Bladder Cancer
Conditions
Keywords
radical cystectomy, physical therapy, exercise program
Brief summary
This single-site, non-randomized, study evaluates the impact of a physical therapy consultation for patients with bladder cancer scheduled for radical cystectomy (RC). The purpose of this study is to investigate whether consultation with a physical therapist and the development of a personally tailored exercise program in the pre-cystectomy period for patients with bladder cancer will result in reduced post-operative complications, morbidity, length of inpatient stay, improve readmission 30-day and 90-day and improve 90-day mortality. This study will be partially retrospective (pre-implementation of a physical therapy consultation order) and partially prospective.
Interventions
None listed
Sponsors
UNC Lineberger Comprehensive Cancer Center
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
In order to participate in this study a subject must meet all of the eligibility criteria outlined below: Inclusion Criteria: 1. Age ≥ 18 years at the time of bladder cancer diagnosis 2. History of bladder cancer 3. Performance of radical cystectomy
Exclusion criteria
1\. No history of bladder cancer or radical cystectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Thirty-day readmission rates | Up to 30 days after the date of cystectomy | Thirty-day readmission rates will be defined as the comparison of the number of hospital admission after physical therapy consultation and tailored exercises and historical hospital admission data. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The proportion of individuals who received a physical therapy consultation | 1 day (the date of cystectomy) | The feasibility of implementing a physical therapy consultation and tailored exercise program in the pre-cystectomy treatment pathway will be determined by calculating the proportion of individuals who received a physical therapy consultation in the prospective group. |
| Ninety-day readmission rates | Up to 90 days after the date of cystectomy | Ninety-day readmission rates will be defined as the comparison of the number of hospital admission after physical therapy consultation and tailored exercises and historical hospital admission data. |
| Acute care length of stay | Starting to the exercises to up to 90 days after the date of cystectomy | Acute care length of stay will be defined as comparing number of hospital day stay after physical therapy consultation and tailored exercises and historical hospital admission data. |
| Mortality rates | Up to 90 days after the date of cystectomy | Mortality rates will be defined as the comparison of the number of subjects who died after physical therapy consultation and tailored exercises and historical hospital admission data. |
| Post-cystectomy complication types and rates | Up to 90 days after the date of cystectomy | Post-cystectomy complication types and rates will be defined as comparison of the numbers and types of complications after physical therapy consultation with tailored exercises and historical data. |
Countries
United States
Outcome results
None listed