Day-case Versus Inpatient Laparoscopic Supracervical Hysterectomy

NCT ID: NCT01127243

Last Updated: 2010-05-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

49 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2009-06-30

Brief Summary

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The purpose of this study is to determine if women subjected to laparoscopic supracervical hysterectomy in a day-case setting would be less satisfied with the length of hospital stay when compared with women who had an overnight stay following their surgical procedure. The null hypothesis was that there was no difference in satisfaction with length of hospital stay.

Detailed Description

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Objective: To determine whether women having day-case laparoscopic supracervical hysterectomy (LSH) are as satisfied with the length of stay in hospital as women who stay overnight following the procedure.

Design: randomised controlled trial (RCT).

Setting: Ulleval university hospital, Oslo, Norway.

Population: 49 women scheduled for LSH were enrolled and 45 patients completed the study (22 in the inpatient group and 23 in the day-case group).

Methods: Women were randomised to either day-case care or overnight hospital stay following a routine supracervical hysterectomy. The primary outcome measure was satisfaction with the length of stay in the hospital (measured on a 10-point visual analogue scale) and secondary measures were health-related quality of life (measured using the EuroQol EQ5D), anxiety (measured using the State-Trait Anxiety Inventory for Adults (STAI) and general questions about their experiences of having the operation. Readmissions, prolonged hospitalisations, complications and any contact with a health professional after discharge were also recorded. Measures were taken on the day of surgery (postoperatively), and on days 1, 2, 4 and 7 following surgery. The data were analysed based on an intention to treat.

Conditions

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Hysterectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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inpatient LSH

LSH means laparoscopic supracervical hysterectomy

Group Type ACTIVE_COMPARATOR

inpatient LSH

Intervention Type PROCEDURE

patients discharged home the day after the operation

Day-case LSH

LSH means laparoscopic supracervical hysterectomy

Group Type EXPERIMENTAL

day-case laparoscopic supracervical hysterectomy

Intervention Type PROCEDURE

patients discharged home the same day of the operation

Interventions

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day-case laparoscopic supracervical hysterectomy

patients discharged home the same day of the operation

Intervention Type PROCEDURE

inpatient LSH

patients discharged home the day after the operation

Intervention Type PROCEDURE

Other Intervention Names

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day surgery, day-case, outpatient surgery inpatient, overnight stay

Eligibility Criteria

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Inclusion Criteria

* women requiring a hysterectomy for benign conditions

Exclusion Criteria

* previous history of cervical dysplasia, an abnormal smear test within the last two to three years,
* abnormal histology or cytology at endometrial sampling,
* a history of endometriosis,
* advanced endometriosis diagnosed intra-operatively,
* previous major abdominal or pelvic surgery (patients with previous caesarean section were considered as eligible),
* a mental disorder or somatic disease that would interfere with a normal recovery pattern such as substance dependence disorder,
* psychosis, or American Society of Anaesthesiologists (ASA) rating 3 and 4 patients, and
* inability to understand and execute oral and written Norwegian language.
* women were also excluded from the study if they did not have an adult carer (a relative or a friend) staying with them during the first night after discharge; or they were living or staying at a hotel more than an hour's drive from the hospital; and if they did not have access to a telephone.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Oslo university Hospital, Ullevål

Principal Investigators

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Jelena Kisic-Trope, MD, Msc

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital, Ullevål

Locations

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Oslo University Hospital, Ullevål

Oslo, Oslo County, Norway

Site Status

Countries

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Norway

Other Identifiers

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S-08447a

Identifier Type: -

Identifier Source: org_study_id

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