Neoplasms

Urinary Tract, Sexual Organs, and Pregnancy Conditions

All Conditions

Prostatic Neoplasms

Genital Neoplasms, Male

Urogenital Neoplasms

Genital Diseases

Genital Diseases, Male

Urogenital Diseases

Prostatic Diseases

Male Urogenital Diseases

Patients submitted to minimally invasive radical prostatectomy, and discharged 12 hours after the surgery.

Patients submitted to minimally invasive radical prostatectomy, and discharged 24 hours after the surgery.

Patients submitted to minimally invasive radical prostatectomy, and discharged 48 hours after the surgery.

Discharge of the patient 12 hours after the minimally invasive radical prostatectomy - experimental group

Same day discharge

Discharge of the patient 24 hours after the minimally invasive radical prostatectomy - experimental group

Next-day discharge

Discharge of the patient 24 hours after the minimally invasive radical prostatectomy - control group

2-days discharge

Eliney F Faria, MD

This project aims to evaluate safety and security of patients submitted to minimally invasive radical prostatectomy, who received discharge from hospital in the same day of the surgery (Group I), on the 1st post-surgery day (Group II) and in the 2nd post-surgery day (Group III - control). The specific aims are the evaluation of fail index and factors that influence the permanence in the hospital, the satisfaction of patients, the perception of security of patient, the index of post-discharge complications and the costs related to different times of hospitalization. On randomization, those patients in Group I must match the early hospital discharge criteria defined in the study. Thus, they will be forwarded to "Casa de Apoio Madre Paulina", where will receive nursing care until the next day when, in the morning, will be reevaluated in the ambulatory of urology from Barretos Cancer Hospital. The patients of Group II will be evaluated in the ambulatory in the 2nd post-surgery day, before the discharge. In the Group III (control), the patients will be discharged in the 2nd post-surgery day (routine of Barretos Cancer Hospital). All patients who accept to be enrolled in the study will sign the Consent Term previously the surgery. At the 10th post-surgery day, in the follow-up, it will be applied the Patients' Satisfaction with Mental Health Services Scale (SATIS-BR) questionnaire and an inventory. The data will be descriptive considering average, standard deviation, minimum and maximum value and quartile to the quantitative variables and frequency tables to the qualitative variables. In order to determine the groups' homogeneity, some sociodemographic and clinical characteristics will be compared. To the qualitative variables, it will be used chi-squared test (of Fishers exact test), and to the quantitative variables it will be used variance analysis (or Kruskal-Wallis test). The patients' satisfaction will be measured using SATIS-BR, which consists in three numeric domains (ranging from 1 to 5). The comparison of each domain among the groups will be performed using ANOVA. Then, linear regression will be performed in order to analyze the relationship of the patients' characteristics influencing the satisfaction. The rates of fail, clinical security, security perception and post-discharge complications will be compared among the groups using chi-squared test (of Fisher's exact test). There will be considered the significance level of 5%.

Safety and Security Evaluation of Patients Submitted to Minimally Invasive Radical Prostatectomy

This outcome will be evaluated through SATIS-BR questionnaire

The unabbreviated scale name is "Escala da avaliação da satisfação dos usuários " ("Scale of evaluation of satisfaction of patients", in free English). The questionnaire contains 39 questions, with possible answers arranged in a Likert scale of 5 points, in which the value 1 indicates the lowest degree of satisfaction (worst outcome) and the value 5 indicates the highest degree of satisfaction (best outcome) with the service. The analysis will be performed in each question individually. The comparison of each question among groups will be performed using Analysis of Variance (ANOVA). Subsequently, Linear Regression will be used to verify the joint relationship among the characteristics of patients with the group influencing satisfaction.

Additionally, there are 5 qualitative questions that will be analyzed in relation to factors that influence hospital stay and factors that influence the patients' satisfaction.

This outcome will be assessed by monitoring if the patient randomized did not fill the discharge criteria and/or needed a re-hospitalization

There is no scale for this outcome; It will be reported by the percentage of patients that should be discharged in a specific day, but it was not discharged due to not fulfill one of the discharge criteria (adequate control of postoperative pain, absence of nausea and / or vomiting, absence of bleeding from the drain, being oriented, walking / walking without help from third parties and being able to ingest liquids properly, no hematúria, sero-urinary drainage rate up to 200 ml, no bleeding in the operative wound, release of light diet (liquid) after high anesthetic and recommendation of pasty diet (soups and liquids), prescription and standardization of analgesics and anti-inflammatory drugs (not on a demand schedule).

These outcomes will be evaluated through SATIS-BR questionnaire

The unabbreviated scale name is "Escala da avaliação da satisfação dos usuários " ("Scale of evaluation of satisfaction of patients", in free English). The questionnaire contains 39 questions, with possible answers arranged in a Likert scale of 5 points, in which the value 1 indicates the lowest degree of satisfaction (worst outcome) and the value 5 indicates the highest degree of satisfaction (best outcome) with the service. The analysis will be performed in each question individually. The comparison of each question among groups will be performed using Analysis of Variance (ANOVA). Subsequently, Linear Regression will be used to verify the joint relationship among the characteristics of patients with the group influencing satisfaction.

