Colorectal Neoplasms
Conditions
Keywords
Postoperative Complications, Perioperative Care, Colorectal Surgery, Frail Elderly
Brief summary
The purpose of this study is to determine if a program of physical activity, nutritional supplements and relaxation techniques is effective at decreasing post operative complications in frail colorectal cancer patients undergoing resection.
Interventions
Physical exercises personalized by a kinesiologist consisting of walking or stationary bike and elastic band exercises.
Nutritional counselling is given to patients to ensure their daily proteins and energy requirements are met. Whey Protein Isolate Powder (Immunocal) is provided. Immunocal1.5g/kg PO (by mouth) per day separated in 2 daily doses
Relaxation techniques consisting of breathing exercises and using a relaxation CD.
Sponsors
Study design
Eligibility
Inclusion criteria
* Colorectal cancer patient undergoing resection * Frail or intermediately frail patients (Fried score 2 and above)
Exclusion criteria
* Unable to communicate in French or English * Premorbid conditions contraindicating physical exercise (dementia, Parkinson Disease, previous stroke with paresis, taking carbidopa/levodopa, donepezil or antidepressants)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post operative complications | 30 days after surgery | Comprehensive Complication Index (CCI) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 6 Minutes Walk Test Distance | 4 weeks after discharge | — |
| Hospital Length of Stay | 3-6 days | — |
| Anxiety and Depression | 30 days after discharge | Using the Hospital Anxiety Depression Scale (HADS) |
| Health Related Quality of Life | 30 days after discharge | Using the Short Form Health Survey (SF-36) |
| Readmission rates | 30 days after discharge | — |
Other
| Measure | Time frame | Description |
|---|---|---|
| Cost Effectiveness of treatment | 30 days after hospital discharge | Factoring the cost of the program versus possible savings related to other primary and secondary outcomes |
Countries
Canada