RCT on Elderly Patients Undergoing Colorectal Cancer Surgery With Enhanced Geriatric Care

NCT ID: NCT02352688

Last Updated: 2017-07-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2017-07-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Enhanced Colorectal Geriatric Care

Multidisciplinary team involving in the elderly colorectal cancer patients' pre-, peri- and postoperative care.

Group Type ACTIVE_COMPARATOR

Enhanced Colorectal Geriatric Care

Intervention Type PROCEDURE

Standard Surgical Care

Standard care given to elderly patients undergoing colorectal cancer resection.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Enhanced Colorectal Geriatric Care

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Consecutive colorectal cancer patients (aged 70 and over) undergoing elective colorectal cancer surgery at the Prince of Wales Hospital, Shatin, Hong Kong
2. American Society of Anaesthesiologists fitness score of I, II or III

Exclusion Criteria

1. Colorectal cancer patients aged 69 or under undergoing colorectal surgery
2. Patients undergoing emergency colorectal cancer resection
3. Patients with benign pathology
4. Patients with evidence of locally advanced or metastatic spread of their primary disease
5. Patient who are unable to give informed consent
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Tony Wing Chung Mak

Assistant Professor in Colorectal Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tony Mak, MD

Role: PRINCIPAL_INVESTIGATOR

Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China

Locations

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Prince of Wales Hospital

Hong Kong, , Hong Kong

Site Status

Countries

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Hong Kong

Other Identifiers

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CRE-2014.550-T

Identifier Type: -

Identifier Source: org_study_id

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