Practice Management and Professionalism

Intraoperative Waste in Spine Surgery: Incidence, Cost, and Effectiveness of an Educational Program

Soroceanu A, Canacari E, Brown E, et al (Dalhousie Univ, Halifax, Nova Scotia, Canada; Beth Israel Deaconess Med Ctr, Boston, MA) Spine 36:E1270-E1273, 2011^§

Abstract

Study Design

Prospective observational study.

Objective

This study aims to quantify the incidence of intraoperative waste in spine surgery and to examine the efficacy of an educational program directed at surgeons to induce a reduction in the intraoperative waste.

Summary of Background Data

Spine procedures are associated with high costs. Implants are a main contributor of these costs. Intraoperative waste further exacerbates the high cost of surgery.

Methods

Data were collected during a 25-month period from one academic medical center (15-month observational period, 10-month post–awareness program). The total number of spine procedures and the incidence of intraoperative waste were recorded prospectively. Other variables recorded included the type of product wasted, cost associated with the product or implant wasted, and reason for the waste.

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