| Intra-Operative Waste in Spine Surgery: Incidence, Cost, and Effectiveness of an Educational Program. | |
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MedLine Citation:
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PMID: 21738100 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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ABSTRACT: Study Design: Prospective observational study.Objective: This study aims to quantify the incidence of intra-operative waste in spine surgery, and to examine the efficacy of an educational program directed at surgeons to induce a reduction in the intra-operative waste.Summary of background data: Each year, over 600 000 surgical interventions are performed on the spine in the United States. Spine procedures are associated with high costs. Implants are a main contributor of these costs. Intra-operative waste further exacerbates the high cost of surgery. The incidence and cost of intra-operative waste has not yet been studied in the context of spine surgery.Methods: Data was collected during a 25-month period from one academic medical center (15 months observational period, 10 months post awareness program).The total number of spine procedures, and the incidence of intra-operative waste were recorded prospectively. Other variables recorded included the type of product wasted, cost associated with the product or implant wasted, and reason for the waste. Statistical analysis was performed with STATA (v11.0), using z-tests of proportion, t-tests, and analysis of variance.Results: Intra-operative waste occurred in 20.2% of the procedures prior to the educational program and in 10.3% of the procedures after the implementation of the program (p<0.0001). Monthly costs associated with surgical waste were, on average $17680 prior to the awareness intervention, and $5876 afterwards (p = 0.0006). Prior to the intervention, surgical waste represented 4.3% of total operative spine budget. After the awareness program this proportion decrease to an average of 1.2% (p = 0.003).Conclusions: Intraoperative waste in spine surgery exacerbates the already costly procedures. Extrapolation of this data to the national level leads to an annual estimate of $126,722,000 attributable to intra-operative spine waste. A simple educational program proved to be and continues to be effective in making surgeons aware of the import of their choices and the costs related to surgical waste. |
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Authors:
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Alex Soroceanu; Elena Canacari; Eric Brown; Adam Robinson; Kevin J McGuire |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-7-5 |
Journal Detail:
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Title: Spine Volume: - ISSN: 1528-1159 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-7-8 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1 Department of Orthopaedic Surgery, Dalhousie University, Queen Elizabeth II Health Sciences Center, Halifax (NS), Canada 2 Beth Israel Deaconess Medical Center, Boston, MA, USA 3 Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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