Prospective analysis of outcomes and economic factors of same-day bilateral XXXX surgery in the United States.

@entity1 @entity231
PURPOSE: To evaluate the visual and economic benefits of same-day bilateral @entity231 surgery versus separate-day bilateral @entity231 surgery in the United States. SETTING: Private practice, Amarillo, Texas, USA. DESIGN: Prospective controlled nonrandomized clinical trial. METHODS: A cohort of @entity1 having same-day bilateral @entity231 surgery was age-matched with a cohort of control @entity1 who had standard separate-day bilateral @entity231 surgery. The primary outcome was a comparison of the direct cost for the @entity1 , physician, ambulatory surgery center (ASC), and third-party payer. RESULTS: The same-day cohort (42 @entity1 , 84 eyes) had similar baseline characteristics and postoperative outcomes as the control cohort (42 @entity1 , 84 eyes). The same-day cohort had less total distance traveled for care (P = .0039 and P < .0001 for in-town and out-of-town residents, respectively), less total time spent traveling for care (P = .0008 and P < .0001 for in-town and out-of-town residents, respectively), less total number of visits required for care (P < .0001), and less total time for vision recovery (P < .0001) than the control cohort. The physician and ASC reimbursements were lower in the same-day cohort (P = .0028 and P = .0016, respectively), whereas the total physician time spent caring for the @entity1 in surgery was not different between the 2 groups (P = .7310). The total ASC expenses were higher in the same-day cohort (P < .0001). The total third-party payer cost was significantly less in the same-day cohort (P < .0001). CONCLUSION: Visual and economic benefits for the @entity1 can be achieved with same-day bilateral @entity231 surgery in the U.S. at the present time. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
