Trial reportBMJ (Clinical research ed.)1998
Medical and psychosocial effects of early discharge after surgery for breast cancer: randomised trial.
Trial report in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03555227 (Ultrasound Guided), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled 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.
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.
Ultrasound Guided (USG) PECS Versus Local Infiltration Anaesthesia (LIA) for Breast Cancer Surgery - A Randomized Quadruple Blinded Efficacy and Safety Study
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.
- Pooled it
- Interventions to improve continuity of care in the follow-up of patients with cancer.The Cochrane database of systematic reviews · 2012Pooled it
- Safety and feasibility of early postmastectomy discharge and home drain care in a low resource setting.Journal of surgical oncology · 2018Trial
- Patient, carer and health service outcomes of nurse-led early discharge after breast cancer surgery: a randomised controlled trial.British journal of cancer · 2004Trial
- Influence of patient's dressing on spontaneous physical activity and length of hospital stay in surgical patients.Sozial- und Praventivmedizin · 1999Trial
- Randomised controlled trial of effects of early discharge after surgery for breast cancer.BMJ (Clinical research ed.) · 1998Trial
- Airway management in patients with surgical treatment of oral cavity carcinoma.BMC anesthesiology · 2025Observational
- Safety and factors associated with early discharge in revisional laparoscopic Roux-en-Y gastric bypass: analysis of the MBSAQIP database.Surgical endoscopy · 2024Article
- Outcomes of the same-day discharge following mastectomy before, during and after COVID-19 pandemic.Journal of surgical oncology · 2023Article
- Examining the Effectiveness of the Discharge Plan Model on the South Korean Patients with Cancer Completed Cancer Treatment and Are Returning to the Community: A Pilot Study.International journal of environmental research and public health · 2022Article
- Outpatient Mastectomy: Factors Influencing Patient Selection and Predictors of Return to Care.Journal of the American College of Surgeons · 2021Article
- Assessment of quality of life in women five years after breast cancer surgery, members of Breast Cancer Self-Help Groups - non-randomized, cross-sectional study.Contemporary oncology (Poznan, Poland) · 2018Article
- Patients' perspective on day case breast surgery.Breast care (Basel, Switzerland) · 2015Article
- Are there efficacious treatments for treating the fatigue-sleep disturbance-depression symptom cluster in breast cancer patients? A Rapid Evidence Assessment of the Literature (REAL(©)).Breast cancer (Dove Medical Press) · 2015Review
- Seroma formation after breast cancer surgery: what we have learned in the last two decades.Journal of breast cancer · 2012Article
- Implementation of an ultra-short-stay program after breast cancer surgery in four hospitals: perceived barriers and facilitators.World journal of surgery · 2008Article
- Surgical site infection among women discharged with a drain in situ after breast cancer surgery.World journal of surgery · 2007Article
- Does LigaSure reduce fluid drainage in axillary dissection? A randomized prospective clinical trial.Ecancermedicalscience · 2007Article
- Postoperative education concerning the use of the upper limb, and exercise and treatment of the upper limb: cross-sectional survey of 105 breast cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2004Article
- An e-learning caregiving program for prostate cancer patients and family members.Journal of medical systems · 2003Review
Corrections and comments
- Commented on by
- Commented on by
- Commented on by
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the medical and psychosocial effects of early hospital discharge after surgery for breast cancer on complication rate, patient satisfaction, and psychosocial outcomes.
designRandomised trial comparing discharge from hospital 4 days after surgery (with drain in situ) with discharge after drain removal (mean 9 days in hospital). Psychosocial measurements performed before surgery and 1 and 4 months after.
settingGeneral hospital and cancer clinic in Rotterdam with a socioeconomically diverse population. SUBJECTS: 125 women with operable breast cancer.
main outcome measuresIncidence of complications after surgery for breast cancer, patient satisfaction with treatment, and psychosocial effects of short stay or long stay in hospital.
resultsPatient satisfaction with the short stay in hospital was high; only 4% (2/56 at 1 month after surgery and 2/52 at 4 months after surgery) of patients indicated that they would have preferred a longer stay. There were no significant differences in duration of drainage from the axilla between the short stay and long stay groups (median 8 v 9 days respectively, P=0.45) or the incidence of wound complications (10 patients v 9 patients). The median number of seroma aspirations per patient was higher for the long stay group (1 v 3.5, P=0.04). Leakage along the drain occurred more frequently in short stay patients (21 v 10 patients, P=0.04). The two groups did not differ in scores for psychosocial problems (uncertainty, anxiety, loneliness, disturbed sleep, loss of control, threat to self esteem), physical or psychological complaints, or in the coping strategies used. Before surgery, short stay patients scored higher on scales of depression (P=0.03) and after surgery they were more likely to discuss their disease with their families (at 1 month P=0.004, at 4 months P=0.04).
conclusionsEarly discharge from hospital after surgery for breast cancer is safe and is well received by patients. Early discharge seems to enhance the opportunity for social support within the family.
Indexed as
Identifiers
What OpenQuestion holds
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.