ANC1 Study Impact of a Geriatric and Nutritional Evaluation for the Malnutrition and Malnutrition Risk Screening in Patients Over 70 Years With Colorectal Surgery.
- Conditions
- Colorectal Tumor
- Interventions
- Procedure: Malnutrition screening and perioperative nutritional support
- Registration Number
- NCT02084524
- Lead Sponsor
- Hospices Civils de Lyon
- Brief Summary
Malnutrition priori a major abdominal surgery is frequent and increases morbidity and mortality. The management of malnutrition has an impact in reducing postoperative complications. However malnutrition is rarely detected and Guidelines infrequently followed.
Recovery time and nutritional evaluation in elderly patients are major criteria in their postoperative management. Identifying malnutrition or malnutrition risk is fundamental to its treatment. It is therefore unsurprising that many validated tools for nutrition risk screening and nutrition assessment exist for the clinician to use in assisting with the accurate identification, referral and treatment of patients who are malnourished or at risk of malnutrition.
And nutritional management must be adapted and based on this evaluation and evolution of the general status (Guidelines Grade A).
A geriatric evaluation based on a screening of preoperative malnutrition should allow a better implementation of the European Society of Parenteral and Enteral Nutrition (ESPEN) guidelines.
- Detailed Description
Assessing the impact of a geriatric action (Team Mobile Geriatrics, EMG, or if the geriatric facility team when it does not have EMG) on the rate of nutritional support perioperative elderly subjects (≥ 70 years) who underwent a colorectal cancer according to ESPEN recommendations and SFNEP.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 150
- Aged ≥ 70 years
- Colorectal or tumor resection with/without synchronous metastases
- Emergency resection of colorectal tumor
- Unresectable colorectal tumor with/without synchronous metastases
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Nutritional evaluation Malnutrition screening and perioperative nutritional support -
- Primary Outcome Measures
Name Time Method Perioperative nutritional management During perioperative period From D-7 before date of hospitalization until discharge from the hospital, up to 30 days Rate of nutritional support implemented in accordance with current European guidelines (ESPEN)
- Secondary Outcome Measures
Name Time Method Malnutrition screening During preoperative seven days Rate of malnutrition screening procedure
Rate of preoperative nutritional management by immunonutrition implemented During preoperative seven days Nutritional management by immunonutrition implemented is based on a complete nutritional evaluation
Rate of malnourished patients During preoperative seven days Rate of malnourished patients is defined by the ESPEN criteria
Rate of patients with cachexia Seventh day preoperative Rate of patients with cachexia is defined by the French National Authority for Health (HAS) criteria
Postoperative complications Postoperative follow-up until discharge from hospital, up to 30 days Rate and type of postoperative complications (Grade I, II et IIIa of Dindo classification)
Rate of postoperative nutritional management implemented Postoperative follow-up until discharge from hospital, up to 30 days Nutritional management implemented is based on the ESPEN guidelines
Evolution of the activities of daily living During preoperative seven days and postoperative follow-up until discharge from hospital, up to 30 days Variations of Activities of daily living (ADL) and Instrumental activities of daily living (IADL) scores
Trial Locations
- Locations (1)
Professeur Marc BONNEFOY
🇫🇷Pierre Benite, France