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),2- 4 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.
Mull HJ, Rosen AK, Pizer SD, Itani KMF. Association Between Postoperative Admission and Location of Hernia SurgeryA Matched Case-Control Study in the Veterans Administration. JAMA Surg. Published online September 28, 2016. doi:10.1001/jamasurg.2016.3113