A Stepped Wedge Cluster Trial to Implement and Evaluate a Model for Training Practising Gynaecologists in Total Laparoscopic Hysterectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 10
- 试验地点
- 4
- 主要终点
- Change in proportion of hysterectomy
研究概览
简要总结
Removal of the uterus (hysterectomy) is the most commonly performed major gynaecological procedure in women. Obstetricians and gynaecologist (O&G) surgeons conduct the majority of hysterectomies. Surgical approaches to removal of the uterus include laparoscopic hysterectomy, vaginal hysterectomy with or without laparoscopic assistance and open hysterectomy through an abdominal incision. It is widely accepted that laparoscopic hysterectomy and vaginal hysterectomy are less invasive procedures, cause fewer surgical complications, less postoperative pain, require a shorter hospital stay and are associated with quicker recovery than abdominal hysterectomy. In Australia and despite the evidence, Total Abdominal Hysterectomy (TAH) rates are unreasonably high (~40%) and only 13% of all hysterectomies are done via Total Laparoscopic Hysterectomy (TLH) in Australia.
This study aims to implement and evaluate a training program in TLH for gynaecologists. The potential benefits to the community are:
- A reduction in the incidence of overall surgical adverse events in patients receiving a hysterectomy
- A reduction in the length of hospital stay for patients requiring a hysterectomy
- A reduction in the direct hospital costs for hysterectomy
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Change in proportion of hysterectomy
时间窗: 36 months
proportion of hysterectomies performed abdominally through TAH comparing pre-intervention baseline and post-intervention rates
次要结局
- Cost effectiveness(36 months)
- Adverse Events(36 months)
- Length of hospital stays(36 months)
- Trainee Surgeon proficiency with Total Laparoscopic Hysterectomy(36 months)