Colorectal Cancer
Conditions
Keywords
colorectal cancer, diabetes, metabolic parameters, Surveillance
Brief summary
A prospective, single center, cohort study for surveillance of metabolic parameters in patients who will receive chemotherapy after surgical resection of colorectal cancer
Detailed description
Primary objective - Incidence of newly developed diabetes mellitus in patients with colorectal cancer after post-operative chemotherapy Secondary objective - Pre-operative incidence of diabetes and characteristics of metabolic parameters of patients with colorectal cancer; Incidence of developed poorly controlled glucose level in diabetic patients with colorectal cancer after post-operative chemotherapy; 3-year recurrence-free survival according to status of diabetes and metabolic parameters; 5-year recurrence-free survival according to status of diabetes and metabolic parameters
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Who will get surgical resection for colorectal cancer * Who has diagnosed with diabetes * Who met the criteria for testing of diabetes in asymptomatic adult individuals * Criteria for testing for diabetes in asymptomatic adult individuals * overweight (BMI\>25 kg/m2\*) and have additional risk factors (physical inactivity, first-degree relative with diabetes, high-risk race/ethnicity (e.g., African American, Latino, Native American, Asian American, Pacific Islander), women who delivered a baby weighing 0.9 lb or were diagnosed with GDM, hypertension (\>140/90 mmHg or on therapy for hypertension), HDL cholesterol level ,35 mg/dL (0.90 mmol/L) and/or a triglyceride level \>250 mg/dL (2.82 mmol/L), women with polycystic ovarian syndrome, HbA1C \>5.7%, IGT, or IFG on previous testing, other clinical conditions associated with insulin resistance (e.g., severe obesity, acanthosis nigricans), history of CVD)
Exclusion criteria
* Previously exposed to surgery or chemotherapy for colorectal cancer * Second primary malignancy (except in situ carcinoma of the cervix or adequately treated basal cell carcinoma of the skin or prior malignancy treated more than 5 years ago without recurrence * Presence of CNS metastasis * Not able or willing to give informed consent * Any patients judged by the investigator to be unfit to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of newly developed diabetes mellitus | up to 12 months | Incidence of newly developed diabetes mellitus in patients with colorectal cancer after post-operative chemotherapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pre-operative incidence of diabetes | up to 12 months | Pre-operative incidence of diabetes (\> 6.5% of HbA1c) and abnormal metabolic parameters (\> 23 kg/m2 of BMI or dyslipidemia) of patients with colorectal cancer; |
| Incidence of developed poorly controlled glucose level | up to 12 months | Incidence of developed poorly controlled glucose level in diabetic patients with colorectal cancer after post-operative chemotherapy; |
| 3-year recurrence-free survival & 5-year recurrence-free survival | up to 36-60 months | 3-year and 5-year recurrence-free survival according to status of diabetes (\> 6.5% of HbA1c) and abnormal metabolic parameters (\> 23 kg/m2 of BMI or dyslipidemia) |
Countries
South Korea