Trial Outcomes & Findings for Impact of Early Mobility on Post-Surgery Recovery in Patients Undergoing Oncologic Surgeries (NCT NCT04000581)

NCT ID: NCT04000581

Last Updated: 2022-07-22

Results Overview

changes in mobility (as measured by average velocity of pelvis) from baseline to discharge are compared between groups using a one-sided, two-sample t-test.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

17 participants

Primary outcome timeframe

Baseline up to 30 days post discharge

Results posted on

2022-07-22

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (Usual Care)
Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Best Practice: Receive standard of care Questionnaire Administration: Ancillary studies
Arm II (Additional Mobility)
Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Physical Activity: Walk for minimum 30 minutes per day Questionnaire Administration: Ancillary studies
Overall Study
STARTED
5
12
Overall Study
COMPLETED
5
11
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm I (Usual Care)
Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Best Practice: Receive standard of care Questionnaire Administration: Ancillary studies
Arm II (Additional Mobility)
Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Physical Activity: Walk for minimum 30 minutes per day Questionnaire Administration: Ancillary studies
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Usual Care)
n=5 Participants
Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Best Practice: Receive standard of care Questionnaire Administration: Ancillary studies
Arm II (Additional Mobility)
n=12 Participants
Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Physical Activity: Walk for minimum 30 minutes per day Questionnaire Administration: Ancillary studies
Total
n=17 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
0 Participants
n=10 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
0 Participants
n=15 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
4 Participants
n=10 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
7 Participants
n=15 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
Age, Categorical
>=65 years
2 Participants
n=5 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
6 Participants
n=10 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
8 Participants
n=15 Participants • In the intervention arm, 2 patients have missing age. One patient removed their consent prior to any intervention.
Age, Continuous
63.2 years
STANDARD_DEVIATION 5.8 • n=5 Participants • Two patients do not have age recorded.
67.7 years
STANDARD_DEVIATION 8.4 • n=10 Participants • Two patients do not have age recorded.
66.2 years
STANDARD_DEVIATION 7.8 • n=15 Participants • Two patients do not have age recorded.
Sex: Female, Male
Female
0 Participants
Sex was not recorded.
0 Participants
Sex was not recorded.
0 Participants
Sex was not recorded.
Sex: Female, Male
Male
0 Participants
Sex was not recorded.
0 Participants
Sex was not recorded.
0 Participants
Sex was not recorded.
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
5 participants
n=5 Participants
12 participants
n=12 Participants
17 participants
n=17 Participants
Godin Score
21.3 units on a scale
STANDARD_DEVIATION 9.0 • n=4 Participants • The baseline Godin Score was not obtained for 4 subjects.
21.4 units on a scale
STANDARD_DEVIATION 12.0 • n=9 Participants • The baseline Godin Score was not obtained for 4 subjects.
21.3 units on a scale
STANDARD_DEVIATION 10.7 • n=13 Participants • The baseline Godin Score was not obtained for 4 subjects.

PRIMARY outcome

Timeframe: Baseline up to 30 days post discharge

Population: One patient (arm 2) removed consent prior to treatment initiation and outcome recording.

changes in mobility (as measured by average velocity of pelvis) from baseline to discharge are compared between groups using a one-sided, two-sample t-test.

Outcome measures

Outcome measures
Measure
Arm I (Usual Care)
n=5 Participants
Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Best Practice: Receive standard of care Questionnaire Administration: Ancillary studies
Arm II (Additional Mobility)
n=11 Participants
Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Physical Activity: Walk for minimum 30 minutes per day Questionnaire Administration: Ancillary studies
Changes in Mobility
0.16 m/s
Standard Deviation 0.15
0.58 m/s
Standard Deviation 2.1

PRIMARY outcome

Timeframe: Up to 30 days after discharge

Population: One patient (arm 2) removed consent prior to treatment initiation and outcome recording.

Days from operation to passing flatus and/or stool, treated as continuous measure

Outcome measures

Outcome measures
Measure
Arm I (Usual Care)
n=5 Participants
Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Best Practice: Receive standard of care Questionnaire Administration: Ancillary studies
Arm II (Additional Mobility)
n=11 Participants
Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Physical Activity: Walk for minimum 30 minutes per day Questionnaire Administration: Ancillary studies
Early Return of Bowel Motion
0.80 days
Standard Deviation 0.45
0.90 days
Standard Deviation 0.32

PRIMARY outcome

Timeframe: Up to 30 days after discharge

Population: Variable was not recorded.

Presence or absence of nausea and/or vomiting, treated as a binary variable

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Up to 30 days after discharge

Population: Variable was not recorded.

Presence or absence of chest symptoms (cough, sputum, and ability of using incentive spirometry), treated as a binary variable

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Up to 30 days after discharge

Population: One patient (arm II) removed consent prior to treatment initiation and outcome recording.

Days from operation until hospital discharge, treated as continuous variable

Outcome measures

Outcome measures
Measure
Arm I (Usual Care)
n=5 Participants
Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Best Practice: Receive standard of care Questionnaire Administration: Ancillary studies
Arm II (Additional Mobility)
n=11 Participants
Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Physical Activity: Walk for minimum 30 minutes per day Questionnaire Administration: Ancillary studies
Early Discharge From the Hospital
2.0 days
Standard Deviation 1.2
3.5 days
Standard Deviation 2.8

PRIMARY outcome

Timeframe: Up to 30 days after discharge

Population: Data were not collected.

Presence or absence of surgical complication (including readmission), treated as a binary variable

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 30 days after discharge

Population: Data were not collected.

Will be measured using the 3 dimensional (3D) motion tracking system (Xsens), to identify the minimum required level of mobility for better early postoperative course recovery.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 30 days post discharge

Population: Data were not collected.

The complication status (present/absent) and grades will be summarized by group and compared using Fisher's exact test or the chi-square test, as appropriate.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 3 months post discharge

Population: This variable was not recorded.

Post study questionnaire .

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 3 months post discharge

Population: One patient (arm 2) removed consent prior to treatment initiation and outcome recording.

Adequate application of sensors, treated as a categorical variable

Outcome measures

Outcome measures
Measure
Arm I (Usual Care)
n=5 Participants
Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Best Practice: Receive standard of care Questionnaire Administration: Ancillary studies
Arm II (Additional Mobility)
n=11 Participants
Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. Physical Activity: Walk for minimum 30 minutes per day Questionnaire Administration: Ancillary studies
Application of Sensors in a Hospital Setting
Adequate Sensor Application
5 Participants
11 Participants
Application of Sensors in a Hospital Setting
Inadequate Sensor Application
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 3 months post discharge

Population: Data were not collected.

The correlation between complication status and changes in mobility may be evaluated using a post study questionnaire.

Outcome measures

Outcome data not reported

Adverse Events

Arm I (Usual Care)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm II (Additional Mobility)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Kris Attwood

Roswell Park Comprehensive Cancer Center

Phone: 716-845-1300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place