Safety and feasibility of same-day discharge following minimally invasive hysterectomy in the morbidly obese patient population

Haight, Paulina; Barrington, David A. Mix; Graves, Stephen; Piver, Rachael N.; Baek, Jae Suk; Ardizzone, Melissa; Akinduro, Jenifer A.; Busho, Audrey; Fadoju, Deborah; Pandit, Radhika; Stephens, Raeshawn; Strowder, Lauren M; Tadepalli, Shreekari; VanNoy, Brianna N; Sriram, Bhargavi; McLaughlin, Eric; Lightfoot, Michelle D.S.; Bixel, Kristin; Cohn, David E.; Cosgrove, Casey; O’Malley, David M.; Salani, Ritu; Nagel, Christa; Backes, Floor J.

doi:10.1016/j.ygyno.2023.01.013

Cited by 4 publications

(5 citation statements)

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“…After reading the full texts, 19 articles were excluded. Finally, 29 studies were included with 218,192 patients scheduled for SDD or who met the SDD criteria ( 5 , 7 , 8 , 19 – 44 ). No randomized controlled trials were found.…”

Section: Resultsmentioning

confidence: 99%

“…The pooled SDD rates were 50% (95% CI 0.46–0.55; I 2 = 99.8%; 29 studies with 218,192 participants; Figure 2A ) ( 5 , 7 , 8 , 19 – 44 ). The publication bias in these studies was assessed using a funnel plot ( Figure 2B ), followed by the Egger test (P=0.011), indicating that a high risk of publication bias existed among these studies.…”

Section: Resultsmentioning

confidence: 99%

“…The meta-analysis revealed that an increase in age (OR: 1.03; 95% CI: 1.01–1.05; I 2 = 85.7%; Figure 3A ), BMI (OR: 1.02; 95% CI: 1.01–1.03; I 2 = 0.0%; Figure 3B ), and distance from home (OR: 1.01; 95% CI: 1.00–1.01; I 2 = 0.0%; Figure 3C ) were disadvantageous factors for SDD ( 5 , 7 , 19 – 21 , 23 , 26 , 27 , 31 ).…”

Section: Resultsmentioning

confidence: 99%

“…There have been reports of lower healthcare costs, better utilization of scarce medical resources, and higher patient satisfaction following the successful application of SDD in minimally invasive hysterectomy without compromising outcomes ( 7 ). In the United States, annual hysterectomy costs are over $5 billion ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Liu,

Chen,

Tan

et al. 2024

Front. Oncol.

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ObjectiveTo explore the factors influencing the successful implementation of same-day discharge in patients undergoing minimally invasive hysterectomy for malignant and non-malignant gynecological diseases.MethodWe searched PubMed, Embase, Cochrane Central Register of Controlled Trials, International Clinical Trials Registry Platform, and Clinical Trials.gov from inception to May 23, 2023. We included case-control and cohort studies published in English reporting same-day discharge factors in patients undergoing minimally invasive hysterectomy for malignant and non-malignant gynecological diseases. STATA 16.0 was used for the meta-analysis. Risk factors were assessed using odds ratios (OR) (relative risk (RR)/hazard ratios (HR)) with 95% confidence intervals (CI), and logistic regression determined the same-day discharge rate (%).ResultsWe analyzed 29 studies with 218192 patients scheduled for or meeting same-day discharge criteria. The pooled rates were 50% (95% CI 0.46-0.55), and were similar for malignant and non-malignant gynecological diseases (48% and 47%, respectively). In terms of basic characteristics, an increase in age (OR: 1.03; 95% CI: 1.01–1.05), BMI (OR: 1.02; 95% CI: 1.01–1.03), and comorbidities including diabetes and lung disease were risk factors affecting SDD, while previous abdominal surgery history (OR: 1.54; 95% CI: 0.93–2.55) and hypertension (OR: 1.53; 95% CI: 0.80–2.93) appeared not to affect SDD. In terms of surgical characteristics, radical hysterectomy (OR: 3.46; 95% CI: 1.90–6.29), surgery starting after 14:00 (OR: 4.07; 95% CI: 1.36–12.17), longer surgical time (OR: 1.03; 95% CI: 1.01–1.06), intraoperative complications (OR: 4.68; 95% CI: 1.78–12.27), postoperative complications (OR: 3.97; 95% CI: 1.68–9.39), and surgeon preference (OR: 4.47; 95% CI: 2.08–9.60) were identified as risk factors. However, robotic surgery (OR: 0.44; 95% CI: 0.14–1.42) and intraoperative blood loss (OR: 1.16; 95% CI: 0.98–1.38) did not affect same-day discharge.ConclusionsAn increase in age, body mass index, and distance to home; certain comorbidities (e.g., diabetes, lung disease), radical hysterectomy, surgery starting after 14:00, longer surgical time, operative complications, and surgeon preference were risk factors preventing same-day discharge. Same-day discharge rates were similar between malignant and non-malignant gynecological diseases. The surgery start time and body mass index have a greater impact on same-day discharge for malignant diseases than non-malignant diseases.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Liu,

Chen,

Tan

et al. 2024

Front. Oncol.

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show abstract

“…Demographics, peri -operative factors, postoperative complications, unscheduled presentations, and readmissions within 30 days of discharge following MIH were collected and managed using REDCap electronic data capture tools hosted by The Ohio State University ( Lin et al, 2016 , Nahas et al, 2016 ). A portion of this cohort was previously published ( Haight et al, 2023 ).…”

Section: Methodsmentioning

confidence: 99%

Assessment of the feasibility of same-day discharge following minimally invasive hysterectomy in the elderly population

Haight

Piver

Barrington

et al. 2023

Gynecologic Oncology Reports

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Minimally invasive hysterectomy same-day discharge: systematic review and meta-analysis of predictors

Dong,

Zheng,

Tan

et al. 2024

Arch Gynecol Obstet

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Safety and feasibility of same-day discharge following minimally invasive hysterectomy in the morbidly obese patient population

Cited by 4 publications

References 30 publications

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Factors influencing same-day discharge after minimally invasive hysterectomy for malignant and non-malignant gynecological diseases: a systematic review and meta-analysis

Assessment of the feasibility of same-day discharge following minimally invasive hysterectomy in the elderly population

Minimally invasive hysterectomy same-day discharge: systematic review and meta-analysis of predictors

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