Colorectal Cancer
Conditions
Keywords
prehabilitation, colorectal surgery
Brief summary
This is a pilot study designed to evaluate a programme of rehabilitation for patients undergoing elective colorectal resection surgery.
Detailed description
Operations on the colon and rectum are major abdominal operations and many individuals can become severely deconditioned or weakened afterwards. For some individuals this can even mean that they can no longer completely return to their usual way of life following one of these major operations. As part of this study the investigators are attempting to identify ways to maximize patients' recovery and to maximize their overall quality of life following these major operations. It is possible that preconditioning may make a difference to patient's overall quality of life, decreased or need for hospital length of stay and decreased postoperative medical complications occasionally seen during these operations, in essence provide an overall enhancement to their surgical recovery. Physiatrists are physicians who are medical experts in maximizing a patient's overall ability to function well and live independently. Investigators are proposing patient participation in an initial pilot study in order to test the question as to whether or not participation with a physiatrist and any interventions recommended by said physician would help improve a patient's postoperative recovery.
Interventions
OTHERPhysiatry Assessment
Physiatrists are physicians who are medical experts in maximizing a patient's overall ability to function well and live independently. The Investigators are proposing your participation in an initial pilot study in order to test the question as to whether or not participation with a physiatrist and any interventions recommended by said physician would help improve a patient's postoperative recovery.
OTHERRoutine Care
Usual care for your disease process
Sponsors
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patient * scheduled to undergo a colorectal resection as part of treatment for colorectal cancer. * English speaking or have available a family member or substitute decision maker who can accompany you to all of your study visits.
Exclusion criteria
* geographic inaccessibility * unwilling to provide consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants recruiting | 6 months | Screening and recruiting of eligible patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 6 months | Survival will be noted at completion of 6 month study period. |
| Length of Stay | 30 days post-op | Length of stay in hospital will be collected and compared for the two treatment groups |
| Number of patients with readmissions | 30 days and 6 months | Number of patients with readmission to hospital during the 30 day and 6 month period will be compared for the two treatment groups |
| Physical Function Assessment (6 Minute Walk Test) | 1, 3 and 6 months | 6 Minute Walk Test (6MWT) |
| Post-op complications | 30 days | Post-op complications by Clavien-Dindo classification (pulmonary, DVT, MI) Completed by surgical team during admission, discharge and 30 days |
| Functional Independence Assessment (UK Functional Independence Measure and Functional Assessment Measure) | 1, 3 and 6 months | UK Functional Independence Measure and Functional Assessment Measure (UK FIM+FAM) |
| Quality of Life Survey (Short Form 36 Health Survey) | 1, 3 and 6 months | Short Form 36 Health Survey (SF-36) |
| Pain Assessment (Visual Analog Scale) | 1, 3 and 6 months | Pain score by Visual Analog Scale |
| Bowel Function Assessment | 1, 3 and 6 months | Bowel Function Index |
| Symptom Assessment (Edmonton Symptom Assessment System) | 1, 3 and 6 months | Edmonton Symptom Assessment System (ESAS) |
Countries
Canada
Contacts
Primary ContactNalin Amin, MD
Backup ContactSusan Haley, BSc MSc
Outcome results
None listed