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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02890017
Other study ID # 69HCl15_ 0513
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date July 28, 2017
Est. completion date January 31, 2019

Study information

Verified date December 2019
Source Hospices Civils de Lyon
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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.


Recruitment information / eligibility

Status Completed
Enrollment 10
Est. completion date January 31, 2019
Est. primary completion date January 31, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Age > 18 years

- Healthcare insurance affiliation

- Surgeries : sacral nerve neurostimulation, urinary artificial sphincter, or prosthetic penile implant

- ASA (American Society of Anesthesiology) score between I and III

- Patients that can be accompanied by a person with a car

- Prior Informed Consent procedure form signed

- Hospitalisation in Lyon Sud Hospital

Exclusion Criteria:

- Refusal of participation or signing the consent form, guardianship or curatorship patients

- Inability to understand the procedure

- History of cognitive or psychiatric disorders

- Non eligibility to out patient

- Pregnant or breastfeeding patients

- No affiliation to Healthcare insurance

Study Design


Related Conditions & MeSH terms

  • Surgery for Prosthetic Penile Implant
  • Surgery for Sacral Nerve Neurostimulation
  • Surgery for Urinary Artificial Sphincter

Intervention

Other:
postoperative hotel
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.
conventional hospitalization
Hospitalization for surgery and first postoperative night stay. Postoperative consultation at 1 and 3 months

Locations

Country Name City State
France Service d'Urologie du Centre Hospitalier Lyon Sud, Hospices Civils de Lyon Pierre-Bénite

Sponsors (1)

Lead Sponsor Collaborator
Hospices Civils de Lyon

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary 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:
Quality of life is a composite score of : EQS5D questionnaire converted in utility, Other questionnaires : SF-12 ; International Continence Society short form, Post-Operative Patient, Global Impression of Improvement (PGI-I), l'Incontinence Impact Questionnaire-Short Form (IIQ-SF) et l'Urogenital Distress Index (UDI-SF).
Adverse events occurrence : urinary retention, postoperative infection, rehospitalization
Costs :
according to " micro-costing " method. Rehospitalizations will be priced from ENC rate.
at 3 months
Secondary postoperative complications All postoperative complications that occur within 3 months at 3 months
Secondary Change in general quality of life postoperatively measured by EQ5D questionnaire at Baseline and after surgery at day one
Secondary Change in general quality of life postoperatively measured by SF12 questionnaire at Baseline and after surgery at day one
Secondary Change in general quality of life at 3 months after surgery measured by EQ5D questionnaire at Baseline and at 3 moths
Secondary Change in general quality of life at 3 months after surgery measured by SF12 questionnaire at Baseline and at 3 moths
Secondary Change in specific quality of life measured by questionnaires International Continence Society short form at Baseline and after surgery at day one
Secondary Change in specific quality of life measured by Post-Operative Patient questionnaire at Baseline and after surgery at day one
Secondary Change in specific quality of life measured by Global Impression of Improvement (PGI-I) questionnaire at Baseline and after surgery at day one
Secondary Change in specific quality of life measured by Incontinence Impact Questionnaire-Short Form (IIQ-SF) at Baseline and after surgery at day one
Secondary Change in specific quality of life measured by Urogenital Distress Index (UDI-SF) questionnaire at Baseline and after surgery at day one
Secondary Change in specific quality of life measured by International Continence Society short form at Baseline and at 3 months
Secondary Change in specific quality of life measured by Post-Operative Patient questionnaire at Baseline and at 3 months
Secondary Change in specific quality of life measured by Global Impression of Improvement (PGI-I) questionnaire at Baseline and at 3 months
Secondary Change in specific quality of life measured by Incontinence Impact Questionnaire-Short Form (IIQ-SF) at Baseline and at 3 months
Secondary Change in specific quality of life measured by Urogenital Distress Index (UDI-SF) questionnaire at Baseline and at 3 months