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Observing the Perioperative Effects of Prehabilitation in Colorectal Cancer Patients

Observing the Perioperative Effects of Prehabilitation in Colorectal Cancer

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04762914
Enrollment
52
Registered
2021-02-21
Start date
2018-09-01
Completion date
2019-12-31
Last updated
2021-02-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colon Cancer

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

OTHERPrehabilitation

Prehabilitation is a multimodal and multidisciplinary person-centred perioperative approach involving supervised exercise training, nutritional education, management of polypharmacy and psychological advice.

Sponsors

Medway Primary Care Trust
Lead SponsorOTHER_GOV

Study design

Observational model
OTHER
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Length of stayFrom date of operation to date of discharge in number of days over a 90 day follow up periodTime spent in hospital
Complication rateFollow up over a period of 90 days following operationAll Clavien-Dindo complications

Secondary

MeasureTime frameDescription
Anaerobic thresholdCPET performed before prehabilitation and after prehabilitation (median of 36 days)Measured by looking at CPET results pre- and post- prehab

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026