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Studies of comanagement of surgical patients with an inpatient medical team have yielded inconsistent results. In 2012, Stanford investigators implemented a surgical comanagement service with hospitalists for their orthopedic and neurosurgery services and retrospectively assessed annual outcomes during 5 years, adjusting for patient demographics and surgical characteristics.
From 2012 through 2018, >26,000 orthopedic and neurosurgical hospital discharges showed significant outcome improvements, including medical complications (4% lower odds annually), rapid response team calls (12% lower odds annually), mean length of hospital stay (0.3 fewer days annually), lower direct costs (mean, nearly US$3500 less per discharge), and a trend toward ann…