Additionally, there are 5 qualitative questions that will be analyzed in relation to factors that influence hospital stay and factors that influence the patients' satisfaction.

The inventory was created by the autors in order to evaluate patient´s satisfaction and perception of security, using the specific questions (here, translated to English):

* What do you think about the hospitalization time in relation to the surgery?
* Would you like to have been hospitalized any longer?
* Are you satisfied with the type of anesthesia used in your surgery?
* After the surgery, how did you feel about the medication prescribed for pain?
* Did you feel satisfied with the explanation of the hospital discharge?
* In general, how did you feel about satisfaction? The scale has answers arranged in a Likert scale of 5 points, in which the value 1 indicates the lowest degree of satisfaction (worst outcome) and the value 5 indicates the highest degree of satisfaction (best outcome). Each question will be analyzed individually. The perception of safety will be compared among the groups using the Chi-Square test (or Fisher's Exact).

Barretos Cancer Hospital

Respiratory Tract (Lung and Bronchial) Diseases

Lung Neoplasms

Patients with stage I or II primary lung cancer or pulmonary metastasis scheduled to undergo surgery.

All patients will be scheduled to surgery at the start of the day and will be discharged within the same day as the procedure.

Same Day Discharge - Video-Assisted Thoracoscopic Surgery (VATS) Lung

Jonathan Spicer, MD, PhD

Jonathan Spicer, MD PhD

Phase I to evaluate the safety and feasibility of same-day discharge in selected participants undergoing minimally-invasive lung surgery and who receive an enhanced recovery pathway.

Same Day Discharge for Video-Assisted Thoracoscopic Surgery (VATS) Lung Surgery

Phase I Safety and Feasibility Pilot Study of Same-Day Discharge After Video-Assisted Thoracoscopic Surgery (VATS) Anatomical Lung or Wedge Resection (VALUE Trial)

Rating pain, fatigue, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath, on a scale of 1 to 10. Higher scores indicate more serious symptoms.

Rating questions regarding physical, social/family, emotion and function well-being as well as general questions regarding medical health, on a scale of 0-4 (from 'Not at all' to 'Very much').

Feasibility calculation of the number of patients approached to participate compared to the number of patients consented to the trial.

Calculation of the number of participants who stay on the same-day discharge pathway versus number of patients who deviate from the protocol.

McGill University Health Centre/Research Institute of the McGill University Health Centre

Assistant Professor of Surgery

Phase 1-Patients will continue to be admitted after their surgery as is the current practice. Phase 2-Patients will have their chest tube removed once they meet chest tube removal criteria and will be discharged home once they meet discharge criteria.

same day discharge

Rahul Nayak

Monitoring carefully selected participants to determine if participants can be safely discharged the same day of pulmonary resection

Determination of the feasibility of implementing a same day discharge program after minor pulmonary surgery. This will be determined by evaluating the percentage of participants who have chest tubes removed successfully, as well as evaluating the percentage of participants who would be classified as discharged on the day of surgery. The investigators will also be evaluating morbidity associated with this protocol by capturing rates of pleural reintervention.

Same Day Discharge for Wedge Resection

The Development of a Novel Same Day Discharge Program After Pulmonary Resection: A Safety and Feasibility Pilot Study

These patients will have their chest tube removed once they meet chest tube removal criteria and will be discharged home once they meet discharge criteria.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Safety and Security Evaluation of Patients Submitted to Minimally Invasive Radical Prostatectomy	NCT03674996	Prostate Cancer	Same day discha... Next-day discha... 2-days discharg...	40 Years - 75 Years	Barretos Cancer Hospital
Same Day Discharge for Video-Assisted Thoracoscopic Surgery (VATS) Lung Surgery	NCT05583916	Lung Cancer Surgery	Same Day Discha...	18 Years -	McGill University Health Centre/Research Institute of the McGill University Health Centre
Same Day Discharge for Wedge Resection	NCT05067738	Surgery Minor Lung Cancer	same day discha...	18 Years -	Lawson Health Research Institute
Safety and Security Evaluation of Patients Submitted to Minimally Invasive Radical Prostatectomy	NCT03674996	Prostate Cancer	Same day discha... Next-day discha... 2-days discharg...	40 Years - 75 Years	Barretos Cancer Hospital
Same Day Discharge for Wedge Resection	NCT05067738	Surgery Minor Lung Cancer	same day discha...	18 Years -	Lawson Health Research Institute
Same Day Discharge for Video-Assisted Thoracoscopic Surgery (VATS) Lung Surgery	NCT05583916	Lung Cancer Surgery	Same Day Discha...	18 Years -	McGill University Health Centre/Research Institute of the McGill University Health Centre

Spots Global Cancer Trial Database for same day discharge