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Trends and Characteristics of Inpatient versus Ambulatory Surgery for Endometriosis - PubMed

2 days ago
  • #Healthcare Disparities
  • #Surgical Trends
  • #Endometriosis Surgery
  • Surgical management of endometriosis is increasingly shifting from inpatient to outpatient ambulatory settings.
  • From 2016 to 2022, inpatient surgical volume fell by 49%, while outpatient volume rose by 17%.
  • Inpatient cases were more common among older patients, those with higher comorbidity scores, Medicaid enrollees, and those from lower income areas.
  • Inpatient surgeries had higher rates of ovarian, bowel, and multi-organ involvement, pelvic infection, and intraoperative complications.
  • Hysterectomy with salpingo-oophorectomy was common in both settings but showed a significant shift from inpatient to ambulatory care.
  • Inpatient cases are associated with more complex medical and socioeconomic factors compared to outpatient surgeries.