Launching a Same-Day Discharge Pathway in Gynecologic Oncology: A Quality-Improvement Experience from Quebec

ConclusionsLe cong le jour mme aprs une hystrectomie effraction minimale tait possible chez plus de 90 % des patientes, avec de faibles taux de rhospitalisation.Un IMC lev et un score ASA de 3 prdisaient le refus du cong et pouvaient justifier un accompagnement propratoire et une optimisation du parcours de soins. Key Findings Same-day discharge after minimally invasive hysterectomy for gynecologic oncology indications was achieved in 92.5% of patients, with low 30-day readmission (3.8%) and emergency department visit rates. Higher body mass index and ASA class III were significantly associated with failure of same-day discharge, while operative complexity was not. Late arrival to the PACU (after 12:00 PM) was a modifiable system-level factor strongly associated with failed same-day discharge. How to Incorporate into Clinical Practice Same-day discharge pathways can be safely implemented for most gynecologic oncology patients undergoing minimally invasive hysterectomy when standardized ERAS-aligned protocols are used. Preoperative risk stratification using body mass index and ASA class can inform patient counseling, resource planning, and postoperative monitoring. Optimizing operating room scheduling to avoid late-day cases may improve same-day discharge success and overall perioperative efficiency