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BMC Urology
Published in: BMC Urology 1/2023

Open Access 01-12-2023 | Prostatectomy | Research

Patient’s safety and satisfaction on same day discharge after robotic and laparoscopic radical prostatectomy versus discharge after 24 or 48 h: a longitudinal randomized prospective study

Authors: Eliney Ferreira Faria, Roberto Dias Machado, Rodrigo José Costa Gualberto, Marina Assunção Valadares Milani, Lucas Tadeu Bidinotto, Marcos Tobias Machado, Ricardo dos Reis, Daniele Natália Pacharone Bertolini Bidinotto

Published in: BMC Urology | Issue 1/2023

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Abstract

Background

There is a tendency of prompted global health systems to reduce the length of hospital stay without compromising patient safety or satisfaction. We evaluated the safety and viability of early discharge in patients undergoing minimally invasive radical prostatectomy (MIRP), as well as patient satisfaction with this strategy.

Methods

This longitudinal prospective study included 72 patients who underwent MIRP for prostate cancer. Three groups were performed according to the day of hospital discharge following surgery: same day (G1), first day after (G2), and second day after (G3). Satisfaction, adverse events, and readmission were analyzed for each group. Associations between clinicopathologic variables and same-day discharge were analyzed by comparing data between G1 patients who did and did not achieve same-day discharge.

Results

16.7% of patients were not discharged according to randomization (10 randomized to G1). 80% of G1 patients who did not achieve same-day discharge had Gleason scores of 3 + 4 or 4 + 3, which were observed in 35.7% of patients discharged on the same day (P < 0.05). Average prostate weight was significantly lower in patients who achieved same-day discharge than in those who did not (P < 0.01). Univariable logistic regression points to Gleason scores of 3 + 4 or 4 + 3 as the main factors associated with unsuccessful same-day discharge (P < 0.05). There were no significant differences in satisfaction scores.

Conclusions

Same-day discharge was both safe and feasible and does not appear to affect satisfaction in a subset of patients with prostate cancer. Surgeons should consider the Gleason score when determining whether same-day discharge is appropriate.
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Metadata
Title
Patient’s safety and satisfaction on same day discharge after robotic and laparoscopic radical prostatectomy versus discharge after 24 or 48 h: a longitudinal randomized prospective study
Authors
Eliney Ferreira Faria
Roberto Dias Machado
Rodrigo José Costa Gualberto
Marina Assunção Valadares Milani
Lucas Tadeu Bidinotto
Marcos Tobias Machado
Ricardo dos Reis
Daniele Natália Pacharone Bertolini Bidinotto
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2023
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-023-01318-2

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