Colon Cancer
Conditions
Keywords
Prehabilitation
Brief summary
Quality Improvement Project to evaluate how prehabilitation can be incorporated into our colorectal cancer pathway and assess its clinical benefits.
Detailed description
The aim was to evaluate how prehabilitation (PH) can be incorporated into our colorectal cancer pathway and assess its clinical benefits. Patients underwent PH (exercise, nutrition and psychological support) before resection of colorectal carcinoma in a DGH over fourteen months. Patients were matched by operation, age, sex and ASA to non-prehabilitation (NPH) patients using a prospectively maintained database. Length of stay (LoS) and complication rate and 90-day readmission rates were compared using Wilcoxon and McNemar's methods. Prehabilitation significantly improved peak VO2 and AT. This corresponds to a reduction in predicted 30-day mortality. Despite a higher Charlson index LoS was unchanged suggesting prehabilitation may permit safe resection in comorbid patients.
Interventions
Prehabilitation is a multimodal and multidisciplinary person-centred perioperative approach involving supervised exercise training, nutritional education, management of polypharmacy and psychological advice.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults over the age of 18 who had prehabilitation for colorectal cancer
Exclusion criteria
* Children * Patients who had prehabilitation but not for colorectal cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | From date of operation to date of discharge in number of days over a 90 day follow up period | Time spent in hospital |
| Complication rate | Follow up over a period of 90 days following operation | All Clavien-Dindo complications |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anaerobic threshold | CPET performed before prehabilitation and after prehabilitation (median of 36 days) | Measured by looking at CPET results pre- and post- prehab |
Countries
United Kingdom