RCT on Elderly Patients Undergoing Colorectal Cancer Surgery With Enhanced Geriatric Care

A Randomised Controlled Trial on Preoperative Elderly Patients Undergoing Colorectal Cancer Surgery With Enhanced Geriatric Input

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02352688

Enrollment

Registered

2015-02-02

Start date

2015-05-31

Completion date

2017-07-31

Last updated

2017-07-21

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

Conditions

Colorectal Cancer

Keywords

elderly, enhanced recovery after surgery

Brief summary

This study evaluates the effects of enhanced geriatric input on elderly patients undergoing colorectal cancer surgery. Half of the participants will received additional pre, peri and post-operative care from the geriatric team, while the other half will receive standard surgical care.

Detailed description

Additional geriatric care involves appropriate assessments and interventions by a multidisciplinary team involving geriatricians, physiotherapist, occupational therapist, surgical team, dietician and social worker. It is divided into three stages of care: 1) preoperative assessment, 2) perioperative care and 3) discharge or rehabilitation. In preoperative assessment, a comprehensive geriatric assessment will be carried out which encompasses patients medical and social backgrounds, cognitive status, nutritional assessment and risk factors identification. Perioperative care includes a joint care by surgical and geriatric teams aiming to prevent and treat any postoperative complications. Discharge and rehabilitation aim to identifies and facilities any potential discharge problem or accelerates patients for rehabilitation to the appropriate locations. Standard surgical care will be given to patients who are undergoing colorectal cancer surgery but without the additional input mentioned above.

Interventions

PROCEDUREEnhanced Colorectal Geriatric Care

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

70 Years to No maximum

Healthy volunteers

Inclusion criteria

1. Consecutive colorectal cancer patients (aged 70 and over) undergoing elective colorectal cancer surgery at the Prince of Wales Hospital, Shatin, Hong Kong 2. American Society of Anaesthesiologists fitness score of I, II or III

Exclusion criteria

1. Colorectal cancer patients aged 69 or under undergoing colorectal surgery 2. Patients undergoing emergency colorectal cancer resection 3. Patients with benign pathology 4. Patients with evidence of locally advanced or metastatic spread of their primary disease 5. Patient who are unable to give informed consent

Design outcomes

Primary

Measure	Time frame
Length of postoperative hospital stay	up to 90 days

Secondary

Measure	Time frame
30-day morbidity	30 day from time of surgery
30-day mortality	30 day from time of surgery

Countries

Hong Kong

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026