Overlapping surgeries increase procedure length — 3 study insights

Orthopedic

Overlapping surgery – including orthopedic and spine surgery – is significantly associated with increased procedure length, according to a study in JAMA.

In this study of 66,430 operations in patients undergoing total knee or hip arthroplasty, spine surgery, coronary artery bypass graft surgery and craniotomy at eight centers between 2010 and 2018, 8,224 surgeries were overlapping.

Three things to know:

1. After adjusting for confounders, overlapping surgery was not associated with a significant difference in in-hospital mortality or complication risk.

2. Overlapping surgery was associated with increased mortality and complications among high-risk patients, compared with patients at a low preoperative predicted mortality and complication risk.

3. Researchers found overlapping surgery increased surgery length: the average procedure length for overlapping surgeries was 204 minutes compared to 173 minutes for non-overlapping surgeries.

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