Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study is aimed to evaluate the safety of applying enhanced recovery after surgery for gastric cancer.
In China, gastric cancer results in the second highest morbidity and mortality rates among all malignancies. It is very important for treatment of gastric cancer to enhance the quality of treatment, increase patients' survival rate and improve the life quality. Now, "Gastric Cancer, Version 3.2016, NCCN Clinical Practice Guidelines in Oncology" and "Japanese gastric cancer treatment guidelines 2014 (ver. 4)" recommended surgical resection for gastric cancer. As a result, increasing the quality of surgery and improving the perioperative measures have a great influence on patients received a gastrectomy. Before, patients discharged on 7-10 days after gastrectomy and recovered 4-8 weeks after surgery. So, it is significant for patients to recover from surgical trauma in order to receive other anti-cancer therapies after gastrectomy. Investigators spent over ten years studying enhanced recovery after surgery programs for gastric cancer and have got some successful experience. Investigators found enhanced recovery after surgery can accelerate patients' recovery without increasing complications.
This study is the first multi-center study of enhanced recovery after surgery for gastric cancer all over the world. During this period, the study is aimed to evaluate the safety of applying enhanced recovery after surgery for gastric cancer.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| enhanced recovery after surgery | Experimental | enhanced recovery after surgery includes:
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| enhanced recovery after surgery | Procedure | Undergo an enhanced recovery after surgery program |
|
| Measure | Description | Time Frame |
|---|---|---|
| occurrence rate of severe complications | including death, anastomotic fistula, intra-abdominal hemorrhage, hemorrhage of digestive tract and complications need a reoperation | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence rate of ordinary complications | Except severe complications, Clavien-Dindo classification ≥Ⅱ complications need not reoperation | 1 month |
| Readmission rate within 30 days after discharge |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhi-Wei JIANG, Ph.D. | Contact | 8602580860034 | nzjiangzhiwei@163.com | |
| Jian ZHAO, Ph.D. | Contact | 8602580860034 | zhaojiangogo@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Zhi-Wei JIANG, Ph.D. | Jinling Hospital, Medical School of Nanjing University | Principal Investigator |
| Jian ZHAO, Ph.D. | Jinling Hospital, Medical School of Nanjing University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First People's Hospital of Changzhou | Recruiting | Changzhou | Jiangsu | 213003 | China |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Patients will receive enhanced recovery after surgery programs.
Not provided
Not provided
Not provided
Not provided
Readmission rate within 30 days after discharge
| 1 month |
| Ideal postoperative length of hospital stay | reach discharge criteria | 1 month |
| Actual postoperative length of hospital stay | Actual postoperative length of hospital stay | 1 month |
| Operative time | Data of operation | 1 day |
| Blood loss | Data of operation | 1 day |
| Intraoperative infusion | Data of operation | 1 day |
| TNM classification | Data of tumor | 1 week |
| Number of dissected lymph node | Data of tumor | 1 week |
| Time to first flatus | Bowel function recovery | 2 week |
| Time to first defecation | Bowel function recovery | 2 week |
| Time to first semi-liquid diet | Bowel function recovery | 2 week |
| Time to first off-bed activity | Postoperative activity | 1 week |
| Time of off-bed activity per day | Postoperative activity | 1 week |
| Distance of off-bed activity per day | Postoperative activity | 1 week |
| Postoperative pain | VAS classification | 1 week |
| Hospital cost | Hospital cost | 1 month |
| Management of catheters | including nasogastric tube, catheter, intraperitoneal drain, infusion tube | 1 month |
| Preoperative length of hospital stay | Preoperative length of hospital stay | 1 month |
| CD3+ | Immune indicators | 1 week |
| CD4+ | Immune indicators | 1 week |
| CD4+/CD8+ | Immune indicators | 1 week |
| IL-6 | Inflammatory indicators | 1 week |
| CRP | Inflammatory indicators | 1 week |
| Albumin | Nutritional indicators | 1 week |
| Prealbumin | Nutritional indicators | 1 week |
| Transferrin | Nutritional indicators | 1 week |
| Hb | Nutritional indicators | 1 week |
| WBC | Nutritional indicators | 1 week |
| PLT | Nutritional indicators | 1 week |
| HCT | Nutritional indicators | 1 week |
| Blood glucose | Nutritional indicators | 1 week |
| Procalcitonin | Infectious indicator | 1 week |
| Gang WANG, Ph.D. | Jinling Hospital, Medical School of Nanjing University | Study Director |
| Jiang LIU, M.D. | Jinling Hospital, Medical School of Nanjing University | Study Director |
| Changzhou Second People's Hospital Affiliated to Nanjing Medical University | Recruiting | Changzhou | Jiangsu | 213164 | China |
|
| The First People's Hospital of Lianyungang City | Recruiting | Lianyungang | Jiangsu | 222002 | China |
|
| The Second People's Hospital of Lianyungang City | Recruiting | Lianyungang | Jiangsu | 222006 | China |
|
| Jiangsu Cancer Hospital | Recruiting | Nanjing | Jiangsu | 210000 | China |
|
| Nanjing First Hospital | Recruiting | Nanjing | Jiangsu | 210000 | China |
|
| Jinling Hospital, Medical School of Nanjing University | Recruiting | Nanjing | Jiangsu | 210002 | China |
|
| Zhongda Hospital, Southeast University | Recruiting | Nanjing | Jiangsu | 210009 | China |
|
| the Second Affiliated Hospital of Nanjing Medical University | Recruiting | Nanjing | Jiangsu | 210011 | China |
|
| the First Affiliated Hospital of Nanjing Medical University | Recruiting | Nanjing | Jiangsu | 210029 | China |
|
| Suqian People's Hospital, Nanjing Drum Tower Hospital | Recruiting | Suqian | Jiangsu | 223800 | China |
|
| Suzhou Municipal Hospital | Recruiting | Suzhou | Jiangsu | 215000 | China |
|
| The Second Affiliated Hospital of Soochow University | Recruiting | Suzhou | Jiangsu | 215004 | China |
|
| The First Affiliated Hospital of Soochow University | Recruiting | Suzhou | Jiangsu | 215006 | China |
|
| The First People's Hospital of Taicang | Recruiting | Suzhou | Jiangsu | 215400 | China |
|
| Zhangjiagang First People's Hospital | Recruiting | Suzhou | Jiangsu | 215600 | China |
|
| the Taizhou People's Hospital | Recruiting | Taizhou | Jiangsu | 225300 | China |
|
| The 101 Hospital of the Chinese People's Liberation Army | Recruiting | Wuxi | Jiangsu | 214000 | China |
|
| Affiliated Hospital of Jiangnan University, The Forth People's Hospital of Wuxi City | Recruiting | Wuxi | Jiangsu | 214062 | China |
|
| Xuzhou Central Hospital | Recruiting | Xuzhou | Jiangsu | 221009 | China |
|
| Northern Jiangsu People's Hospital | Recruiting | Yangzhou | Jiangsu | 225001 | China |
|
| Affiliated Hospital of Jiangsu University | Recruiting | Zhenjiang | Jiangsu | 212001 | China |
|
| Affiliated People's Hospital of Jiangsu University | Recruiting | Zhenjiang | Jiangsu | 212002 | China |
|
| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000080482 | Enhanced Recovery After Surgery |
| ID | Term |
|---|---|
| D019990 | Perioperative Care |
| D013514 | Surgical Procedures, Operative |
Not provided
Not provided