PREHABILITATION RECTAL CANCER DURING ADJUVANCY VS BEFORE SURGERY

NCT ID: NCT03543514

Last Updated: 2022-03-21

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

UNKNOWN

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-02-02

Study Completion Date

2025-03-30

Brief Summary

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Preoperative preparation protocol (prehabilitation) for patients diagnosed with colorectal cancer who need surgery. It consists of a change in the preoperative preparation. The patient is an active part of their preparation and the professionals help to achieve a better functional capacity to diminish morbidity and accelerate recovery. Three levels are controlled:

* Physical: control and stimulation to exercise at home.
* Nutrition: control and advice through homemade recipes.
* Emotional: control of the level of haste or depression and advice of mindfullness techniques at home.

If they need specific help they are derived from specialized professionals (rehabilitator, nutritionist / endocrinologist, psychologist).

Detailed Description

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Protocol for colorectal neoplasia patients who need surgery by modifying the current one. Until now, in the preoperative time, the anesthetist evaluated the need for some specific action such as pre-operative iron administration to avoid perioperative transfusions or the need to assess some of the patient's morbidities to try to optimize it. In the perioperative period in our hospital, the criteria of the Multimodal and Fast-Tcack Rehabilitation programs have been applied for a long time and there are some trajectories that allow standardization of patient management once they have been admitted.

It is demonstrated in other centers and in other surgical pathologies that, in addition to what we are already applying to our center, modify the preoperative preparation of our patients and try to improve their "functional capacity" results of lower morbidity and mortality and the subsequent recovery of patients can greatly improve . This is called prehabilitation. Pretreatment consists in a change in preoperative preparation at three levels. The concept of preoperative preparation changes and the patient is actively involved in it. Three levels of the patient are controlled: functional or physical level, nutritional level and emotional level, by means of pots and they are encouraged to make a series of changes in their habitual life (exercise, dietary advice, mindfullness techniques) that increase its functional capacity. This is related to a decrease in morbidity and mortality and in addition to a better and faster postoperative recovery.

Conditions

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Colo-rectal Cancer

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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PREHABILITATION GROUP

Patients affected on Cold-rectal cancer who needs surgery. We made trimodal prehabilitation

TRIMODAL PREHABILITATION

Intervention Type OTHER

Trimodal prehabilitation application in the form of:

* Control with the 6-minute walking test and podometer of physical activity
* Dietary advice to be able to perform a hyperproteic diet
* Mindfullnes to improve the emotional level.

Interventions

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TRIMODAL PREHABILITATION

Trimodal prehabilitation application in the form of:

* Control with the 6-minute walking test and podometer of physical activity
* Dietary advice to be able to perform a hyperproteic diet
* Mindfullnes to improve the emotional level.

Intervention Type OTHER

Other Intervention Names

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PHYSICAL INTERVENTION NUTRITIONAL INTERVENTION EMOTIONAL INTERVENTION

Eligibility Criteria

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Inclusion Criteria

* Patient diagnosed with colorectal neoplasia
* Need colorectal surgery with curative indication
* Scheduled surgery

Exclusion Criteria

* Patients who refuse to enter the study
* Patients with indication of palliative surgery
* Surgeries that involve colon and other organs
* Urgent surgery
* Basic pathology that does not allow to carry out some of the explorations necessary to carry out the trimodal pre-treatment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Corporacion Parc Tauli

OTHER

Sponsor Role lead

Responsible Party

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Laura Mora-Lopez

DOCTOR

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Laura Mora, Dr.

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Parc Tauli

Locations

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Laura Mora López

Sabadell, Barcelona, Spain

Site Status RECRUITING

Laura Mora Löpez

Sabadell, Barcelona, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Laura Mora, Dr

Role: CONTACT

34639101033

Facility Contacts

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Laura Mora, Dr.

Role: primary

34639101033

Laura Mora, Dr.

Role: primary

References

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Zingmond D, Maggard M, O'Connell J, Liu J, Etzioni D, Ko C. What predicts serious complications in colorectal cancer resection? Am Surg. 2003 Nov;69(11):969-74.

Reference Type BACKGROUND
PMID: 14627258 (View on PubMed)

Spanjersberg WR, Reurings J, Keus F, van Laarhoven CJ. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst Rev. 2011 Feb 16;(2):CD007635. doi: 10.1002/14651858.CD007635.pub2.

Reference Type BACKGROUND
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Christensen T, Kehlet H. Postoperative fatigue. World J Surg. 1993 Mar-Apr;17(2):220-5. doi: 10.1007/BF01658930.

