Colorectal Cancer
Conditions
Keywords
Colorectal cancer, Colorectal cancer surgery, Polyp(s), Accelerated Enhanced Recovery, RecoverMI, Fluid diary, Questionnaires, Surveys, RecoverMI device
Brief summary
The goal of this clinical research study is to learn if RecoverMI care can help to shorten the time that patients are in the hospital after surgery and if it can help them recover sooner. RecoverMI includes the following parts: * Preoperative Education * Early oral intake * Early mobilization * Telemedicine
Detailed description
Study Groups: If you are found to be eligible to take part in this study, you will be randomly assigned (as in the flip of a coin) to 1 of 2 study groups. This is done because no one knows if one group is the same, better, or worse than the other group. * If you are assigned to Group 1, you will receive standard enhanced care after your surgery. * If you are assigned to Group 2, you will receive routine care after surgery, but you will also receive accelerated recovery, early discharge, and Telemedicine. Participants will be loaned an iPad to use for video-conferencing and text messaging in this study. This is an investigational study. The study doctor can explain how RecoverMI is designed to work. Up to 32 participants will be enrolled in this study. All will take part at MD Anderson.
Interventions
BEHAVIORALAccelerated Recovery Plan
BEHAVIORALEarly Discharge
OTHERTelemedicine
BEHAVIORALStandard Enhanced Care
Sponsors
American Society of Colon and Rectal Surgeons
M.D. Anderson Cancer Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 79 Years
Healthy volunteers
No
Inclusion criteria
1. Patient has histologically proven colorectal cancer or polyp(s) that is planned to be treated by surgical resection performed with curative intent. 2. Patient is \>/= 18 years and younger than 80 years. 3. Elective minimally invasive operation. 4. No planned ostomy creation at time of enrollment. 5. Serum creatinine \<1.5 measured within 30 days of surgery. 6. Ability to speak, read, and understand English.
Exclusion criteria
1. Strong, self-reported history of postoperative nausea and vomiting. 2. History of congestive heart failure. Systolic heart failure defined as Ejection Fraction (EF) \</= 40%), or diastolic heart failure defined as EF \>40% PLUS systemic manifestation of heart failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative Hospital Length of Stay (LOS) | 30 days post transplant |
Secondary
| Measure | Time frame |
|---|---|
| Failure Rate (FR) in the RecoverMI Arm | 30 days |
| Patient Satisfaction | 30 days |
Countries
United States
Outcome results
None listed