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This is a pilot study designed to evaluate a programme of rehabilitation for patients undergoing elective colorectal resection surgery.
Operations on the colon and rectum are major abdominal operations and many individuals can become severely deconditioned or weakened afterwards. For some individuals this can even mean that they can no longer completely return to their usual way of life following one of these major operations. As part of this study the investigators are attempting to identify ways to maximize patients' recovery and to maximize their overall quality of life following these major operations. It is possible that preconditioning may make a difference to patient's overall quality of life, decreased or need for hospital length of stay and decreased postoperative medical complications occasionally seen during these operations, in essence provide an overall enhancement to their surgical recovery. Physiatrists are physicians who are medical experts in maximizing a patient's overall ability to function well and live independently. Investigators are proposing patient participation in an initial pilot study in order to test the question as to whether or not participation with a physiatrist and any interventions recommended by said physician would help improve a patient's postoperative recovery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Physiatry | Experimental | Pre-operative Physiatry assessment and intervention |
|
| Routine Care | Other | Patients will receive routine pre-operative care, this study arm does not have an intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physiatry Assessment | Other | Physiatrists are physicians who are medical experts in maximizing a patient's overall ability to function well and live independently. The Investigators are proposing your participation in an initial pilot study in order to test the question as to whether or not participation with a physiatrist and any interventions recommended by said physician would help improve a patient's postoperative recovery. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants recruiting | Screening and recruiting of eligible patients | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Post-op complications | Post-op complications by Clavien-Dindo classification (pulmonary, DVT, MI) Completed by surgical team during admission, discharge and 30 days | 30 days |
| Mortality | Survival will be noted at completion of 6 month study period. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nalin Amin, MD | Contact | 905 522-1155 | 32938 | amin@mcmaster.ca |
| Susan Haley, BSc MSc | Contact | 905 521-2100 | 32575 | haleys@mcmaster.ca |
| Name | Affiliation | Role |
|---|---|---|
| Nalin Amin, MD | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Joseph Healthcare Hamilton | Recruiting | Hamilton | Ontario | L8N 4A6 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28600373 | Derived | Wong SG, Maida E, Harvey D, Wagner N, Sonnadara R, Amin N. Evaluation of a physiatrist-directed prehabilitation intervention in frail patients with colorectal cancer: a randomised pilot study protocol. BMJ Open. 2017 Jun 9;7(6):e015565. doi: 10.1136/bmjopen-2016-015565. |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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|
| Routine Care | Other | Usual care for your disease process |
|
|
| 6 months |
| Length of Stay | Length of stay in hospital will be collected and compared for the two treatment groups | 30 days post-op |
| Number of patients with readmissions | Number of patients with readmission to hospital during the 30 day and 6 month period will be compared for the two treatment groups | 30 days and 6 months |
| Physical Function Assessment (6 Minute Walk Test) | 6 Minute Walk Test (6MWT) | 1, 3 and 6 months |
| Symptom Assessment (Edmonton Symptom Assessment System) | Edmonton Symptom Assessment System (ESAS) | 1, 3 and 6 months |
| Functional Independence Assessment (UK Functional Independence Measure and Functional Assessment Measure) | UK Functional Independence Measure and Functional Assessment Measure (UK FIM+FAM) | 1, 3 and 6 months |
| Quality of Life Survey (Short Form 36 Health Survey) | Short Form 36 Health Survey (SF-36) | 1, 3 and 6 months |
| Pain Assessment (Visual Analog Scale) | Pain score by Visual Analog Scale | 1, 3 and 6 months |
| Bowel Function Assessment | Bowel Function Index | 1, 3 and 6 months |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |