Critères d’acceptabilité et de faisabilité de l’hystérectomie en ambulatoire, enquête auprès de 152 chirurgiens

Foulon, Arthur; Dolivet, Enora; Chevreau, Julien; Pizzoferrato, Anne‐Cécile; Simonet, Thérèse; Fauvet, R.

doi:10.1016/j.gofs.2020.01.007

Cited by 1 publication

(1 citation statement)

References 46 publications

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“…These investigations align with physician perspectives of barriers to SDD in patients with OSA, suggesting that SDD is more difficult in this population, particularly without pre-surgical screening and treatment. Similarly, in a survey of French gynecologic surgeons, 77% of responding surgeons rated no history of OSA as the criteria for appropriateness of an outpatient hysterectomy, corroborating this study's finding of OSA as a perceived barrier to successful SDD [29]. As referenced by the physicians, patients that are non-adherent to therapy pose a similar post-surgical risk of needing additional oxygen therapy to those undiagnosed at the time of surgery.…”

Section: Interpretation Within the Context Of The Wider Literaturesupporting

confidence: 75%

Qualitative Interview Study of Gynecologic Oncologist Utilization of Recommended Same-Day Discharge Following Minimally Invasive Hysterectomy

Bunde

Adambekov

Glikson

et al. 2022

JPM

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Recent investigations have supported the safety and benefits of discharging women on the same day following a minimally invasive hysterectomy (MIH) for both benign and malignant indications. Not all eligible candidates for same-day discharge (SDD) are discharged the same day, and patients undergoing an MIH for malignant indications have decreased the odds of receiving SDD despite established safety. The objective of this study was to use qualitative interviews to explore physician decision making regarding SDD after an MIH for malignant indications. Six qualitative interviews of gynecologic oncologists were analyzed using recurrent theme analysis for distinct themes in physician decision making regarding SDD. Results suggest that physician-perceived barriers to SDD include patient health characteristics, patient social characteristics, and hospital-system factors. Cited factors influencing SDD include patient travel, social support, practice setting (urban vs. rural) and staff comfort with the recommendation. Obstructive sleep apnea and post-surgical oxygenation appear to be a recurring reason for unplanned admission. The utilization of SDD after an MIH in the gynecologic oncology patient population is influenced by patient, physician, and system factors. Addressing the physician’s perceived barriers to SDD and catering recommendations to the gynecologic oncology population may increase utilization.

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Section: Interpretation Within the Context Of The Wider Literaturesupporting

confidence: 75%

Qualitative Interview Study of Gynecologic Oncologist Utilization of Recommended Same-Day Discharge Following Minimally Invasive Hysterectomy

Bunde

Adambekov

Glikson

et al. 2022

JPM

View full text Add to dashboard Cite

show abstract

Critères d’acceptabilité et de faisabilité de l’hystérectomie en ambulatoire, enquête auprès de 152 chirurgiens

Cited by 1 publication

References 46 publications

Qualitative Interview Study of Gynecologic Oncologist Utilization of Recommended Same-Day Discharge Following Minimally Invasive Hysterectomy

Qualitative Interview Study of Gynecologic Oncologist Utilization of Recommended Same-Day Discharge Following Minimally Invasive Hysterectomy

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