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This is a medico-economic study of outpatient surgery paired with a night stay in a patient-hotel, compared with a conventional hospitalization for three types of urological surgeries.
The aim is to show that those two strategies are not different in term of adverse effects or rehospitalization, and that the patient-hotel provide a better quality of life at a reduced cost, in order to generate savings for the paying agent: the Healthcare insurance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hotel-Ambu | Experimental | Outpatient surgery with a patient-hotel night |
|
| conventional hospitalization | Other | conventional hospitalization |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| postoperative hotel | Other | Outpatient surgery First night stay in a defined patient-hotel Patient come for consultation the next morning of surgery to remove the catheter and/or the compressive bandage. The absence of adverse events is checked, the discharge is confirmed and the evaluation questionnaire is given to the patient. Postoperative consultation at 1 and 3 months. |
| Measure | Description | Time Frame |
|---|---|---|
| ICER = Incremental Cost-Effectiveness Ratio of Costs and QALY(quality-adjusted life year) (unit of measure = cost(€)/QALY) | Efficacity (QALY) is a composite measure of quality of life and adverse events occurence:
Costs : according to " micro-costing " method. Rehospitalizations will be priced from ENC rate. | at 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative complications | All postoperative complications that occur within 3 months | at 3 months |
| Change in general quality of life postoperatively measured by EQ5D questionnaire | at Baseline and after surgery at day one |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service d'Urologie du Centre Hospitalier Lyon Sud, Hospices Civils de Lyon | Pierre-Bénite | 69310 | France |
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|
| conventional hospitalization | Other | Hospitalization for surgery and first postoperative night stay. Postoperative consultation at 1 and 3 months |
|
| Change in general quality of life postoperatively measured by SF12 questionnaire | at Baseline and after surgery at day one |
| Change in general quality of life at 3 months after surgery measured by EQ5D questionnaire | at Baseline and at 3 moths |
| Change in general quality of life at 3 months after surgery measured by SF12 questionnaire | at Baseline and at 3 moths |
| Change in specific quality of life measured by questionnaires International Continence Society short form | at Baseline and after surgery at day one |
| Change in specific quality of life measured by Post-Operative Patient questionnaire | at Baseline and after surgery at day one |
| Change in specific quality of life measured by Global Impression of Improvement (PGI-I) questionnaire | at Baseline and after surgery at day one |
| Change in specific quality of life measured by Incontinence Impact Questionnaire-Short Form (IIQ-SF) | at Baseline and after surgery at day one |
| Change in specific quality of life measured by Urogenital Distress Index (UDI-SF) questionnaire | at Baseline and after surgery at day one |
| Change in specific quality of life measured by International Continence Society short form | at Baseline and at 3 months |
| Change in specific quality of life measured by Post-Operative Patient questionnaire | at Baseline and at 3 months |
| Change in specific quality of life measured by Global Impression of Improvement (PGI-I) questionnaire | at Baseline and at 3 months |
| Change in specific quality of life measured by Incontinence Impact Questionnaire-Short Form (IIQ-SF) | at Baseline and at 3 months |
| Change in specific quality of life measured by Urogenital Distress Index (UDI-SF) questionnaire | at Baseline and at 3 months |