| Autor: |
Dedden, Suzanne J., Maas, Jacques W. M., Smeets, Nicol A. C., van Hamont, Dennis, Groenman, Freek A., Lim, Arianne C., van Vliet, Huib A. A. M., van der Steeg, Jan Willem, Leemans, Jaklien C., Meijer, Patrick, van Kuijk, Sander M. J., Huirne, Judith A. F., Bongers, Marlies Y., Geomini, Peggy M. A. J. |
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| Zdroj: |
BJOG: An International Journal of Obstetrics & Gynaecology; Dec2024, Vol. 131 Issue 13, p1762-1770, 9p |
| Abstrakt: |
Objective: To evaluate whether physical function and quality of life was influenced by discharge on the same‐day after a total laparoscopic hysterectomy. Design: Multicentre non‐inferiority randomised controlled trial. Setting: 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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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