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Tytuł pozycji:

December Is Coming: A Time Trend Analysis of Monthly Variation in Adult Elective Anesthesia Caseload across Florida and Texas Locations of a Large Multistate Practice.

Tytuł:
December Is Coming: A Time Trend Analysis of Monthly Variation in Adult Elective Anesthesia Caseload across Florida and Texas Locations of a Large Multistate Practice.
Autorzy:
Piersa AP; From the University of Chicago Pritzker School of Medicine and Booth School of Business, Chicago, Illinois; Current Position: Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Tung A; Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois.
Dutton RP; U.S. Anesthesia Partners, Dallas, Texas.
Shahul S; Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois.
Glick DB; Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois.
Źródło:
Anesthesiology [Anesthesiology] 2021 Nov 01; Vol. 135 (5), pp. 804-812.
Typ publikacji:
Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Publication: Philadelphia Pa : Lippincott Williams & Wilkins
Original Publication: Philadelphia : American Society of Anesthesiologists
MeSH Terms:
Seasons*
Anesthesia/*statistics & numerical data
Anesthesiology/*statistics & numerical data
Elective Surgical Procedures/*statistics & numerical data
Workload/*statistics & numerical data
Adult ; Age Distribution ; Florida ; Hospitals/statistics & numerical data ; Humans ; Insurance, Health/statistics & numerical data ; Longitudinal Studies ; Retrospective Studies ; Texas
References:
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JAMA Intern Med. 2016 Mar;176(3):395-7. (PMID: 26784644)
N Engl J Med. 2013 Oct 17;369(16):1481-4. (PMID: 24088042)
Ann Surg. 2021 Jun 1;273(6):1150-1156. (PMID: 31714318)
Inflamm Bowel Dis. 2021 May 17;27(6):771-778. (PMID: 32676638)
J Clin Oncol. 2018 Apr 10;36(11):1121-1127. (PMID: 29489428)
Anesthesiology. 1999 Apr;90(4):1176-85. (PMID: 10201692)
NCHS Data Brief. 2018 Aug;(317):1-8. (PMID: 30156534)
Health Aff (Millwood). 2017 Oct 1;36(10):1762-1768. (PMID: 28971921)
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Anesthesiology. 2014 Jul;121(1):171-83. (PMID: 24940734)
Grant Information:
R01 HL148191 United States HL NHLBI NIH HHS; R21 HL148488 United States HL NHLBI NIH HHS
Entry Date(s):
Date Created: 20210915 Date Completed: 20211108 Latest Revision: 20221117
Update Code:
20240105
PubMed Central ID:
PMC9666054
DOI:
10.1097/ALN.0000000000003959
PMID:
34525169
Czasopismo naukowe
Background: Anesthesia staffing models rely on predictable surgical case volumes. Previous studies have found no relationship between month of the year and surgical volume. However, seasonal events and greater use of high-deductible health insurance plans may cause U.S. patients to schedule elective surgery later in the calendar year. The hypothesis was that elective anesthesia caseloads would be higher in December than in other months.
Methods: This review analyzed yearly adult case data in Florida and Texas locations of a multistate anesthesia practice from 2017 to 2019. To focus on elective caseload, the study excluded obstetric, weekend, and holiday cases. Time trend decomposition analysis was used with seasonal variation to assess differences between December and other months in daily caseload and their relationship to age and insurance subgroups.
Results: A total of 3,504,394 adult cases were included in the analyses. Overall, daily caseloads increased by 2.5 ± 0.1 cases per day across the 3-yr data set. After adjusting for time trends, the average daily December caseload in 2017 was 5,039 cases (95% CI, 4,900 to 5,177), a 20% increase over the January-to-November baseline (4,196 cases; 95% CI, 4,158 to 4,235; P < 0.0001). This increase was replicated in 2018: 5,567 cases in December (95% CI, 5,434 to 5,700) versus 4,589 cases at baseline (95% CI, 4,538 to 4,641), a 21.3% increase; and in 2019: 6,103 cases in December (95% CI, 5,871 to 6,334) versus 5,045 cases at baseline (95% CI, 4,984 to 5,107), a 21% increase (both P < 0.001). The proportion of commercially insured patients and those aged 18 to 64 yr was also higher in December than in other months.
Conclusions: In this 3-yr retrospective analysis, it was observed that, after accounting for time trends, elective anesthesia caseloads were higher in December than in other months of the year. Proportions of commercially insured and younger patients were also higher in December. When compared to previous studies finding no increase, this pattern suggests a recent shift in elective surgical scheduling behavior.
(Copyright © 2021, the American Society of Anesthesiologists. All Rights Reserved.)
Comment in: Anesthesiology. 2021 Nov 1;135(5):778-780. (PMID: 34597359)

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