None listed
Conditions
Brief summary
Currently, frailty is rarely identified prior to surgery and patients undergoing colorectal cancer surgery do not have prehabilitation optimization at Western Health (WH). Recent investigations of our WH population have identified poorer functional outcomes and lower quality of life associated with this population which indicated unmet psychosocial and occupational performance needs. With this study, we plan to introduce a novel approach to tailored treatment in our most at-risk group of patients. Who is it for? You may be eligible for this study if you are an adult who has a planned surgery for primary colorectal cancer at Western Health. Study details All patients enrolled in this study will undergo a frailty assessment and be prescribed a pre habilitation to be completed over a period of 4 weeks. This prehabilitation program will include nutritional adjustment by a dietician and improvement of exercise function by physiotherapy. Patient quality of life questionnaires, food diary, nutritional and physical fitness assessment will be carried out by dieticians and physiotherapists. It is hoped that this study will show that it is feasible for frail and at-risk colorectal cancer patients undergoing surgery to undergo prehabilitation. This aims to improve strength, mobility and flexibility, reduce frailty, and improve post-operational outcomes such as length of stay.
Interventions
Patients equal or over the age of 65 will have a frailty assessment using the G8 scoring system.
Patients who score 14 or below will have a comprehensive geriatric assessment by a geriatrician. A multidisciplinary team (physiotherapy, dietetics) will assess these patients and a prescribed pre habilitation programme will be designed and offered to the patient to complete over a period of 4 weeks. These interventions will be individualised based on clinical assessment. Dietician may prescribe diet
Patients equal or over the age of 65 will have a frailty assessment using the G8 scoring system. Patients who score 14 or below will have a comprehensive geriatric assessment by a geriatrician. A multidisciplinary team (physiotherapy, dietetics) will assess these patients and a prescribed pre habilitation programme will be designed and offered to the patient to complete over a period of 4 weeks. These interventions will be individualised based on clinical assessment. Dietician may prescribe dietary supplementation; physiotherapists may prescribe daily exercise regime and geriatricians may optimise patient drug therapy. However, it will be 1x1 hour consultation per fortnight for 4 weeks as a one on one face to face consultation by both a dietician and physiotherapist. Adherence monitoring will include food diary and exercise diary. Following this programme, patients will then proceed to their planned colorectal cancer surgery. Patients will have a 2 week and 90 day post surgery interview.
Sponsors
Western Health, Melbourne
Study design
Allocation
Non-randomised trial
Primary purpose
Prevention
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• Aged over 65 • Scoring 14 or less on the G8 screening tool for frailty • Planned curative intent surgery for primary Colorectal cancer at Western Health • English speaking and literate
Exclusion criteria
Patients who present as an emergency to Western Health Patients who have metastatic disease Patients who lack the capacity to provide informed consent
Outcome results
None listed