Skip to main content

Perioperative Medicine Consultation

  • Chapter
  • First Online:
  • 1831 Accesses

Abstract

Surgery is commonly performed every day throughout the world, with a growing number of procedures in medically complex patients. Both surgery and anesthesia have inherent risks, and medicine consultants are often involved in the perioperative evaluation and management of surgical patients to help reduce perioperative risks. Models of perioperative medical care include consultative and co-management, with an increasing number of healthcare systems focusing on co-management services.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, Fu R, Azad T, Chao TE, Berry WR, Gawande AA. Size and distribution of the global volume of surgery in 2012. Bull World Health Organ. 2016;94(3):201–209F.

    Article  Google Scholar 

  2. Steiner CA, Karaca Z, Moore BJ, Imshaug MC, Pickens G. Surgeries in hospital-based ambulatory surgery and hospital inpatient settings, 2014: statistical brief #223. Healthcare Cost and Utilization Project (HCUP) statistical briefs [Internet]. Rockville: Agency for Healthcare Research and Quality (US); 2006–2017.

    Google Scholar 

  3. Thompson RE, Pfeifer K, Grant PJ, Taylor C, Slawski B, Whinney C, Wellikson L, Jaffer AK. Hospital medicine and perioperative care: a framework for high-quality, high-value collaborative care. J Hosp Med. 2017;12(4):277–82.

    Article  Google Scholar 

  4. Chen LM, Wilk AS, Thumma JR, Birkmeyer JD, Banerjee M. Use of medical consultants for hospitalized surgical patients: an observational cohort study. JAMA Intern Med. 2014;174(9):1470–7.

    Article  Google Scholar 

  5. Sharma G, Kuo YF, Freeman J, Zhang DD, Goodwin JS. Comanagement of hospitalized surgical patients by medicine physicians in the United States. Arch Intern Med. 2010;170(4):363–8.

    Article  Google Scholar 

  6. Siegal EM. Just because you can, doesn’t mean that you should: a call for the rational application of hospitalist comanagement. J Hosp Med. 2008;3(5):398–402.

    Article  Google Scholar 

  7. Sharma G. Medical consultation for surgical cases in the era of value-based care. JAMA Intern Med. 2014;174(9):1477–8.

    Article  Google Scholar 

  8. Huddleston JM, Long KH, Naessens JM, Vanness D, Larson D, Trousdale R, Plevak M, Cabanela M, Ilstrup D, Wachter RM, Hospitalist-Orthopedic Team Trial Investigators. Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. Ann Intern Med. 2004;141(1):28–38.

    Article  Google Scholar 

  9. Phy MP, Vanness DJ, Melton LJ 3rd, Long KH, Schleck CD, Larson DR, Huddleston PM, Huddleston JM. Effects of a hospitalist model on elderly patients with hip fracture. Arch Intern Med. 2005;165(7):796–801.

    Article  Google Scholar 

  10. Fisher AA, Davis MW, Rubenach SE, Sivakumaran S, Smith PN, Budge MM. Outcomes for older patients with hip fractures: the impact of orthopedic and geriatric medicine cocare. J Orthop Trauma. 2006;20(3):172–8; discussion 179–80.

    Article  CAS  Google Scholar 

  11. Rohatgi N, Loftus P, Grujic O, Cullen M, Hopkins J, Ahuja N. Surgical comanagement by hospitalists improves patient outcomes: a propensity score analysis. Ann Surg. 2016;264(2):275–82.

    Article  Google Scholar 

  12. Rohatgi N, Wei PH, Grujic O, Ahuja N. Surgical comanagement by hospitalists in colorectal surgery. J Am Coll Surg. 2018;227(4):404–410.e5.

    Article  Google Scholar 

  13. Hinami K, Feinglass J, Ferranti DE, Williams MV. Potential role of comanagement in “rescue” of surgical patients. Am J Manag Care. 2011;17(9):e333–9.

    PubMed  Google Scholar 

  14. Auerbach AD, Wachter RM, Cheng HQ, Maselli J, McDermott M, Vittinghoff E, Berger MS. Comanagement of surgical patients between neurosurgeons and hospitalists. Arch Intern Med. 2010;170(22):2004–10.

    Article  Google Scholar 

  15. Adesanya AO, Joshi GP. Hospitalists and anesthesiologists as perioperative physicians: are their roles complementary? Proc (Bayl Univ Med Cent). 2007;20(2):140–2.

    Article  Google Scholar 

  16. Vazirani S, Lankarani-Fard A, Liang LJ, Stelzner M, Asch SM. Perioperative processes and outcomes after implementation of a hospitalist-run preoperative clinic. J Hosp Med. 2012;7(9):697–701.

    Article  Google Scholar 

  17. Wijeysundera DN, Austin PC, Beattie WS, Hux JE, Laupacis A. Outcomes and processes of care related to preoperative medical consultation. Arch Intern Med. 2010;170(15):1365–74.

    Article  Google Scholar 

  18. Auerbach AD, Rasic MA, Sehgal N, Ide B, Stone B, Maselli J. Opportunity missed: medical consultation, resource use, and quality of care of patients undergoing major surgery. Arch Intern Med. 2007;167(21):2338–44.

    Article  Google Scholar 

  19. Macpherson DS, Lofgren RP. Outpatient internal medicine preoperative evaluation: a randomized clinical trial. Med Care. 1994;32(5):498–507.

    Article  CAS  Google Scholar 

  20. Blitz JD, Kendale SM, Jain SK, Cuff GE, Kim JT, Rosenberg AD. Preoperative evaluation clinic visit is associated with decreased risk of in-hospital postoperative mortality. Anesthesiology. 2016;125(2):280–94.

    Article  Google Scholar 

  21. Thompson RE. High value collaborative perioperative care programs. Perioper Care Operating Room Manag. 2017;9:3–5.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ronald Huang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Huang, R., Gollapudi, D., Cornia, P.B. (2020). Perioperative Medicine Consultation. In: Jackson, M., Huang, R., Kaplan, E., Mookherjee, S. (eds) The Perioperative Medicine Consult Handbook. Springer, Cham. https://doi.org/10.1007/978-3-030-19704-9_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-19704-9_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-19703-2

  • Online ISBN: 978-3-030-19704-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics