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Research Letter
Association of VA Surgeons
December 2016

Association Between Postoperative Admission and Location of Hernia SurgeryA Matched Case-Control Study in the Veterans Administration

Author Affiliations
  • 1Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts
  • 2Department of Surgery, Boston University School of Medicine, Boston, Massachusetts
  • 3Health Care Financing & Economics, Department of Veterans Affairs, Boston, Massachusetts
  • 4Northeastern University, Boston, Massachusetts
  • 5Department of Surgery, VA Boston Healthcare System, Boston, Massachusetts
  • 6Harvard Medical School, Boston, Massachusetts
JAMA Surg. 2016;151(12):1187-1190. doi:10.1001/jamasurg.2016.3113

Within the Veterans Administration (VA) system, ambulatory surgery centers (ASCs) are gradually replacing traditional hospitals for outpatient surgical care.1 The expansion of ASCs is expected to continue as outpatient surgery increases. Although private-sector studies have shown that patient outcomes are better in ASCs than hospital outpatient departments (HOPDs),24 these settings have different financial incentives and a generally healthier population than the VA health care system. We examined postoperative outcomes (ie, hospital admissions) after inguinal hernia surgery in VA ASCs vs HOPDs.

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