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Original Study

Radical hysterectomy for cervical cancer: the effect of shorter length of stay on outcome

Alexander W. Kennedy, MD, Gert Peterson, RN, Laurie J. Tuason, MS, Jerome L. Belinson, MD and Kenneth D. Webster, MD
Cleveland Clinic Journal of Medicine May 1995, 62 (3) 193-197;
Alexander W. Kennedy
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Gert Peterson
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Laurie J. Tuason
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Jerome L. Belinson
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Kenneth D. Webster
Department of Gynecology, Section of Oncology (A.W.K., G.P., J.L.B., K.D.W.) and the Department of Biostatistics and Epidemiology (L.J.T.), The Cleveland Clinic Foundation
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ABSTRACT

BACKGROUND The surgical treatment for limited cervical cancer (radical hysterectomy and pelvic lymph node dissection) has remained essentially the same for 40 years, but economic pressures have resulted in shorter length of hospital stay, and precautions against infectious diseases have resulted in less use of blood products

PURPOSE To determine if recent changes in hospital practices have affected outcomes, and if obese patients are at greater risk of complications.

METHODS Retrospective review of 100 surgical cases grouped by time period (1981 through 1987 and 1988 through 1993) and by patient weight (< 80 kg and ≥ 80 kg).

RESULTS Comparing the two time periods, the mean operative time remained the same (199 minutes), but use of blood products declined (mean 2.1 vs 1.5 units; P < .01), as did the mean length of hospital stay (10.6 vs 7.4 days, P < .01). The rate of postoperative complications decreased significantly (P < .01), and the 5-year survival rate remained 91%. Obese patients received more blood transfusions than did nonobese patients (2.6 vs 1.6 units; P = .02), but their mean operative time and hospital stay did not significantly differ. The rate of postoperative and long-term complications did not differ significantly between the two weight groups.

CONCLUSIONS Surgical treatment of limited cervical carcinoma continues to be safe and effective.

INDEX TERMS
  • CERVIX NEOPLASMS
  • HYSTERECTOMY
  • POSTOPERATIVE COMPLICATIONS
  • Copyright © 1995 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 62 (3)
Cleveland Clinic Journal of Medicine
Vol. 62, Issue 3
1 May 1995
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Radical hysterectomy for cervical cancer: the effect of shorter length of stay on outcome
Alexander W. Kennedy, Gert Peterson, Laurie J. Tuason, Jerome L. Belinson, Kenneth D. Webster
Cleveland Clinic Journal of Medicine May 1995, 62 (3) 193-197;

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Radical hysterectomy for cervical cancer: the effect of shorter length of stay on outcome
Alexander W. Kennedy, Gert Peterson, Laurie J. Tuason, Jerome L. Belinson, Kenneth D. Webster
Cleveland Clinic Journal of Medicine May 1995, 62 (3) 193-197;
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Keywords

  • CERVIX NEOPLASMS
  • HYSTERECTOMY
  • Postoperative Complications

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