HOUSTON — When you need to have surgery, how do you know which hospital is the best? Consumer Reports came out with its first-ever comparison of hospitals and how they do in surgery, and the big and famous hospitals didn’t do the best. Consumer Reports rated nearly 2,500 hospitals for common surgical procedures. They used medicare billing records and compared 27 kinds of surgeries, including hip and knee replacement, back surgery and surgery to clear blocked arteries.
“We rated hospitals based on the percent of Medicare patients undergoing surgery who died or were hospitalized longer than expected which could indicate complications,” Consumer Reports’ Dr. John Santa said.
In the Houston area, Consumer Reports says the top hospital for surgery in our area is Houston Orthopedic and Spine Hospital in Bellaire.
“We concentrate on the things we specialize in that’s specifically bone, joint, and spine surgery. Our people do that all day every day and they become very confident and competent in it,” said Dr. Lee Ansell, the medical director of Houston Orthopedic and Spine Hospital.
The next four hospitals rated as good places to have surgery are: St Luke’s Lakeside Hospital, Tops Surgical Specialty Hospital, Brazosport Regional Health System, and Houston Physicians Hospital.
Consumer Reports lists the bottom five hospitals as Clear Lake Regional Medical Center, Memorial Hermann Memorial City, Nacogdoches Memorial, St. Luke’s Episcopal, and the Methodist Hospital.
It was just a couple of weeks ago that Methodist was rated No. 1 in Houston and No. 1 in Texas in US News and World Reports’ survey of the best hospitals.
People at Houston’s big hospitals tell me they disagree with Consumer Reports’ ratings. They say the Houston Medical Center hospitals take care of the sickest patients who are more likely to have a longer stay and worse outcome.
“We know the ratings aren’t a perfect measurement but we think they’re an important first step in giving patients the information they need to make an informed choice,” Dr. Santa said.
Experts agree we need to be able to compare surgery at different hospitals. The question is: Are Medicare billings the best way to do that?
And here’s another thought: People who don’t have Medicare, are probably going to have surgery in the hospital that takes their insurance.
Houston Orthopedic and Spine Hospital assembled a panel of expert physicians including Dr. Navin Subramanian, among others to discuss spinal fusion and the Mazor Robotic Renaissance™ system.
Houston Orthopedic and Spine Hospital assembled a panel of expert physicians including Dr. Navin Subramanian, among others to discuss surgery options/recovery and the Mazor Robotic Renaissance™ system.
Houston Orthopedic and Spine Hospital assembled a panel of expert physicians including Dr. Navin Subramanian, among others to discuss back pain and the Mazor Robotic Renaissance™ system.
Houston Orthopedic and Spine Hospital assembled a panel of expert physicians including Dr. Navin Subramanian, among others to discuss back pain and the Mazor Robotics Renaissance™ system.
In the third installment of the iFuse Seminar, Dr. Subramanian and other physicians like Dr. Christopher Meyer, Dr. Suzanne Manzi, and Dr. Richard Francis discuss how to relieve Sacroiliac Pain. Take a look at the videos below as they discuss diagnosis and tests for Sacroiliac Pain.
A continuation of Dr. Subramanian’s participation in a panel alongside other physicians like Dr. Christopher Meyer, Dr. Suzanne Manzi, and Dr. Richard Francis on how to relieve Sacroiliac Pain. Take a look at the videos below as they discuss the relationship between Sacroiliac Pain and other spine issues.
Recently, Dr. Subramanian participated in a panel alongside other physicians like Dr. Christopher Meyer, Dr. Suzanne Manzi, and Dr. Richard Francis on how to relieve Sacroiliac Joint pain. Take a look at the videos below as they discuss common symptoms, causes of, and solutions to Sacroiliac Joint pain.
A Bizarre Accident Leaves a Houston Woman with “Flat Back” Syndrome.
Surgery and rehab help return a woman’s life to near normal after a bizarre accident injures her back.
Performing Minimally Invasive TLIF Procedures: Q&A With Dr. Navin Subramanian of Houston’s Orthopaedic Associates
Q: What makes the TLIF procedure stand out?
Dr. Navin Subramanian: The TLIF is a standard technique that has been described in literature as a variation of the posterior interbody fusion where you approach the spine diagonally through a neuroforamen to access the disc space through a posterior approach. The minimally invasive surgery is a newer technique where the surgeon uses fluoroscopy to do the procedure. Because the approach is less invasive, it decreases infection rates and blood loss and allows the patient a quicker return to work. It\’s a new variation on a classic technique and I think a lot of surgeries are moving in that way.
Q: What do spine surgeons need to know when performing TLIF as a minimally invasive procedure?
NS:The most important thing to understand is the anatomy. In training, I learned the procedure for the open technique, which I did several times before trying the minimally invasive technique. Surgeons who want to gain a comprehensive understanding of the anatomy while looking through a microscopic should begin by performing discectomies and treatment for disc herniations because there is a similar approach when treating these conditions. Endoscopy is also a technique that has gained some acceptance in the past. However, it has fallen out of favor because of complications and a steep learning curve.
Q: How are the outcomes different when surgeons perform the minimally invasive TLIF?
NS: There is some literature that suggests that the long term outcomes between open and minimally invasive procedures for TLIF are the same. Initially, when I first started performing the minimally invasive technique and saw the long-term outcomes were the same, I wasn\’t really sold on the procedure. However, the whole purpose of the minimally invasive procedures is to increase patient comfort and decrease postoperative pain and infection rates. I saw literature on some of these benefits and then saw the same benefits for my patients. I realized the importance of these benefits in my practice.
Q: Can surgeons perform this in an outpatient setting?
NS: There are some surgeons are performing minimally invasive TLIF as outpatient procedures. I prefer to perform these cases with a 23 hour postoperative stay. Therefore, some of these procedures can be done in ambulatory surgery centers that have 23 hour observation. Because there is less muscle damage, patients can begin moving around and return home earlier than with open surgeries.
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Original article can be found here.