Reference Type BACKGROUND
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Carli F, Mayo N, Klubien K, Schricker T, Trudel J, Belliveau P. Epidural analgesia enhances functional exercise capacity and health-related quality of life after colonic surgery: results of a randomized trial. Anesthesiology. 2002 Sep;97(3):540-9. doi: 10.1097/00000542-200209000-00005.

Reference Type BACKGROUND
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Reference Type BACKGROUND
PMID: 15585997 (View on PubMed)

Wilson RJ, Davies S, Yates D, Redman J, Stone M. Impaired functional capacity is associated with all-cause mortality after major elective intra-abdominal surgery. Br J Anaesth. 2010 Sep;105(3):297-303. doi: 10.1093/bja/aeq128. Epub 2010 Jun 23.

Reference Type BACKGROUND
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Reference Type BACKGROUND
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Carli F, Charlebois P, Stein B, Feldman L, Zavorsky G, Kim DJ, Scott S, Mayo NE. Randomized clinical trial of prehabilitation in colorectal surgery. Br J Surg. 2010 Aug;97(8):1187-97. doi: 10.1002/bjs.7102.

Reference Type BACKGROUND
PMID: 20602503 (View on PubMed)

Mayo NE, Feldman L, Scott S, Zavorsky G, Kim DJ, Charlebois P, Stein B, Carli F. Impact of preoperative change in physical function on postoperative recovery: argument supporting prehabilitation for colorectal surgery. Surgery. 2011 Sep;150(3):505-14. doi: 10.1016/j.surg.2011.07.045.

Reference Type BACKGROUND
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Burden ST, Hill J, Shaffer JL, Todd C. Nutritional status of preoperative colorectal cancer patients. J Hum Nutr Diet. 2010 Aug;23(4):402-7. doi: 10.1111/j.1365-277X.2010.01070.x. Epub 2010 May 13.

Reference Type BACKGROUND
PMID: 20487172 (View on PubMed)

Li C, Carli F, Lee L, Charlebois P, Stein B, Liberman AS, Kaneva P, Augustin B, Wongyingsinn M, Gamsa A, Kim DJ, Vassiliou MC, Feldman LS. Impact of a trimodal prehabilitation program on functional recovery after colorectal cancer surgery: a pilot study. Surg Endosc. 2013 Apr;27(4):1072-82. doi: 10.1007/s00464-012-2560-5. Epub 2012 Oct 9.

Reference Type BACKGROUND
PMID: 23052535 (View on PubMed)

Leon-Pizarro C, Gich I, Barthe E, Rovirosa A, Farrus B, Casas F, Verger E, Biete A, Craven-Bartle J, Sierra J, Arcusa A. A randomized trial of the effect of training in relaxation and guided imagery techniques in improving psychological and quality-of-life indices for gynecologic and breast brachytherapy patients. Psychooncology. 2007 Nov;16(11):971-9. doi: 10.1002/pon.1171.

Reference Type BACKGROUND
PMID: 17311247 (View on PubMed)

Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004 Aug;240(2):205-13. doi: 10.1097/01.sla.0000133083.54934.ae.

Reference Type BACKGROUND
PMID: 15273542 (View on PubMed)

Slankamenac K, Graf R, Barkun J, Puhan MA, Clavien PA. The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg. 2013 Jul;258(1):1-7. doi: 10.1097/SLA.0b013e318296c732.

Reference Type BACKGROUND
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Slankamenac K, Nederlof N, Pessaux P, de Jonge J, Wijnhoven BP, Breitenstein S, Oberkofler CE, Graf R, Puhan MA, Clavien PA. The comprehensive complication index: a novel and more sensitive endpoint for assessing outcome and reducing sample size in randomized controlled trials. Ann Surg. 2014 Nov;260(5):757-62; discussion 762-3. doi: 10.1097/SLA.0000000000000948.

Reference Type BACKGROUND
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Barberan-Garcia A, Ubre M, Roca J, Lacy AM, Burgos F, Risco R, Momblan D, Balust J, Blanco I, Martinez-Palli G. Personalised Prehabilitation in High-risk Patients Undergoing Elective Major Abdominal Surgery: A Randomized Blinded Controlled Trial. Ann Surg. 2018 Jan;267(1):50-56. doi: 10.1097/SLA.0000000000002293.

Reference Type BACKGROUND
PMID: 28489682 (View on PubMed)

Other Identifiers

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PREHAB-CSPT

Identifier Type: -

Identifier Source: org_study_id

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