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Clinical Pathways in Acoustic Tumor Management
Author(s) -
Arriaga Moisés A.,
Gorum Michael,
Kennedy Arthur
Publication year - 1997
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199705000-00009
Subject(s) - cerebellopontine angle , acoustic neuroma , medicine , clinical pathway , neurosurgery , intensive care unit , quality management , surgery , intensive care medicine , nursing , operations management , radiology , magnetic resonance imaging , engineering , management system
Clinical pathways are tools for cost containment and quality improvement in the managed care environment. This report describes our experience with developing and implementing a clinical pathway for acoustic neuroma surgery. Intensive care unit bed days and inpatient hospitalization days for cerebellopontine angle surgery significantly decreased during the months that the pathway was developed, and the incidence of complications was unchanged after adoption of the algorithm. We conclude that with joint neurootology and neurosurgery leadership clinical pathways can be a safe, cost‐effective, and clinically useful technique in acoustic neuroma surgery in a managed care setting. As this management scheme evolves, surgeons must take the leadership to ensure that decisions are based on clinically relevant parameters.