Prospective Evaluation of Functional Status and Quality of Life in Older Patients With Colorectal Cancer Undergoing Robotic Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Colorectal Surgery
- Sponsor
- Universitair Ziekenhuis Brussel
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Change in frailty status GFI status
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The present study evaluates prospectively the impact of robotic surgery on functional outcome and quality of life in older patients that are operated for colorectal cancer;
Investigators
Eligibility Criteria
Inclusion Criteria
- •patients ≥ 70 years with colorectal cancer
- •eligible for colorectal surgery after multidisciplinary board evaluation and patient consent
Exclusion Criteria
- •decline in cognitive function after geriatric evaluation
- •emergency surgery
- •life expectancy \< 3 months
Outcomes
Primary Outcomes
Change in frailty status GFI status
Time Frame: Before and 3-6-12 months after surgery
Measurement of functional status using the Groningen Frailty Indicator (GFI) Screening Tool (fTRST)
Change in Quality of Life
Time Frame: Before and 3-6-12 months after surgery
Measurement of QoL using validated EORTC QoL questionnaire
Change in frailty status G8 status
Time Frame: Before and 3-6-12 months after surgery
Measurement of functional status using the G8, Flemish version of the Triage Risk Screening Tool (fTRST)
Secondary Outcomes
- Re-operation and re-admission rate(< 30 days after surgery)
- 1-year disease free survival(1 year postoperatively)
- Postoperative confusion rate(7 days postoperative)
- Length of hospital stay(Immediate after surgery)
- 30- day post-operative morbidity (Clavien-Dindo classification)(< 30 days postoperative)
- Percentage of patients demonstrating a significant decrease/improvement of QoL at 3,6,12 months after surgery(3-6-12 months after surgery)
- Evolution of post-operative cognition(3, 6, 12 months post surgery)
- 1-year patient survival(1 year postoperatively)
- Comparison in outcome parameters between frail patients (abnormal screening) versus fit patients(up till 12 months postoperatively)
- Conversion-rate to open surgery(during surgery)
- Percentage (%) of patients demonstrating functional improvement at 3, 6 and 12 months after surgery(3-6-12 months after surgery)
- Percentage of patients demonstrating functional recovery at 12 months after initial func-tional decline after surgery(3-6-12 months after surgery)
- 90- day post-operative mortality(< 90 days postoperative)