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Satisfaction rate of patients undergoing sleeve gastrectomy as day-case surgery compared to conventional hospitalization: a prospective non-randomized study

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Abstract

Purpose

Day-case surgery (DCS) has boomed over recent years. However, day-case bariatric surgery remains controversial due to a lack of evaluation. The objective of this study was to compare the experiences and satisfaction with general anesthesia of patients undergoing sleeve gastrectomy (SG) as DCS compared to conventional hospitalization.

Methods

Between January 2015 and June 2016, all patients undergoing primary SG as day-case surgery or with conventional hospitalization were prospectively included in this non-randomized, non-inferiority study comparing the level of satisfaction of patients undergoing SG with conventional hospitalization (CH group, gold standard) versus SG as DCS (DCS group). The primary efficacy endpoint was comparison of the overall satisfaction rate using the EVAN-G questionnaire. The secondary endpoints were evaluation of the 6 dimensions of the EVAN-G questionnaire, discharge from hospital, adhesion with SG management and overall satisfaction with SG.

Results

One-hundred and twenty-four patients met the inclusion criteria (62 in both groups). The DCS group was younger with fewer comorbidities (p ≤ 0.01) and had a lower BMI (p ≤ 0.01). Overall, the mean EVAN-G questionnaire score was 66.4 (63.9–68.9) for the DCS group and 68.9 (65.9–71.8) for the CH group (non-inferiority of DCS group). In the DCS group, 19% of patients would have preferred to spend the night in hospital, while 82% of patients in the CH group would have preferred DCS and a total of 75% of patients reported a high level of satisfaction.

Conclusion

Overall satisfaction of patients undergoing SG as day-case surgery was not inferior to that of patients managed by conventional hospitalization.

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Abbreviations

SG:

Sleeve gastrectomy

LOS:

Length of hospital stay

OSA:

Obstructive sleep apnea syndrome

DCS:

Day-case surgery

CH:

Conventional hospitalization

POD:

Postoperative day

BMI:

Body Mass Index

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Funding

Support was provided solely from institutional source.

Author information

Authors and Affiliations

  1. Department of Anesthesiology, Amiens University Hospital, Avenue René Laennec, 80054, Amiens Cedex 01, France

    Rachid Badaoui, Kahina Kirat, Youssef Alami, Abdelhakim Hchikat & Emmanuel Lorne

  2. Department of Digestive Surgery, Amiens University Hospital, Avenue René Laennec, 80054, Amiens Cedex 01, France

    Lionel Rebibo, Cyril Cosse & Jean-Marc Regimbeau

  3. EA4294, Jules Verne University of Picardie, 80054, Amiens Cedex 01, France

    Jean-Marc Regimbeau

  4. Clinical Research Center, Amiens University Hospital, Avenue René Laennec, 80054, Amiens Cedex 01, France

    Jean-Marc Regimbeau

  5. INSERM U1088, Jules Verne University of Picardy, 80054, Avenue René Laennec, France

    Emmanuel Lorne

  6. Service de chirurgie digestive, Hôpital Sud, CHU d’Amiens, Avenue René Laennec, 80054, Amiens Cedex 01, France

    Jean-Marc Regimbeau

Authors
  1. Rachid Badaoui
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  2. Lionel Rebibo
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  3. Kahina Kirat
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  4. Youssef Alami
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  5. Abdelhakim Hchikat
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  6. Cyril Cosse
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  7. Jean-Marc Regimbeau
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  8. Emmanuel Lorne
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Corresponding author

Correspondence to Jean-Marc Regimbeau.

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Electronic supplementary material

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540_2018_2469_MOESM1_ESM.tif

List of the 26 EVAN-G items according to [15] (TIFF 626 kb)

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Cite this article

Badaoui, R., Rebibo, L., Kirat, K. et al. Satisfaction rate of patients undergoing sleeve gastrectomy as day-case surgery compared to conventional hospitalization: a prospective non-randomized study. J Anesth 32, 227–235 (2018). https://doi.org/10.1007/s00540-018-2469-9

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  • DOI: https://doi.org/10.1007/s00540-018-2469-9

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