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Vitreoretinal outpatient surgery: clinical and financial considerations C. Creuzot-Garcher, H. Aube, F. Cande, G. Dupont, A. Guillaubey, L. Malvitte, S. Arnavielle, A. Bron Introduction: Vitreoretinal surgery has benefited from great advances opening the opportunity for outpatient management. Methods: We report on the 6-month experience of outpatient surgery for vitreoretinal diseases. Results: From November 2007 to April 2008, 270 patients benefited from a vitreoretinal surgery, with 173 retinal detachments, 63 epiretinal membranes, and 34 other procedures. Only 8.5% (n=23) of the patients had to stay at the hospital one or two nights. The main reasons were the distance from the hospital and surgery on a single-eye patient. The questionnaire given after the surgery showed that almost all the patients were satisfied with the outpatient setting. In contrast, the financial results showed a loss of income of around 400,000 euros due to the low level of payment of outpatient surgery in France by the national health insurance system. Discussion: Vitreoretinal surgery can be achieved in outpatient surgery with an improvement in the information given to the patients and the overall organization of the hospitalization. However, the current income provided with vitreoretinal outpatient surgery is highly disadvantageous in France, preventing this method from being generalized. |
