A Randomised Controlled Trial on Preoperative Elderly Patients Undergoing Colorectal Cancer Surgery With Enhanced Geriatric Input
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Colorectal Cancer
- Sponsor
- Chinese University of Hong Kong
- Enrollment
- 74
- Locations
- 1
- Primary Endpoint
- Length of postoperative hospital stay
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This study evaluates the effects of enhanced geriatric input on elderly patients undergoing colorectal cancer surgery. Half of the participants will received additional pre, peri and post-operative care from the geriatric team, while the other half will receive standard surgical care.
Detailed Description
Additional geriatric care involves appropriate assessments and interventions by a multidisciplinary team involving geriatricians, physiotherapist, occupational therapist, surgical team, dietician and social worker. It is divided into three stages of care: 1) preoperative assessment, 2) perioperative care and 3) discharge or rehabilitation. In preoperative assessment, a comprehensive geriatric assessment will be carried out which encompasses patients medical and social backgrounds, cognitive status, nutritional assessment and risk factors identification. Perioperative care includes a joint care by surgical and geriatric teams aiming to prevent and treat any postoperative complications. Discharge and rehabilitation aim to identifies and facilities any potential discharge problem or accelerates patients for rehabilitation to the appropriate locations. Standard surgical care will be given to patients who are undergoing colorectal cancer surgery but without the additional input mentioned above.
Investigators
Tony Wing Chung Mak
Assistant Professor in Colorectal Surgery
Chinese University of Hong Kong
Eligibility Criteria
Inclusion Criteria
- •Consecutive colorectal cancer patients (aged 70 and over) undergoing elective colorectal cancer surgery at the Prince of Wales Hospital, Shatin, Hong Kong
- •American Society of Anaesthesiologists fitness score of I, II or III
Exclusion Criteria
- •Colorectal cancer patients aged 69 or under undergoing colorectal surgery
- •Patients undergoing emergency colorectal cancer resection
- •Patients with benign pathology
- •Patients with evidence of locally advanced or metastatic spread of their primary disease
- •Patient who are unable to give informed consent
Outcomes
Primary Outcomes
Length of postoperative hospital stay
Time Frame: up to 90 days
Secondary Outcomes
- 30-day morbidity(30 day from time of surgery)
- 30-day mortality(30 day from time of surgery)