Comparison of frailty screening instruments in terms of their ability to predict outcomes of colorectal surgery in older adults

Comparison of preoperative frailty screening instruments in older adults undergoing elective colorectal surgery: a prospective observational study

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN63830056

Enrollment

135

Registered

2020-08-02

Start date

2020-07-08

Completion date

Unknown

Last updated

2025-02-03

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

Conditions

Frailty in older adults undergoing elective colorectal resections Surgery

Interventions

At the preoperative consultation (approximately 1 month before surgery), after agreement to participate, three short functional tests will be performed: hand grip strength, mini-cog test, timed-up-and

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Aged 70 and over on the day of the surgery 2. Elective colorectal resection for cancer or benign disease 3. Enhanced recovery after surgery pathway

Exclusion criteria

Exclusion criteria: 1. Patients lacking decision-making capacity 2. Patients undergoing emergency surgery, reoperations for surgical complications, hyperthermic intraperitoneal chemotherapy, stoma closure or transit repair, rectopexy or prolapse surgery, trans-anal procedures, proctological operations or local stoma procedures 3. Patients whose surgery was omitted 4. Patients who are unable to understand and speak Dutch

Design outcomes

Primary

Measure	Time frame
The severity of in-hospital postoperative complications according to the Clavien-Dindo classification, assessed at discharge	—

Secondary

Measure	Time frame
1. Prolonged postoperative length of stay (LOS), defined as LOS > 75th percentile, assessed at discharge 2. Functional decline in basic activities of daily living (bADL), defined as the difference in bADL score compared to the preoperative score at 1 week and at 1, 3, 6 months after surgery 3. Functional decline in instrumental activities of daily living (iADL), defined as the difference in iADL score compared to the preoperative score at 1 week (if discharged) and at 1, 3, 6 months after surgery 4. Discharge to an increased level of care compared to the preoperative residence, assessed at discharge: levels of care in increasing order are: 4.1. Place of residence with same assistance compared to the preoperative situation 4.2. Place of residence with increased assistance compared to the preoperative situation 4.3. Rehabilitation/Convalescence stay 4.4. Nursing home admission	—

Measure

Time frame

1. Prolonged postoperative length of stay (LOS), defined as LOS > 75th percentile, assessed at discharge 2. Functional decline in basic activities of daily living (bADL), defined as the difference in bADL score compared to the preoperative score at 1 week and at 1, 3, 6 months after surgery 3. Functional decline in instrumental activities of daily living (iADL), defined as the difference in iADL score compared to the preoperative score at 1 week (if discharged) and at 1, 3, 6 months after surgery 4. Discharge to an increased level of care compared to the preoperative residence, assessed at discharge: levels of care in increasing order are: 4.1. Place of residence with same assistance compared to the preoperative situation 4.2. Place of residence with increased assistance compared to the preoperative situation 4.3. Rehabilitation/Convalescence stay 4.4. Nursing home admission

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Countries

Belgium

Outcome results

None listed

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