Prehabilitation in Elective Colorectal Resection: A Pilot Study (Prehab)
- Conditions
- Colorectal Cancer
- Interventions
- Other: Routine CareOther: Physiatry Assessment
- Registration Number
- NCT02531620
- Lead Sponsor
- McMaster University
- Brief Summary
This is a pilot study designed to evaluate a programme of rehabilitation for patients undergoing elective colorectal resection surgery.
- Detailed Description
Operations on the colon and rectum are major abdominal operations and many individuals can become severely deconditioned or weakened afterwards. For some individuals this can even mean that they can no longer completely return to their usual way of life following one of these major operations. As part of this study the investigators are attempting to identify ways to maximize patients' recovery and to maximize their overall quality of life following these major operations. It is possible that preconditioning may make a difference to patient's overall quality of life, decreased or need for hospital length of stay and decreased postoperative medical complications occasionally seen during these operations, in essence provide an overall enhancement to their surgical recovery. Physiatrists are physicians who are medical experts in maximizing a patient's overall ability to function well and live independently. Investigators are proposing patient participation in an initial pilot study in order to test the question as to whether or not participation with a physiatrist and any interventions recommended by said physician would help improve a patient's postoperative recovery.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 70
- adult patient
- scheduled to undergo a colorectal resection as part of treatment for colorectal cancer.
- English speaking or have available a family member or substitute decision maker who can accompany you to all of your study visits.
- geographic inaccessibility
- unwilling to provide consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Routine Care Routine Care Patients will receive routine pre-operative care, this study arm does not have an intervention. Physiatry Physiatry Assessment Pre-operative Physiatry assessment and intervention
- Primary Outcome Measures
Name Time Method Number of participants recruiting 6 months Screening and recruiting of eligible patients
- Secondary Outcome Measures
Name Time Method Mortality 6 months Survival will be noted at completion of 6 month study period.
Length of Stay 30 days post-op Length of stay in hospital will be collected and compared for the two treatment groups
Number of patients with readmissions 30 days and 6 months Number of patients with readmission to hospital during the 30 day and 6 month period will be compared for the two treatment groups
Functional Independence Assessment (UK Functional Independence Measure and Functional Assessment Measure) 1, 3 and 6 months UK Functional Independence Measure and Functional Assessment Measure (UK FIM+FAM)
Quality of Life Survey (Short Form 36 Health Survey) 1, 3 and 6 months Short Form 36 Health Survey (SF-36)
Bowel Function Assessment 1, 3 and 6 months Bowel Function Index
Post-op complications 30 days Post-op complications by Clavien-Dindo classification (pulmonary, DVT, MI) Completed by surgical team during admission, discharge and 30 days
Physical Function Assessment (6 Minute Walk Test) 1, 3 and 6 months 6 Minute Walk Test (6MWT)
Pain Assessment (Visual Analog Scale) 1, 3 and 6 months Pain score by Visual Analog Scale
Symptom Assessment (Edmonton Symptom Assessment System) 1, 3 and 6 months Edmonton Symptom Assessment System (ESAS)
Trial Locations
- Locations (1)
St Joseph Healthcare Hamilton
🇨🇦Hamilton, Ontario, Canada