No registrations found.
ID
Source
Health condition
- hysterectomy
- laparoscopic adnexal surgery
Sponsors and support
EMGO Institute
Intervention
Outcome measures
Primary outcome
1. Return to work (RTW);
2. Recovery Specific Quality of Life (RS-QoL).
Secondary outcome
1. Cost-effectiveness;
2. Patient satisfaction.
Background summary
Resumption of work activities after gynaecological surgeries takes much longer than expected, irrespective of surgical technique and level of invasiveness. Considering the high costs of sick leave and the adverse consequences of sick leave for employees in combination with the high number of gynaecological procedures performed annually in the Netherlands, prolonged sickleave induce unnecessary high costs for the society.
In this study we will study the (cost)effectiveness of a transmural, perioperative care program for gynaecological patients.
Study objective
Compared to usual care, a new perioperative care program will improved recovery and accelerated resumption of (work)activities. Resumption of work contributes significantly to QOL and will
prevent disability due to general and mental health problems and associated financial deprivation. Moreover, the program will reduce direct and indirect costs for the Dutch society.
Study design
1. Baseline;
2. 2 weeks;
3. 6 weeks;
4. 12 weeks;
5. 6 months;
6. 12 months.
Intervention
Control group: Usual care.
Intervention group: Multidisciplinary peri-operative care program including an interactive weblog and additional workplace intervention in case of delayed recovery. The interactive weblog provides patient-tailored detailed instructions on the resumption of (work)activities. These
recommendations are based on consensus achieved among gynaecologists, GPs, OPs and GPs using a structural consensus method, including a systematic review. The weblog additionally provides tools to improve self-empowerment and to improve the communication between patients, care-providers and employers, preventing conflicting recommendations. Patients'
recovery can be closely monitored by the weblog, allowing the application of a very successful workplace (participative ergonomy) intervention to improve patients’ recovery and reduce sick-leave.
Van der Boechorststraat 7 - room B555
E.V.A. Bouwsma
Amsterdam 1081 BT
The Netherlands
+31 (0)20 4448298
ev.bouwsma@vumc.nl
Van der Boechorststraat 7 - room B555
E.V.A. Bouwsma
Amsterdam 1081 BT
The Netherlands
+31 (0)20 4448298
ev.bouwsma@vumc.nl
Inclusion criteria
1. Female;
2. Age between 18-65 years;
3. Employed (>8 hours/week);
4. Scheduled for a hysterectomy or laparoscopic adnexal surgery in one of the
participating hospitals.
Exclusion criteria
1. Malignancy;
2. (Ectopic) pregnancy;
3. Deep infiltrating endometriosis;
4. Concomitant surgical procedures or major health problems affecting daily activities;
5. Sick listed for more than 6 months;
6. Dealing with a lawsuit to their employer;
7. Not able to understand or complete the questionnaires;
8. No Internet access.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL2793 |
| NTR-old | NTR2933 |
| Other | ZonMW : 171102015 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |