Evidence map›Paper›PMID 31148146›Full record

Trial reportActa obstetricia et gynecologica Scandinavica2019

Outpatient vs inpatient total laparoscopic hysterectomy: A randomized controlled trial.

Ulla J Christiansen, Anne R Kruse, Peter G Olesen, Finn F Lauszus, Ulrik S Kesmodel, Axel Forman

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Acta obstetricia et gynecologica Scandinavica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02933047 (Laparoscopic Hysterectomy - A Randomized Controlled Trial on Outpatient Versus Inpatient Regimen), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02933047 nacompletednot on this map

Laparoscopic Hysterectomy - A Randomized Controlled Trial on Outpatient Versus Inpatient Regimen

TypeinterventionalSponsorUniversity of AarhusRan2013 to 2016Enrolled204ConditionsOutpatient HysterectomyArmsTotal laparoscopic hysterectomy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Harmful incidents following gynaecological ambulatory surgery: A scoping review.International journal of nursing studies advances · 2026
    Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ulla J ChristiansenDepartment of Obstetrics and Gynecology, the Regional Hospital West Jutland, Herning, Denmark.ORCID 0000-0003-3039-8163
Anne R KruseDepartment of Obstetrics and Gynecology, the Regional Hospital West Jutland, Herning, Denmark.ORCID 0000-0002-4965-6460
Peter G OlesenDepartment of Obstetrics and Gynecology, the Regional Hospital West Jutland, Herning, Denmark.
Finn F LauszusDepartment of Obstetrics and Gynecology, the Regional Hospital West Jutland, Herning, Denmark.ORCID 0000-0003-3274-690X
Ulrik S KesmodelDepartment of Obstetrics and Gynecology, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0003-3868-106X
Axel FormanDepartment of Obstetrics and Gynecology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0003-1369-1296

Funding

Olympus
6 · The paper itself

Abstract

introductionThe objective of the study was to investigate whether outpatient total laparoscopic hysterectomy (TLH) could be performed as a routine without compromising patient satisfaction. The main outcomes were patient satisfaction with length of hospital stay, quality of life, complications and readmissions, and time to return to work. MATERIAL AND

methodsA non-blinded prospective randomized controlled trial (Canadian Task Force classification I) performed in a single-center teaching hospital in Denmark. A total of 204 women scheduled for TLH on benign indication were randomized to same-day discharge or overnight stay after TLH. Visual analogue scales (VAS), a validated questionnaire EQ-5D, and a diary were filled in pre- and postoperatively. VAS scores on satisfaction with length of hospital stay and pain were administered taken with the EQ-5D and the diary during a follow up over 4 weeks. Student's t test, Chi-square and non-parametric statistics were used for analysis. The study was registered with ClinicalTrials.gov #NCT02933047.

resultsA total of 204 women gave informed consent and 203 underwent surgery (101 outpatient and 102 inpatient women). Complete data were available for 76 women in the outpatient group and 86 women in the inpatient group. There were no differences in baseline characteristics. No group differences were found in satisfaction with length of hospital stay (P = 0.35). The EQ-5D revealed no difference in patient satisfaction. However, one-third in the outpatient group chose overnight stay without medical indication. The groups were comparable in clinical outcomes. Sick leave was longer in the outpatient group regardless of the actual treatment (P = 0.015).

conclusionsRoutine outpatient TLH implies that one-third of the patients stay overnight if this option is available without medical indication. Within this context the procedure can be performed with high patient satisfaction, but may lengthen the time to return to work.

Indexed as

AdultAmbulatory Surgical ProceduresDenmarkFemaleHospitalizationHumansHysterectomyInpatientsLaparoscopyLength of StayMiddle AgedObserver VariationOutpatientsPain MeasurementPatient SatisfactionPostoperative Complicationscomplicationsoutpatientpatient satisfactionquality of lifereadmissiontime to return to worktotal laparoscopic hysterectomy

Identifiers

PMID31148146

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.