Barriers for the Uptake of LaparoScopic Hysterectomy

NCT02167672 | Completed

• 1 other identifier: LIgHT
• Study Type: observational
• Target: 1,200
• Locations: 1 country
• Sites: 1

Brief Summary

Hysterectomy (surgical removal of the uterus) is the most common major gynaecological operation in women in developed countries. In Queensland, 6000 women require a hysterectomy for irregular periods, benign tumours or pelvic pain every year. Surgical approaches to surgical removal of the uterus (womb) include Laparoscopic Hysterectomy (LH), Vaginal Hysterectomy (VH) and Abdominal Hysterectomy through an abdominal incision (AH). It is widely accepted that LH and VH are less invasive surgical procedures, cause less bleeding, surgical complications and pain and are associated with quicker recovery from surgery than the more invasive AH. In a clinical trial comparing LH and AH we recently demonstrated that LH outperforms AH with regards to cost effectiveness causing less total health-services cost than AH. Implementation of LH in Queensland could save $9.8 million every year. Despite the evidence for LH and VH, 2600 hysterectomies (43%) are still performed through an open, abdominal incision. In brief, a common but outdated operation is still performed regularly causing not only unnecessary pain, surgical adverse events and longer hospital stay but also increased healthcare costs. This study will assess reasons why a significant number of gynaecologists and patients prefer AH over LH (Barriers to the uptake of laparoscopic hysterectomy). We will survey specialist gynaecologists as well as patients who have had a hysterectomy for different health reasons. Based on the information from the survey the investigators will develop an intervention to increase the rate of laparoscopic hysterectomies in Queensland and pilot test it.

Conditions

Hysterectomy

Keywords

total abdominal hysterectomy, total laparoscopic hysterectomy, vaginal hysterectomy

Outcome Measures

Primary Outcomes (1)

• Questionnaire will identify barriers

  12 months

Study Arms (2)

Consumers

Women who have had a Hysterectomy in the previous 2 years

Doctors

Obstetricians and Gynaecologists

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Members of RANZCOG community sample

You may qualify if:

• Obstetricians and Gynaecologists or Women who have had a hysterectomy in the previous 2 years

You may not qualify if:

• Women who have had a hysterectomy more than 2 years ago
• Women who had a hysterectomy for cancerous conditions

Sponsors & Collaborators

• Queensland Centre for Gynaecological Cancer: lead
• Queensland University of Technology: collaborator

Study Sites (1)

University of Queensland

Brisbane, Queensland, 4029, Australia

Location

Study Officials

• Andreas Obermair

  Queensland Health

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 16, 2014
• First Posted: June 19, 2014
• Study Start: April 1, 2014
• Primary Completion: April 1, 2016
• Study Completion: December 1, 2018
• Last Updated: March 20, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will not share

Locations

AU (1)