Impact of Early Mobility on Post-Surgery Recovery in Patients Undergoing Oncologic Surgeries

Not Applicable

Terminated

Interventions: Other: Best Practice
Other: Physical Activity
Other: Questionnaire Administration

Brief Summary: This trial studies the impact of early mobility tracked with a 3-dimensional (3D) motion tracking technology (XSENS) on post-surgery recovery in patients undergoing oncologic surgeries. Xsens uses wireless measurements which could be used in clinical settings to objectively measure movement patterns (the joint range of movement and the distance of movement) during functional activities. Post-surgery mobility tracking may help doctors to identify the minimum required level of mobility after inpatient oncologic surgeries to enhance early post-surgery recovery and decrease early post-surgery complications.

Detailed Description: PRIMARY OBJECTIVES:

I. To investigate objectively using evidence based randomized controlled trial the impact of early mobility (first day after the surgery) after any inpatient oncologic procedures on early recovery of postoperative course.

II. Try to find out the minimum level of postoperative mobility that needed for early postoperative course recovery by objective assessment of range of movement for each participant using 3D motion tracking system (Xsens).

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows.

ARM II: Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows.

After completion of study, patients are followed up for 30 days post discharge.

Recruitment & Eligibility

Inclusion Criteria

Ambulant inpatient with a stay of >= 2 days after any inpatient oncologic surgery
Eastern Cooperative Oncology Group (ECOG) scale of performance status of less than 3
American Society of Anesthesiologist score (ASA) 3 or less
Participants who do not engage in regular exercise regimen before the surgery (other than regular occupational physical therapy)
Participant or legal representative must understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure

Exclusion Criteria

Patients with altered mental status
Patients with psychiatric illness
ECOG scale performance status 3 or more
ASA score of 4
Participants who engage in regular exercise regimen before surgery (at least one session per week)
Patients with restricted movement due to other diseases
Patients who require continuous monitoring

Arm && Interventions

Group	Intervention	Description
Arm I (usual care)	Questionnaire Administration	Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows.
Arm II (additional mobility)	Questionnaire Administration	Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows.
Arm I (usual care)	Best Practice	Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows.
Arm II (additional mobility)	Physical Activity	Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows.

Primary Outcome Measures

Name	Time	Method
Changes in Mobility	Baseline up to 30 days post discharge	changes in mobility (as measured by average velocity of pelvis) from baseline to discharge are compared between groups using a one-sided, two-sample t-test.
Early Return of Bowel Motion	Up to 30 days after discharge	Days from operation to passing flatus and/or stool, treated as continuous measure
Presence or Absence of Chest Symptoms	Up to 30 days after discharge	Presence or absence of chest symptoms (cough, sputum, and ability of using incentive spirometry), treated as a binary variable
Surgical Related Complications and Readmissions	Up to 30 days after discharge	Presence or absence of surgical complication (including readmission), treated as a binary variable
Early Discharge From the Hospital	Up to 30 days after discharge	Days from operation until hospital discharge, treated as continuous variable
Presence or Absence of Nausea and/or Vomiting	Up to 30 days after discharge	Presence or absence of nausea and/or vomiting, treated as a binary variable

Secondary Outcome Measures

Name	Time	Method
Mobility Quality of Life Questionnaire	Up to 3 months post discharge	The correlation between complication status and changes in mobility may be evaluated using a post study questionnaire.
Post-surgical Complications	Up to 30 days post discharge	The complication status (present/absent) and grades will be summarized by group and compared using Fisher's exact test or the chi-square test, as appropriate.
Application of Sensors in a Hospital Setting	Up to 3 months post discharge	Adequate application of sensors, treated as a categorical variable
Range of Joint Movement in Upper and Lower Joints of Body	Up to 30 days after discharge	Will be measured using the 3 dimensional (3D) motion tracking system (Xsens), to identify the minimum required level of mobility for better early postoperative course recovery.
Change in Exercise Habits Outside of the Hospital	Up to 3 months post discharge	Post study questionnaire .