Perioperative Care for Esophagus Surgery Care Around Esophagus Surgery
Conditions
Interventions
The intervention begins at diagnosis and continues for 6 months post-surgery. It combines prehabilitation – targeting physical fitness, nutrition, mental well-being, sleep, substance cessation, and co
Sponsors
Radboud Universitair Medisch Centrum
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: Patients (>18 years), Scheduled for esophageal surgery, Obtained written informed consent
Exclusion criteria
Exclusion criteria: Severe cognitive disabilities, ASA score =4
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcomes focus on changes in lifestyle behaviors, psychological factors, and overall well-being throughout the perioperative period. These include improvements in physical activity, sleep quality, sedentary behavior, nutritional habits, smoking and alcohol use, stress management, and adherence to lifestyle goals. Anthropometric measures such as fat-free mass and BMI are monitored to assess physical health changes.Psychological well-being is evaluated through anxiety and depression scores using the Hospital Anxiety and Depression Scale. Self-efficacy for behavior change is measured with the General Self-Efficacy Scale and specific smoking or exercise self-efficacy scales. Motivation for lifestyle change is assessed using the Stages of Change Questionnaire to determine each participant’s readiness to adopt and maintain healthier behaviors. Social support is captured with the MOS Social Support Survey, and broader health-related quality of life is evaluated using the SF-36. Objective data on daily activity patterns, sleep, and sedentary time are obtained through motion detectors. Collectively, these outcomes provide a comprehensive picture of behavioral, psychological, social, and physical changes resulting from the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes assess feasibility, acceptability, implementation quality, and additional clinical effects of the intervention. Recruitment procedures and the program’s reach are documented to evaluate how effectively eligible patients were identified and engaged. Feasibility is examined through expert interviews, assessments of barriers and facilitators, acceptability ratings, patient-reported time burden, and interviews with healthcare providers regarding integration of the program into clinical workflow. Intervention fidelity and adherence are monitored through attendance logs, audits of session delivery, and recorded reasons for dropout.Healthcare utilization is evaluated through medical record review and self-reported data on additional consultations, emergency visits, and readmissions. | — |
Countries
Netherlands
Contacts
Public ContactJM Koeveringe
Radboud Universitair Medisch Centrum
Outcome results
None listed