Colorectal Cancer
Conditions
Keywords
Colorectal, Cancer Prehabilitation, Novel, Model of Care
Brief summary
Cancer prehabilitation typically involves multiple pre-op visits. The investigators aim to assess the impact of their novel model, a one-stop service by a small, levelled-up core team on newly diagnosed colorectal cancer patients planned for surgery.
Detailed description
Objective Cancer prehabilitation typically involves multiple pre-op visits. The investigators aim to assess the impact of their novel model, a one-stop service by a small, levelled-up core team on newly diagnosed colorectal cancer patients planned for surgery. Design This is a before-after trial in a tertiary public hospital in Singapore, involving all newly diagnosed colorectal cancer patients planned for surgery who are referred to the Cancer Prehabilitation Program. The primary outcome measure is the 6-minute-walk-test. Others include physical, psychological, quality-of-life and post-operative measures, and patient-satisfaction-surveys, taken at baseline, pre-operatively (post-prehabilitation), and 3-months-post-operatively. Keywords: Colorectal; Cancer Prehabilitation; Novel; Model of Care
Interventions
OTHERColorectal Cancer Prehabilitation Programme
Assessment and Interventions involving the Prehabilitative domains of medical optimisation, exercise prescription, nutrition and mental health optimisation
Sponsors
Changi General Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
before-after trial
Eligibility
Sex/Gender
ALL
Age
21 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
1\. All newly diagnosed colorectal cancer patients planned for surgery in Changi General Hospital, Singapore
Exclusion criteria
1\. Patients' refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6-minute-walk-test | Baseline | Distance walked in 6 minutes under standardised conditions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Anxiety and Depression Scale | Baseline | Divided into Anxiety (0-21 points) and Depression scale (0-21 points), the higher the worser |
| EuroQol- 5 Dimension | Baseline | Health Score (visual analogue scale from 0-100), the higher the better |
| Post-Operative Hospital Length of Stay | From Date of Admission for Surgery till Date of Discharge, assessed up to 100 weeks | Post-Operative Hospital Length of Stay |
| 30-second-sit-to-stand-test | Baseline | Number of repetitions of sit-to-stand within 30 seconds |
| 30-Day Post-Operative Readmission Rates | From Surgery till 30 Days Post-op | 30-Day Post-Operative Readmission Rates |
| 30-Day Post-Operative Mortality | From Surgery till 30 Days Post-op | 30-Day Post-Operative Mortality |
| Patient Satisfaction Survey | Pre-Operatively (after prehabilitation) | Patient Satisfaction Survey |
| 30-Day Post-Operative Major Complications | From Surgery till 30 Days Post-op | 30-Day Post-Operative Major Complications |
Countries
Singapore
Outcome results
None listed