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Review of Recent Literature From Several Disciplines

John G. Hancox, MD; Arun P. Venkat, MBA; Brett Coldiron, MD; Steven R. Feldman, MD, PhD; Phillip M. Williford, MD

Arch Dermatol. 2004;140:1379-1382.

Objective  To review recent literature pertaining to adverse outcomes and mortality associated with office-based surgery.

Study Selection  Representative articles from the general and plastic surgery, medical, health regulatory, and dermatology literature.

Data Extraction  Information regarding which surgical treatments should be performed, which specialties should perform them, what level of anesthesia is appropriate, and who should administer it was assessed, with particular attention to issues of patient safety.

Conclusions  Office-based surgery is safe and cost-effective. We caution against attempts to prohibit or severely restrict this important aspect of medical care.

Author Affiliations: Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC (Drs Hancox, Feldman, and Williford and Mr Venkat); and The Skin Cancer Center, Cincinnati, Ohio (Dr Coldiron).

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