Evaluation of a home-based prehabilitation program for high-risk patients undergoing major elective abdominal surgery: a one-group pre-test post-test pilot study.
- Conditions
- Tumoren in darm, lever of pancreas waarvoor resectie gepland isColorectal cancerhepatic cancerpancreatic cancer1002765610019190
- Registration Number
- NL-OMON48744
- Lead Sponsor
- Medisch Universitair Ziekenhuis Maastricht
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Withdrawn
- Sex
- Not specified
- Target Recruitment
- 20
- More that 18 years of age;
- Scheduled for elective colorectal, hepatic, or pancreatic resection at Maastricht UMC+;
- A low physical fitness according to the preoperative screening with the advice to participate in the hospital's prehabilitation program (usual care);
- Willing to participate in the hospital's prehabilitation program (usual care);
- Providing informed consent to participate;
- After informed consent, classified as being at risk for a complicated postoperative period (VAT *11 mL/kg/min at the pre-prehabilitation CPET).
- Patients requiring acute (emergency) surgery;
- Patients undergoing surgery in another hospital than Maastricht UMC+;
- Patients with contraindications for physical exercise training;
- Unable to cooperate with the testing procedures (e.g., insufficient understanding of the Dutch language).
Study & Design
- Study Type
- Observational invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The main study parameter is the feasibility (adherence/compliance, adverse<br /><br>events, and patient appreciation) of a four-week home-based prehabilitation<br /><br>program in individual high-risk patients scheduled for elective colorectal,<br /><br>hepatic, or pancreatic resection.</p><br>
- Secondary Outcome Measures
Name Time Method <p>Secondary parameters are to explore:<br /><br>1) individual responses to the program (physical fitness),<br /><br>2) changes in immune system activity,<br /><br>3) changes in nutritional status,<br /><br>4) changes in quality of life,<br /><br>5) changes in health status, and<br /><br>6) short-term postoperative outcomes (e.g., and time to recovery of physical<br /><br>functioning, 30-day morbidity). </p><br>