Neoplasms
Conditions
Interventions
This is a pragmatic non-randomized clinical study composed of two parallel groups geographically allocated without masking, in which the in-person group will include thirty-six participants and the hy
Sponsors
Universidade Unicesumar
Universidade Unicesumar
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Adult patients of both sexes; aged 18 years or older; indication for elective thoracoabdominal surgery for diagnosis or treatment of gastrointestinal tract neoplasms such as esophagectomy, gastrectomy, duodenopancreatectomy or colorectal procedure; acceptance to participate in the research by signing the Informed Consent Form
Exclusion criteria
Exclusion criteria: Significant cognitive deficits or dementia that prevent understanding of instructions as determined by clinical assessment or validated test; medical contraindication to physical activity; cardiopulmonary, musculoskeletal, or neurological conditions that preclude exercise, such as unstable angina, decompensated heart failure, high risk of falls, or active fractures; prescription of enteral or parenteral nutrition in the preoperative period; active substance use disorders that compromise adherence to the protocol; decompensated comorbidities such as diabetes mellitus, renal or hepatic insufficiency, and uncontrolled hypertension; severe functional limitations such as prolonged bed rest, continuous use of oxygen therapy, or mechanical assistance devices; lack of access to an internet-enabled device or severe limitations in digital literacy without family support; pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in functional capacity, measured by standardized functional tests, in patients undergoing surgery for gastrointestinal tract neoplasms, comparing in-person and hybrid multimodal prehabilitation models | — |
Secondary
| Measure | Time frame |
|---|---|
| Body composition and nutritional status; mental health indicators (anxiety, depression, and stress); sleep quality; health-related quality of life; clinical and laboratory parameters; functional autonomy and self-care capacity; postoperative complications (incidence and severity); adherence to the prehabilitation program | — |
Countries
Brazil
Contacts
Public ContactBraulio Branco
Universidade Unicesumar
Outcome results
None listed