• J Clin Anesth · Oct 2024

    Review

    Expanding the perioperative lens: Does the end justify the means?

    • Kethy M Jules-Elysee, Alana E Sigmund, Mitchell H Tsai, and Jeff W Simmons.
    • Hospital for Special Surgery, Department of Anesthesiology, Critical Care, and Pain Management, New York, NY, USA. Electronic address: juleselyseek@hss.edu.
    • J Clin Anesth. 2024 Oct 1; 97: 111522111522.

    AbstractIn 1994, Fischer et al. established the preoperative clinic for the perioperative services at Stanford University Medical Center. By lowering the risk of cancellation and reducing morbidity and mortality against the push to move surgeries to an outpatient, basis, they demonstrated a return on investment. In the 2000s, Aronson et al. designed the prehabilitation clinics at Duke University with the notion that the preoperative process should not only ensure that patients were appropriately risk-stratified, but also clinically optimized before surgery. With a trend towards ambulatory procedures due to current reimbursement structures, hospital administrators should be searching for potential avenues to bolster sagging profits. In this narrative review, we argue that the perioperative services needs to extend beyond the hospital into the postoperative period.Copyright © 2024 Elsevier Inc. All rights reserved.

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