C26.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Reason and type of planned procedure: elective colorectal surgical procedure - Written informed consent (participant information, consent form, data privacy statement) provided by the patient at the time of inclusion in the study
Exclusion criteria
Exclusion criteria: - Chronic glucocorticoid therapy (not perioperative glucocorticoid therapy) - Immune cell transfer, e.g., CAR-T cells and NK cells within the last year - Therapy with antibodies against immune checkpoint proteins, such as PD-1 (Nivolumab, Pembrolizumab, Durvalumab, Atezolizumab, Avelumab), PD-L1 (Ipilimumab, Tremelimumab), and CTLA-4 (Ipilimumab) - Active tumors not originating from the colon and/or rectum - Procedures where the planned surgical field extends significantly beyond the colon and rectum, e.g., exenteration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| QoR-15 Questionnaire (Patient Reported Outcome Measure) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Need for treatment in the ICU or IMC within the first three days after surgery - Need for late treatment in the ICU or IMC between the fourth and seventh day after surgery (if not previously treated in the ICU and/or IMC) - Progress assessment based on clinical scores at the time of sampling and at hospital discharge (SIRS, GCS, QoR-15) - Progress assessment based on the pain scale daily until discharge, following the WHO pain ladder according to the SOP of the Department of Surgery - Bowel passage - Anastomotic leakage (grade) - Nosocomial infection/sepsis within the first seven days after surgery - Surgical site infection (SSI) - Non-infectious acute organ dysfunction within the first seven days after surgery - Length of hospital stay - Hospital mortality - Functional outcome after 90 days (Gastrointestinal Quality of Life Index (GIQLI) questionnaire) | — |
Countries
Germany
Contacts
Klinik für Anästhesie, Operative Intensivmedizin und Schmerzmedizin, UMM, Medizinische Fakultät Mannheim der Universität Heidelberg