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Trial Title: Prehabilitation in Geriatric Patients With Colorectal Neoplasia

NCT ID: NCT05851235

Condition: Colo-rectal Cancer

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
Prehabilitation

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Other

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: Prehabilitation course
Description: During prehabilitation course, patients will follow a nutritional programme, a cardiovascular and motor programme and a psychological programme.
Arm group label: Colorectal cancer patients

Summary: This an interventional, non-pharmacologic study. Prehabilitation is a multidisciplinary preoperative intervention aimed at preventing or reducing functional decline related to surgery and improving perioperative outcomes. The current study is aimed at standardizing a prehabilitation pathway, evaluating its feasibility within the AUSL Romagna in collaboration with the PRIME Centre and the multiple professions that populate the two institutes in the spirit of confirming the beneficial effect of an integrated prehabilitation programme on surgical outcomes. Patients will follow an intensive prehabilitation course before surgery: - Colon cancer patients will do 4 weeks of prehabilitation before surgery. - Rectal cancer patients will do 12 weeks of prehabilitation after neoadjuvant therapy and before surgery. The prehabilitation course is structured around the following aspects: - Frailty assessment and identification of optimisation fields - Optimisation of modifiable factors (anaemia, polypharmacotherapy, smoking, alcoholism, diabetes) - Assessment by an integrative medicine specialist - Nutritional pre-qualification - Cardiovascular, respiratory, motor prehabilitation - Emotional and psychological prehabilitation

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. The participant (or legally acceptable representative if applicable) provides written informed consent for the trial. 2. Male/female participants who are at least 70 years of age on the day of signing informed consent. 3. Patients with confirmed diagnosis of colorectal cancer awaiting major surgery. Exclusion Criteria: 1. Clinical need for emergency intervention. 2. Severe cognitive impairment (MMSE<20*) 3. Severe dependency (ADL<3) 4. Stage IV colorectal neoplasia

Gender: All

Minimum age: 70 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: AUSL della Romagna

Address:
City: Ravenna
Zip: 48100
Country: Italy

Status: Recruiting

Contact:
Last name: Isacco Montroni, MD
Email: isacco.montroni@auslromagna.it

Start date: March 22, 2023

Completion date: March 2024

Lead sponsor:
Agency: Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori
Agency class: Other

Collaborator:
Agency: Istituto Oncologico Romagnolo (IOR)
Agency class: Other

Source: Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05851235

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