeyer JD. Prioritizing quality improvement in general surgery. J Am Coll Surg 2008;207:698-704.
5. Jurkovich GJ, Angood PB, Britt LD, et al. from The Committee to Develop the Reorganized Specialty of Trauma, Surgical Critical Care, and Emergency Surgery. Acute care surgery: trauma, critical care, and emergency surgery. J Trauma 2005;58:614-6.
6. Ciesla DJ, Moore EE, Moore JB, et al. The academic trauma center is a model for the future trauma and acute care surgeon. J Trauma 2005;58:657-62.
7. Garst GC, Moore EE, Banerjee MN, et al. Acute appendicitis: a disease severity score for the acute care surgeon. J Trauma Acute Care Surg 2013;74:32-6.
8. Charles AG, Ortiz-Pujols S, Ricketts T, et al. The employed surgeon: a changing professional paradigm. JAMA Surg 2013;148: 323-8.
9. Sheldon GF. Access to care and the surgeon shortage. Ann Surg 2010;252:582-90.
10. Satiani B, Williams TE, Ellison EC. Impact of employment of part-time surgeons on the expected surgeon shortage. J Am Coll Surg 2011;213:345-51.
11. Britt RC,Weireter LJ, Britt LD. Initial implementation of an acute care surgery model: implications for timeliness of care. JAm Coll Surg 2009;209:421-4.
12. Earley AS, Pryor JP, Kim PK, et al. An acute care surgery model improves outcomes in patients with appendicitis. Ann Surg 2006;244:498-504.
13. Cubas RF, Gomez NR, Rodriguez S, et al. Outcomes in the management of appendicitis and cholecystitis in the setting of a new acute care surgery service model: impact on timing and cost. J Am Coll Surg 2012;215:715-21.
14. Lewis FR, Holcroft JW, Boey J, et al. Appendicitis: a critical review of diagnosis and treatment in 1,000 cases. Ann Surg 1975; 110:677-84.
15. Berry J Jr, Malt RA. Appendicitis near its centenary. Ann Surg 1984;200:567-75.
16. The Henry J. Kaiser Family Foundation. Hospital Adjusted Expenses per Inpatient Day by Ownership, 2010. Available at: http://kff.org/other/state-indicator/expenses-per-inpatient-day-byownership/. Accessed May 30, 2013.
17. Alexander MS, Nelson C, Coughenour J, et al. Acute care surgery practice model: targeted growth for fiscal success. Surgery 2013;154:867-74.
18. Guller U, Hervey S, Purves H, et al. Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg 2004;239:43-52.
19. Hemmila MR, Birkmeyer NJ, Arbabi S, et al. Introduction to propensity scores: a case study on the comparative effectiveness of laparoscopic vs open appendectomy. Arch Surg 2010;145: 939-45.
20. Ingraham AM, Cohen ME, Bilimoria KY, et al. Comparison of outcomes after laparoscopic versus open appendectomy for acute appendicitis at 222 ACS NSQIP hospitals. Surgery 2010;148: 625-37.
21. Masoomi H, Mills S, Dolich MO, et al. Comparison of outcomes of laparoscopic versus open appendectomy in adults: data from the Nationwide Inpatient Sample (NIS), 2006-2008. J Gastrointest Surg 2011;15:2226-31.
22. Masoomi H, Nguyen NT, Dolich MO, et al. Comparison of laparoscopic versus open appendectomy for acute nonperforated and perforated appendicitis in the obese population. Am J Surg 2011;202:733-9.
23. Mason RJ, Moazzez A, Moroney JR, et al. Laparoscopic vs open appendectomy in obese patients: outcomes using the American College of Surgeons National Surgical Quality Improvement Program Database. J Am Coll Surg 2012;215:88-100.
24. Birkmeyer JD, Stukel TA, Siewers AE, et al. Surgeon volume and operative mortality in the United States. N Engl J Med 2003;349:2117-27.
25. Ingraham AM, Cohen ME, Bilimoria KY, et al. Effect of delay to operation on outcomes in adults with acute appendicitis. Arch Surg 2010;145:886-92.
26. Kaplan LJ, Frankel H, Davis KA, et al. Pitfalls of implementing acute care surgery. J Trauma 2007;62:1264-71.