title: The structure, organisation and perioperative management of ambulatory surgery and anaesthesia in France: Methodology of the SFAR-OPERA study.
abstract: The organization of health care establishments and perioperative care are essential for ensuring the quality of care and safety of patients undergoing outpatient surgery. In order to correctly inventory these organizations and practices, in 2013-2014, the French society of anaesthesia and intensive care organized an extensive practical survey in French ambulatory surgery units entitled the "OPERA" study (Organisation periopératoire de l'anesthésie en chirurgie ambulatoire). From among all of the ambulatory surgery centres listed by the Agences régionales de santé (Regional health agencies, France), 206 public and private centres were randomly selected. A structural (typology, organization) survey and a medical-practice survey (focusing on the management of postoperative pain, nausea and vomiting as well as the prevention of venous thromboembolism) were collected and managed by a prospective audit of practices occurring on two randomly selected days. The latter was further accompanied by an additional audit specifically focussing on ten representative procedures: (1) stomatology surgery (third molar removal); (2) knee arthroscopy; (3) surgery of the abdominal wall (including inguinal hernia); (4) perianal surgery; (5) varicose vein surgery; (6) digestive laparoscopy-cholecystectomy; (7) breast surgery (tumourectomy); (8) uterine surgery; (9) hallux valgus and (10) hand surgery (excluding carpal tunnel). Over the 2 days of observation, 7382 patients were included comprising 2174 patients who underwent one of the procedures from the above list. The analysis of these data will provide an overview of the organization of health establishments, the modalities thus supported and compliance with standards.
authors.affiliation: Department of anaesthesia and intensive care, Grenoble university hospital, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France; Clinical investigation centre, Grenoble university hospital, ThEMAS, TIMC, UMR-CNRS 5525, university Grenoble-Alpes, 38700 La Tronche, France. Electronic address: PAlbaladejo@chu-grenoble.fr.
authors.forename: Pierre
authors.initials: P
authors.lastname: Albaladejo
authors.affiliation: Department of anaesthesiology and intensive care, hospices civils de Lyon, La-Croix-Rousse university hospital, 69004 Lyon, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Aubrun
authors.affiliation: Department of anaesthesiology and intensive care, Assistance publique-Hôpitaux de Paris, Cochin university hospital, 75014 Paris, France.
authors.forename: Charles-Marc
authors.initials: CM
authors.lastname: Samama
authors.affiliation: Clinique des Diaconesses, 67000 Strasbourg, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Jouffroy
authors.affiliation: Department of anaesthesiology and intensive care, Assistance publique-Hôpitaux de Paris, Saint-Antoine university hospital, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Beaussier
authors.affiliation: Department of anaesthesiology, hôpital Bicêtre, groupe hospitalier, faculté de médecine Paris Sud, AP-HP, 78, rue du Général-Koenig, 94270 Le Kremlin-Bicêtre, France.
authors.forename: Dan
authors.initials: D
authors.lastname: Benhamou
authors.affiliation: Clinical investigation centre, Grenoble university hospital, ThEMAS, TIMC, UMR-CNRS 5525, university Grenoble-Alpes, 38700 La Tronche, France.
authors.forename: Pauline
authors.initials: P
authors.lastname: Romegoux
authors.affiliation: Clinical investigation centre, Grenoble university hospital, ThEMAS, TIMC, UMR-CNRS 5525, university Grenoble-Alpes, 38700 La Tronche, France.
authors.forename: Kristina
authors.initials: K
authors.lastname: Skaare
authors.affiliation: Clinical investigation centre, Grenoble university hospital, ThEMAS, TIMC, UMR-CNRS 5525, university Grenoble-Alpes, 38700 La Tronche, France.
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Bosson
authors.affiliation: Department of anaesthesiology and intensive care, Rennes university hospital, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Ecoffey
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D000556:Ambulatory Surgical Procedures / Q000331:legislation & jurisprudence / Q000592:standards*; D000758:Anesthesia / Q000379:methods*; D000776:Anesthesiology; D005260:Female; D005602:France; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000331:legislation & jurisprudence / Q000379:methods*; D011446:Prospective Studies
keywords: Ambulatory anaesthesia; Ambulatory surgical procedures; France; Prospective studies; Surveys and questionnaires