Abdominal Cancer Surgery, Cancer, Functional Outcomes, Recovery Outcomes, Surgery
Conditions
Keywords
cancer, abdominal cancer surgery, surgery, recovery outcomes, functional outcomes
Brief summary
The objective of this study is to develop and evaluate the implementation of novel timeline-specific National Comprehensive Cancer Network (NCCN)-style clinical guidelines designed to improve functional outcomes after high-risk abdominal surgery for cancer.
Detailed description
This is a prospective, feasibility, and effectiveness trial to be conducted at The University of Alabama at Birmingham. We plan to develop algorithmic guidelines focused on proactive support of surgical recovery and will then recruit surgeons who care for adults undergoing high-risk abdominal surgery for cancer to study the preliminary effectiveness of implementing the algorithmic guidelines into postoperative care workflows at 4 pre-determined timepoints. A modified Delphi process will be used to ensure an expert consensus on the algorithmic guideline content is achieved through a rigorous and consensus-driven process. Two rounds of structured online voting will be conducted to rate and refine each algorithmic guideline component. Key feasibility outcomes include recruitment and retention rates, surgeon adherence, data completeness, and integration into routine workflows. Preliminary effectiveness will be measured using patient-reported outcomes, timeliness of referral to supportive providers and resources, use of supportive services, rates of surgical regret, and measures of functional recovery.
Interventions
BEHAVIORALAlgorithmic Guideline for Functional Recovery following Cancer Surgery
This is a pilot feasibility study to test the clinical use of a novel algorithmic guideline to support patient functional recovery following cancer surgery. To date, no algorithmic guideline exists to support functional recovery as a primary postoperative outcome.
Sponsors
University of Alabama at Birmingham
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Generate and Finalize the Postoperative Functional Recovery Algorithmic Guidelines (AGs). The development of the AGs will include a structured, evidence-informed, and patient-engaged process led by the PI. These guidelines will serve as a practical framework for supporting patients through recovery after high-risk abdominal surgery for cancer. Determination of Team Members: The PI will identify and recruit a multidisciplinary working group. The team will include six subspecialty surgical oncologists with experience in implementation science and supportive care, in addition to medical oncologists and nurse scientists (PhD-trained) with expertise in cancer survivorship and patient-centered care. Selection of team members will emphasize diversity of expertise, discipline, and clinical content.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Surgeons who perform abdominal surgery for cancer at the study institution
Exclusion criteria
* Surgeons who do not perform abdominal surgery for cancer * Surgeons who are external to the study institution
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of Surgeon Utilization of the Algorithmic Guidelines for Functional Recovery following Cancer Surgery | 6 months | The primary outcome is surgeon use of the novel guideline to guide the postoperative clinical care of patients recovering from GI cancer surgery. This will be measured by in-clinic fidelity monitoring, i.e. researcher monitoring of clinical use of the developed guideline. |
Countries
United States
Contacts
CONTACTAmber N Taylor (Clinical Research Regulatory Coordinator I), BS, MA
PRINCIPAL_INVESTIGATORKimberly E Kopecky, MD,MSCI
University of Alabama at Birmingham
Outcome results
None listed