Peri-habilitation for Patients With Gastric Cancer
- Conditions
- Gastric Cancer (Diagnosis)Gastric Cancer PatientGastric Cancer Patients Undergoing GastrectomyGastric Cancer Patients Undergoing Minimally Invasive GastrectomyGastric Cancer Patients Undergoing Laparoscopic Gastrectomy
- Registration Number
- NCT07201857
- Lead Sponsor
- Korea University Anam Hospital
- Brief Summary
This study aims to evaluate the clinical applicability of a peri-habilitation program in patients with gastric cancer by applying nutritional intervention for approximately two weeks before surgery and a combined exercise and nutrition intervention for about three weeks after hospital discharge, and by analyzing its effects on the prevention of postoperative complications and recovery.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 30
- Patients aged 65 years or older who have been diagnosed with gastric cancer and are scheduled to undergo surgical treatment or chemotherapy.
- Patients with severe conditions who are unable to undergo the intervention prior to surgical treatment or chemotherapy.
- Patients with physical (e.g., musculoskeletal) or mental disorders that make participation in or continuation of the program impossible.
- Patients judged to be at risk of additional physical burden from the intervention.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Gait speed test Baseline (2 weeks before surgery) Preoperative hospitalization (1-4 days before surgery) Postoperative discharge (at hospital discharge) 3 weeks after discharge 6 months after surgery * Time to walk 4 meters (or 3 meters) at a normal, comfortable pace.
* Seconds(sec)
* Lower values(seconds) indicate better performance (faster walking speed)Chair stand test Baseline (2 weeks before surgery) Preoperative hospitalization (1-4 days before surgery) Postoperative discharge (at hospital discharge) 3 weeks after discharge 6 months after surgery * Time to stand up and sit down 5 times from a chair without using the arms.
* Seconds(sec)
* Lower values(seconds) indicate better performance.Balance test Baseline (2 weeks before surgery) Preoperative hospitalization (1-4 days before surgery) Postoperative discharge (at hospital discharge) 3 weeks after discharge 6 months after surgery * Time maintaining balance in three positions (feet together, semi-tandem, and tandem stance). The maximum time allowed for each position is 10 seconds.
* Seconds(sec)
* Higher values(seconds) indicate better performance.Timed up and go test Baseline (2 weeks before surgery) Preoperative hospitalization (1-4 days before surgery) Postoperative discharge (at hospital discharge) 3 weeks after discharge 6 months after surgery * Time to stand up from a chair, walk 3 meters, turn around, walk back, and sit down.
* Seconds(sec)
* Lower values(seconds) indicate better performance.
- Secondary Outcome Measures
Name Time Method Electrocardiogram(ECG) Baseline (2 weeks before surgery) Preoperative hospitalization (1-4 days before surgery) Postoperative discharge (at hospital discharge) 3 weeks after discharge 6 months after surgery * Cardiovascular status assessed using electrocardiogram (ECG)
* N/A (qualitative/clinical assessment)
* Abnormal ECG findings indicate impaired cardiovascular function.Inflammation and Oxidative Stress Markers (Blood Analysis) Baseline (2 weeks before surgery) Preoperative hospitalization (1-4 days before surgery) Postoperative discharge (at hospital discharge) 3 weeks after discharge 6 months after surgery * Inflammatory and oxidative stress markers assessed by blood analysis, including C-reactive protein (CRP) and white blood cell(WBC) count.
* mg/L for CRP; ×10⁹/L for WBC
* Higher values indicate greater systemic inflammation.Hospital Anxiety and Depression Scale (HADS) Baseline (2 weeks before surgery) Postoperative discharge (at hospital discharge) 3 weeks after discharge 6 months after surgery * The scale ranges from 0 to 21 points for each domain (anxiety and depression). Higher scores indicate worse psychological distress.
* Score on a scale (0-21)
* Higher scores indicate worse psychological condition.Quality of life(KOQUSS-32, KOQUSS-40) Baseline (2 weeks before surgery) 3 weeks after discharge 6 months after surgery * Quality of life assessed using the Korean Quality of Life in Stomach Cancer Patient Study group questionnaires (KOQUSS-32 and KOQUSS-40). Each questionnaire provides domain-specific scores. Higher scores indicate better quality of life.
* Score on a scale (range depends on quetionnaire)
* Higher scores indicate better quality of life.Clavien-dindo classification Postoperative discharge (at hospital discharge) 3 weeks after discharge 6 months after surgery * Postoperative complications will be assessed and graded according to the Clavien-Dindo classification system (Grade I-V).
* Number of participants with each complication grade.
* Higher grades indicate more severe postoperative complications.
Trial Locations
- Locations (1)
Anam Hospital
🇰🇷Seoul, seongbuk-gu, South Korea
Anam Hospital🇰🇷Seoul, seongbuk-gu, South Koreaseokjun Cho, Ph.D studentContact821040493206zwx0209@korea.ac.kr