Enhanced Recovery Program After Colorectal Surgery in Elderly (ERPOLD)
NCT ID: NCT03620851
Last Updated: 2018-11-20
Study Results
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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COMPLETED
302 participants
OBSERVATIONAL
2018-09-01
2018-09-30
Brief Summary
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Detailed Description
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The elderly present specific physical, metabolic and socio-environmental characteristics that should be considered in case of surgery. Age has been shown to be an independent prognostic factor for postoperative morbidity after colorectal surgery, but this was reported before the development of ERP. Indeed implementation of ERP significantly reduces the rate of postoperative complications, even in the elderly. Increased risk of postoperative morbidity in elderly as compared to younger patients is nevertheless commonly admitted. Moreover adherence of elderly with the items of ERP is usually considered inferior than that of younger patients. Adaptation of ERP to the specificities of elderly is sometimes advocated. All these explain the reluctance of many practitioners to propose ERP in older patients. However recent meta-analyses suggest that implementation of ERP is feasible and efficient in these patients. The retrospective analysis of our first 100 patients introduced in our audit database revealed even similar length of hospital stay for elderly and younger patients.
The investigators therefore compared the length of hospital stay in the elderly and the younger patients and tested the hypothesis of non-inferiority for elderly patients as compared to younger patients. This is a retrospective analysis of 270 consecutive patients scheduled for colorectal surgery, all managed with the same ERP protocol, and prospectively introduced in our audit database.
Conditions
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Study Design
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COHORT
RETROSPECTIVE
Study Groups
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elderly patients (≥70 yo) vs. younger patients (<70 yo)
elderly patients (≥ 70 yo) and younger patients (\< 70 yo)
effect of age
effect of age on the efficiency of enhanced recovery program
Interventions
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effect of age
effect of age on the efficiency of enhanced recovery program
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
No
Sponsors
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University of Liege
OTHER
Responsible Party
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Jean François Brichant
Professor in Anesthesiology
Principal Investigators
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Jean L Joris, MD
Role: PRINCIPAL_INVESTIGATOR
CHU Liege, Belgium
Locations
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CHU Liége
Liège, , Belgium
Countries
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References
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Joris J, Hans G, Coimbra C, Decker E, Kaba A. Elderly patients over 70 years benefit from enhanced recovery programme after colorectal surgery as much as younger patients. J Visc Surg. 2020 Feb;157(1):23-31. doi: 10.1016/j.jviscsurg.2019.07.011. Epub 2019 Jul 31.
Other Identifiers
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ERPELDERLY
Identifier Type: -
Identifier Source: org_study_id
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