Randomised Study Comparing Discharge 3 Days After Surgery to Home Within 24 Hours After Laparoscopic Hysterectomy.
1 other identifier
interventional
44
1 country
1
Brief Summary
Hysterectomy is one of the most performed surgery in gynecologic surgery. Actually, 70 000 hysterectomies are performed each year in France. Laparoscopic surgery is in progression. The percentage of hysterectomies performed laparoscopically is increasing. The advantage of laparoscopy include fewer infections, less operative pain, faster recovery time and shorter hospital stay. In France, the average of hospital stay after laparoscopic hysterectomy reduced to 3-4 days. The study hypothesis is that a shorter postoperative stay does not decrease the quality of life of the patients. This study will compare the evolution of quality of life (with a questionnaire concerning measuring health related quality of life the Euroqol EQ-5D) of patients discharged after 3 days hospital stay to patients discharged the first day after a laparoscopic hysterectomy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2014
CompletedFirst Submitted
Initial submission to the registry
May 26, 2014
CompletedFirst Posted
Study publicly available on registry
May 29, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2015
CompletedJuly 4, 2014
July 1, 2014
9 months
May 26, 2014
July 3, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Quality of life assessed by the Euroqol EQ-5D
Measure of quality of life with a questionnaire concerning health related quality of life (the Euroqol EQ-5D).The patients will complete the questionnaire at up to 30th days after the laparoscopic hysterectomy.
up to 30th days after the laparoscopic hysterectomy.
Secondary Outcomes (8)
Quality of life with assessed by the short SF-36 score (the 36 items Short Form Health Survey). in pre-operative time and 30 days after the hysterectomy.
In pre-operative time and 30 days after the hysterectomy.
Patient satisfaction
Patient satisfaction assessed one month after intervention
Evaluation of pain by Visual Analog Scale for Pain and by analgesic drugs consumption
the day of intervention, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, 7 days and 30 days after intervention
Anxiety assessment by the State trait anxiety inventory forme Y-A
before intervention, the firt day, the second day, the third day after intervention, one week after intervention and one month after intervention.
Patient recovery and discharge after intervention assessed by Post-Anaesthetic Discharge Scoring System (PADSS score).
8 hours after laparoscopic surgery
- +3 more secondary outcomes
Study Arms (2)
A group : Conventional hospitalization
OTHERPatients discharged after 3 days hospital stay after laparoscopic hysterectomy
B group : shorter stay
EXPERIMENTALPatients going home within 24 hours discharged the first day after laparoscopic hysterectomy.
Interventions
Eligibility Criteria
You may qualify if:
- age between 35 and 70.
- affiliation to a social security system
- signed informed consent form
- disponibility of an responsible and valid accompanying person during 48 hours
- home situation, less than one hour to go to an adapted structure of care
- access to a phone
You may not qualify if:
- comorbidity which will automatically increase the period of hospital stay
- contraindication in laparoscopy
- difficulty to understand the protocol
- no social security cover
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hôptaux Universitaires de Strasbourg, Département de Gynécologie-Obstétrique
Strasbourg, 67098, France
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 26, 2014
First Posted
May 29, 2014
Study Start
May 1, 2014
Primary Completion
February 1, 2015
Last Updated
July 4, 2014
Record last verified: 2014-07