Early Discharge after Abdominal Surgery: Experience on a Gynecologic Oncology Service

Enhanced recovery pathways in abdominal gynecologic surgery: a systematic review and meta‐analysis

“…Consistent with the definition for this review, most studies seemed to measure primary LOS as the number of days after surgery. One study reported the number of days after admission and in two studies LOS was not defined . These studies were excluded from further analysis.…”

“…The exact follow up was not clearly stated in four studies (34,52,56,61). Ten of 11 studies without a control group reported standard criteria for discharge (50)(51)(52)54,56,58,(61)(62)(63)(64). Of the five studies with a control group, one used the same predefined discharge criteria for both groups (53), one study only used standard criteria for the intervention group (60), one study used standard criteria for the intervention group but this was not clearly described for the control group (59), one did not use standard criteria (discharge based on discretion of treating surgeon) (57), and one study did not measure LOS (34).…”

Assessment of Risk Factors for 30-Day Hospital Readmission After Surgical Cytoreduction in Epithelial Ovarian Carcinoma

“…6 Previous studies in medical and surgical patients have shown that a shorter initial LOS does not increase the rate of readmission. 6,7 In addition, studies by Rardin et al 7 and Jha et al 8 have demonstrated that intense discharge planning and patient counseling can decrease readmission rates. In studies specifically looking at 30-day morbidity after cytoreductive surgery in ovarian cancer patients, factors including age, performance status, and extent of surgery were found to be predictive of readmission risk.…”

The Frequency of Unplanned Rehospitalization and Associated Factors in Gyneoncology Patients: A Retrospective Study

“…Such measures as a comprehensive discharge planning with a timely communication procedure, patient education and self-management support, team-based management, prompt postdischarge support and communication, remote monitoring and follow-up care can significantly reduce rehospitalization rates. 29 In the studies conducted by Rardin et al 30 and Jha et al, 31 it was demonstrated that with an intense discharge planning and patient counseling, the rehospitalization rates could be decreased. Jack et al 32 showed that patient education, care coordination, and confirmation of a specific medication plan by a multidisciplinary team would also reduce rehospitalization.…”