{"id":"https://openalex.org/W2025372829","doi":"https://doi.org/10.1007/s11552-007-9043-5","title":"A Detailed Cost and Efficiency Analysis of Performing Carpal Tunnel Surgery in the Main Operating Room versus the Ambulatory Setting in Canada","display_name":"A Detailed Cost and Efficiency Analysis of Performing Carpal Tunnel Surgery in the Main Operating Room versus the Ambulatory Setting in Canada","publication_year":2007,"publication_date":"2007-05-29","ids":{"openalex":"https://openalex.org/W2025372829","doi":"https://doi.org/10.1007/s11552-007-9043-5","mag":"2025372829","pmid":"https://pubmed.ncbi.nlm.nih.gov/18780048","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2527229"},"language":"en","primary_location":{"id":"doi:10.1007/s11552-007-9043-5","doi":"https://doi.org/10.1007/s11552-007-9043-5","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s11552-007-9043-5","pdf_url":null,"source":{"id":"https://openalex.org/S49025288","display_name":"Hand","issn_l":"1558-9447","issn":["1558-9447","1558-9455"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HAND","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2527229","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066800102","display_name":"Martin R. LeBlanc","orcid":"https://orcid.org/0000-0003-1186-9302","observed_orcids":["https://orcid.org/0000-0003-1186-9302"]},"institutions":[{"id":"https://openalex.org/I129902397","display_name":"Dalhousie University","ror":"https://ror.org/01e6qks80","country_code":"CA","type":"education","lineage":["https://openalex.org/I129902397"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Martin R. Leblanc","raw_affiliation_strings":["Department of Plastic Surgery, Dalhousie University, Halifax, NS, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery, Dalhousie University, Halifax, NS, Canada","institution_ids":["https://openalex.org/I129902397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033950985","display_name":"Janice F. Lalonde","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129902397","display_name":"Dalhousie University","ror":"https://ror.org/01e6qks80","country_code":"CA","type":"education","lineage":["https://openalex.org/I129902397"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Janice Lalonde","raw_affiliation_strings":["Department of Plastic Surgery, Dalhousie University, Atlantic Health Sciences Corporation, Hilyard Place, Suite A280, 560 Main St., Saint John, NB E2K 1J5, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery, Dalhousie University, Atlantic Health Sciences Corporation, Hilyard Place, Suite A280, 560 Main St., Saint John, NB E2K 1J5, Canada","institution_ids":["https://openalex.org/I129902397"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5007155868","display_name":"Donald H. Lalonde","orcid":"https://orcid.org/0000-0001-7073-2715","observed_orcids":["https://orcid.org/0000-0001-7073-2715"]},"institutions":[{"id":"https://openalex.org/I129902397","display_name":"Dalhousie University","ror":"https://ror.org/01e6qks80","country_code":"CA","type":"education","lineage":["https://openalex.org/I129902397"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Donald H. Lalonde","raw_affiliation_strings":["Department of Plastic Surgery, Dalhousie University, Atlantic Health Sciences Corporation, Hilyard Place, Suite A280, 560 Main St., Saint John, NB E2K 1J5, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic Surgery, Dalhousie University, Atlantic Health Sciences Corporation, Hilyard Place, Suite A280, 560 Main St., Saint John, NB E2K 1J5, Canada","institution_ids":["https://openalex.org/I129902397"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5007155868"],"corresponding_institution_ids":["https://openalex.org/I129902397"],"apc_list":{"value":3900,"currency":"USD","value_usd":3900},"apc_paid":null,"fwci":5.2735,"has_fulltext":false,"cited_by_count":233,"citation_normalized_percentile":{"value":0.94669161,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"2","issue":"4","first_page":"173","last_page":"178"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.3698999881744385,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.3698999881744385,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.18050000071525574,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.17399999499320984,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/carpal-tunnel-release","display_name":"carpal tunnel release","score":0.9950000047683716},{"id":"https://openalex.org/keywords/outpatient-surgery","display_name":"outpatient surgery","score":0.9010000228881836},{"id":"https://openalex.org/keywords/operating-room-utilization","display_name":"operating room utilization","score":0.7110000252723694},{"id":"https://openalex.org/keywords/surgical-costs","display_name":"surgical costs","score":0.5740000009536743},{"id":"https://openalex.org/keywords/surgical-efficiency","display_name":"surgical efficiency","score":0.8769999742507935},{"id":"https://openalex.org/keywords/plastic-surgeons","display_name":"plastic surgeons","score":0.7179999947547913},{"id":"https://openalex.org/keywords/epinephrine","display_name":"epinephrine","score":0.75},{"id":"https://openalex.org/keywords/tourniquet","display_name":"tourniquet","score":0.7829999923706055},{"id":"https://openalex.org/keywords/hemostasis","display_name":"hemostasis","score":0.5929999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9335399866104126},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.868812084197998},{"id":"https://openalex.org/C2910872340","wikidata":"https://www.wikidata.org/wiki/Q5045596","display_name":"Carpal