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Study on the development of standard pathway for perioperative nutritional management of gastric cancer surgery patients based on DRG medical insurance payment and evaluation of its effect

Construction of a Whole-course Nutritional Management Model for Gastric Cancer Patients Undergoing Gastrectomy under DRG-based Medical Insurance Payment: A Prospective Cluster Randomized Controlled Intervention Study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500100608
Enrollment
Unknown
Registered
2025-04-11
Start date
2022-12-10
Completion date
Unknown
Last updated
2025-04-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric cancer

Interventions

Intervention group:Formulate the standard pathway for perioperative nutrition management of patients undergoing gastric cancer surgery, and the clinical pharmacists will conduct intervention managemen
Control group:Perioperative nutrition support management is carried out by clinicians according to clinical routines.

Sponsors

Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: (1) Patients aged between 18 and 80 years old, who meet the diagnostic criteria for gastric cancer and require radical surgical intervention. (2) Those who have not received radiotherapy or chemotherapy before surgery. (3) Volunteers who are willing to participate in the study and sign the informed consent form. (4) Those who can communicate well with the researchers and comply with all the requirements of the entire trial.

Exclusion criteria

Exclusion criteria: (1) Not meeting the inclusion criteria. (2) Malignant cachexia indicated by nutrition assessment. (3) Complicated with metabolic diseases, such as diabetes. (4) Concurrently having malignant tumors in other parts of the body. (5) Patients with metastatic lesions found during the operation or those who can not undergo gastrectomy for gastric cancer as planned before the operation and instead receive palliative treatment. (6) Patients with senile dementia, brain atrophy, acute stage or sequelae of cerebrovascular diseases, or cognitive impairment. (7) Patients with mental or neurological disorders who can not cooperate with doctors. (8) Those with local or systemic acute bacterial infections that can not be effectively controlled. (9) Patients having surgical contraindications, such as severe cardiopulmonary diseases or coagulation disorders. (10) Patients with shock or in critical condition who can not cooperate with the operation and evaluation of the effect. (11) Patients with contraindications for enteral nutrition, such as intestinal obstruction, gastrointestinal bleeding, severe shock, or local intestinal ischemia. (12) Other circumstances that researchers consider inappropriate for participation in the study.

Design outcomes

Primary

MeasureTime frame
One-month postoperative eating compliance rate;

Secondary

MeasureTime frame
Laboratory indicators (prealbumin level);Hospitalization costs;

Countries

China

Contacts

Public ContactXiaojie Bian

Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School

18061678828@189.cn+86 180 6167 8828

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026