Suzanne J. Dedden, Jacques W. M. Maas, Nicol A. C. Smeets, Dennis van Hamont, Freek A. Groenman, Arianne C. Lim, Huib A. A. M. van Vliet, Jan Willem van der Steeg, Jaklien C. Leemans, Patrick Meijer, Sander M. J. van Kuijk, Judith A. F. Huirne, Marlies Y. Bongers, Peggy M. A. J. Geomini
{"title":"良性/恶性疾病腹腔镜子宫切除术后当天出院：多中心随机对照试验。","authors":"Suzanne J. Dedden, Jacques W. M. Maas, Nicol A. C. Smeets, Dennis van Hamont, Freek A. Groenman, Arianne C. Lim, Huib A. A. M. van Vliet, Jan Willem van der Steeg, Jaklien C. Leemans, Patrick Meijer, Sander M. J. van Kuijk, Judith A. F. Huirne, Marlies Y. Bongers, Peggy M. A. J. Geomini","doi":"10.1111/1471-0528.17911","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To evaluate whether physical function and quality of life was influenced by discharge on the same-day after a total laparoscopic hysterectomy.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>Multicentre non-inferiority randomised controlled trial.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>Five teaching hospitals and two university hospitals in the Netherlands.</p>\n </section>\n \n <section>\n \n <h3> Population</h3>\n \n <p>Patients undergoing laparoscopic hysterectomy for benign or premalignant disease.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Following informed consent, participants were allocated 1:1 either to same-day discharge (SDD) or next-day discharge (NDD).</p>\n </section>\n \n <section>\n \n <h3> Main Outcome Measures</h3>\n \n <p>The primary outcome was physical function at 7 days after surgery measured by the Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function short Form 10A. Secondary outcomes were physical function and quality of life at 1 and 3 days and 6 weeks after surgery measured with PROMIS short Form 10A and the EuroQol questionnaire (EQ-5D-5L).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Two hundred and five patients were included of whom 105 were allocated to SDD and 100 to NDD. Physical function 7 days after surgery was 35.95 in the SDD group and 35.63 in the control group (mean difference 0.32; 95% CI [0.07–0.57]). As the upper limit of the 95% CI does not exceed the non-inferiority margin of 4 points, non-inferiority of SDD could be demonstrated. No difference in physical function nor quality of life on Days 1 and 3 and 6 weeks could be found.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This research demonstrates same-day discharge after laparoscopic hysterectomy is non-inferior to next day discharge in physical function 7 days after surgery.</p>\n </section>\n </div>","PeriodicalId":50729,"journal":{"name":"Bjog-An International Journal of Obstetrics and Gynaecology","volume":"131 13","pages":"1762-1770"},"PeriodicalIF":4.7000,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1471-0528.17911","citationCount":"0","resultStr":"{\"title\":\"Same-day discharge after laparoscopic hysterectomy for benign/premalignant disease: A multicentre randomised controlled trial\",\"authors\":\"Suzanne J. Dedden, Jacques W. M. Maas, Nicol A. C. Smeets, Dennis van Hamont, Freek A. Groenman, Arianne C. Lim, Huib A. A. M. van Vliet, Jan Willem van der Steeg, Jaklien C. Leemans, Patrick Meijer, Sander M. J. van Kuijk, Judith A. F. Huirne, Marlies Y. Bongers, Peggy M. A. J. Geomini\",\"doi\":\"10.1111/1471-0528.17911\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To evaluate whether physical function and quality of life was influenced by discharge on the same-day after a total laparoscopic hysterectomy.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>Multicentre non-inferiority randomised controlled trial.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Setting</h3>\\n \\n <p>Five teaching hospitals and two university hospitals in the Netherlands.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Population</h3>\\n \\n <p>Patients undergoing laparoscopic hysterectomy for benign or premalignant disease.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Following informed consent, participants were allocated 1:1 either to same-day discharge (SDD) or next-day discharge (NDD).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Main Outcome Measures</h3>\\n \\n <p>The primary outcome was physical function at 7 days after surgery measured by the Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function short Form 10A. 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Five teaching hospitals and two university hospitals in the Netherlands.
Population
Patients undergoing laparoscopic hysterectomy for benign or premalignant disease.
Methods
Following informed consent, participants were allocated 1:1 either to same-day discharge (SDD) or next-day discharge (NDD).
Main Outcome Measures
The primary outcome was physical function at 7 days after surgery measured by the Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function short Form 10A. Secondary outcomes were physical function and quality of life at 1 and 3 days and 6 weeks after surgery measured with PROMIS short Form 10A and the EuroQol questionnaire (EQ-5D-5L).
Results
Two hundred and five patients were included of whom 105 were allocated to SDD and 100 to NDD. Physical function 7 days after surgery was 35.95 in the SDD group and 35.63 in the control group (mean difference 0.32; 95% CI [0.07–0.57]). As the upper limit of the 95% CI does not exceed the non-inferiority margin of 4 points, non-inferiority of SDD could be demonstrated. No difference in physical function nor quality of life on Days 1 and 3 and 6 weeks could be found.
Conclusion
This research demonstrates same-day discharge after laparoscopic hysterectomy is non-inferior to next day discharge in physical function 7 days after surgery.
期刊介绍：
BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.
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