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[Promote ambulatory surgery in France in 2013: a cohort analysis]
P Capmas1, A Nazac2, C Jennequin3
1Service de gynécologie obstétrique, hôpital Bicêtre, AP-HP, 78, avenue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France; Inserm, CESP, U1018, 94276 Le Kremlin-Bicêtre, France; Université Paris-Sud, 94275 Le Kremlin-Bicêtre cedex, France.
Summary
Outpatient management is feasible for gynecologic surgery, with a reasonable 80% ambulatory care rate for specific procedures. This approach is safe for women, focusing on risk-benefit balance rather than the intervention itself.
Area of Science:
- Gynecologic Surgery
- Ambulatory Care
- Healthcare Management
Context:
- Assessing the viability of outpatient procedures in a specialized gynecologic department.
- Analyzing trends in ambulatory care from January 2010 to December 2011.
Purpose:
- To evaluate the feasibility and safety of outpatient management in gynecologic surgery.
- To determine if an 80% ambulatory care rate for specific gynecologic interventions is achievable without increased risk.
Summary:
- A monocentric cohort analysis included 2,803 interventions, with 1,425 (51%) managed as outpatients.
- Only four patients required re-hospitalization within a month, with no subsequent surgeries.
- Achieved an 86% outpatient rate for "tracer acts" (operative hysteroscopy, conization, breast tumorectomy), exceeding the 80% target.
Impact:
- Demonstrates that outpatient care is a viable and safe option for gynecologic surgery.
- Supports the objective of achieving an 80% ambulatory care rate for select gynecologic procedures.
- Highlights that patient selection based on risk-benefit analysis is crucial for successful outpatient management.
