A Randomised Controlled Trial on Preoperative Elderly Patients Undergoing Colorectal Cancer Surgery With Enhanced Geriatric Input
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- Length of postoperative hospital stay
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Enhanced Colorectal Geriatric Care
Multidisciplinary team involving in the elderly colorectal cancer patients' pre-, peri- and postoperative care.
干预措施: Enhanced Colorectal Geriatric Care (Procedure)
Standard Surgical Care
Standard care given to elderly patients undergoing colorectal cancer resection.
结局指标
主要结局
Length of postoperative hospital stay
时间窗: up to 90 days
次要结局
- 30-day morbidity(30 day from time of surgery)
- 30-day mortality(30 day from time of surgery)
研究者
Tony Wing Chung Mak
Assistant Professor in Colorectal Surgery
Chinese University of Hong Kong