tunnel release","level":3,"score":0.7104260325431824},{"id":"https://openalex.org/C2777832143","wikidata":"https://www.wikidata.org/wiki/Q1542748","display_name":"Carpal tunnel","level":3,"score":0.5422424077987671},{"id":"https://openalex.org/C2779400597","wikidata":"https://www.wikidata.org/wiki/Q1132870","display_name":"Tourniquet","level":2,"score":0.5235181450843811},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4684617221355438},{"id":"https://openalex.org/C2779746960","wikidata":"https://www.wikidata.org/wiki/Q332293","display_name":"Carpal tunnel syndrome","level":2,"score":0.42938241362571716},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.33551090955734253}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1007/s11552-007-9043-5","doi":"https://doi.org/10.1007/s11552-007-9043-5","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s11552-007-9043-5","pdf_url":null,"source":{"id":"https://openalex.org/S49025288","display_name":"Hand","issn_l":"1558-9447","issn":["1558-9447","1558-9455"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HAND","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:2527229","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2527229","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand","raw_type":"Text"},{"id":"pmid:18780048","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18780048","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand (New York, N.Y.)","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:2527229","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2527229","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8560000061988831}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1976495445","https://openalex.org/W1990079216","https://openalex.org/W2048005380","https://openalex.org/W2067684993","https://openalex.org/W2068767431","https://openalex.org/W2070055169","https://openalex.org/W2084545870","https://openalex.org/W2127058142","https://openalex.org/W2144938882","https://openalex.org/W4240492875","https://openalex.org/W4301341705"],"related_works":["https://openalex.org/W7139974850","https://openalex.org/W2803392810","https://openalex.org/W2043518963","https://openalex.org/W2614957484","https://openalex.org/W2996749756","https://openalex.org/W4406097413","https://openalex.org/W7128681539","https://openalex.org/W2336986137","https://openalex.org/W2793979343","https://openalex.org/W1703001808"],"abstract_inverted_index":{"BACKGROUND:":[0],"Our":[1],"goals":[2],"were":[3,64],"to":[4,26,66,96,247],"analyze":[5],"cost":[6,111],"and":[7,25,50,120,194,227],"efficiency":[8,69],"of":[9,30,44,47,73,82,112,132,148,167,172,184,199,215,240,255],"performing":[10],"carpal":[11,31],"tunnel":[12,32],"release":[13],"(CTR)":[14],"in":[15,38,53,56,77,100,106,114,122,126,234,244],"the":[16,22,28,45,80,101,107,115,123,127,136,197,216,249,256],"main":[17,108,124,137,217,257],"operating":[18],"room":[19],"(OR)":[20],"versus":[21,104],"ambulatory":[23,102,116,152,236],"setting,":[24],"document":[27],"venue":[29,81,254],"surgery":[33],"practices":[34],"by":[35,85,157,182,207],"plastic":[36,75],"surgeons":[37,76,243],"Canada.":[39],"METHOD:":[40],"A":[41,71],"detailed":[42],"analysis":[43],"salaries":[46],"nonphysician":[48],"personnel":[49],"materials":[51],"involved":[52],"CTR":[54,83,113,173,220],"performed":[55,84],"these":[57],"settings":[58],"was":[59],"tabulated.":[60],"Hospital":[61],"statistical":[62],"records":[63],"used":[65,155],"calculate":[67],"our":[68],"analysis.":[70],"survey":[72],"practicing":[74],"Canada":[78,245],"documented":[79],"most.":[86],"RESULTS:":[87],"In":[88,238],"a":[89,200],"3-h":[90],"surgical":[91],"block,":[92],"we":[93],"are":[94,176],"able":[95],"perform":[97],"nine":[98],"CTRs":[99],"setting":[103,117,153],"four":[105,223],"OR.":[109],"The":[110,151,170,213],"is":[118,154,221],"$36/case":[119],"$137/case":[121],"OR":[125,138,218,258],"same":[128],"hospital.":[129],"Only":[130],"18%":[131],"Canadian":[133],"respondents":[134],"use":[135,144,161,188,198,214,248],"exclusively":[139,156],"for":[140,146,163,202,210,219,259],"CTR,":[141],"whereas":[142,159],"63%":[143],"it":[145,162],"some":[147,205],"their":[149,168],"cases.":[150,169],"37%,":[158],"69%":[160],"greater":[164],"than":[165,229],"95%":[166],"majority":[171],"cases":[174,206],"(>95%)":[175],"done":[177],"without":[178],"an":[179,235],"anesthesia":[180,193],"provider":[181],"73%":[183],"surgeons.":[185],"Forty-three":[186],"percent":[187],"epinephrine":[189,209],"routinely":[190],"with":[191],"local":[192],"43%":[195],"avoid":[196],"tourniquet":[201],"at":[203],"least":[204],"using":[208],"hemostasis.":[211],"CONCLUSION:":[212],"almost":[222],"times":[224],"as":[225,231,233],"expensive,":[226,251],"less":[228,252],"half":[230],"efficient":[232,253],"setting.":[237],"spite":[239],"this,":[241],"many":[242],"continue":[246],"more":[250],"CTR.":[260]},"counts_by_year":[{"year":2026,"cited_by_count":9},{"year":2025,"cited_by_count":15},{"year":2024,"cited_by_count":13},{"year":2023,"cited_by_count":23},{"year":2022,"cited_by_count":25},{"year":2021,"cited_by_count":23},{"year":2020,"cited_by_count":16},{"year":2019,"cited_by_count":25},{"year":2018,"cited_by_count":16},{"year":2017,"cited_by_count":18},{"year":2016,"cited_by_count":9},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":7}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
