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Cancer prehabilitation typically involves multiple pre-op visits. The investigators aim to assess the impact of their novel model, a "one-stop "service by a small, "levelled-up" core team on newly diagnosed colorectal cancer patients planned for surgery.
Objective Cancer prehabilitation typically involves multiple pre-op visits. The investigators aim to assess the impact of their novel model, a "one-stop "service by a small, "levelled-up" core team on newly diagnosed colorectal cancer patients planned for surgery.
Design This is a before-after trial in a tertiary public hospital in Singapore, involving all newly diagnosed colorectal cancer patients planned for surgery who are referred to the Cancer Prehabilitation Program. The primary outcome measure is the 6-minute-walk-test. Others include physical, psychological, quality-of-life and post-operative measures, and patient-satisfaction-surveys, taken at baseline, pre-operatively (post-prehabilitation), and 3-months-post-operatively.
Keywords: Colorectal; Cancer Prehabilitation; Novel; Model of Care
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Colorectal Cancer Prehabilitation Program | Other | This is a before-after trial. The same group of participants will have a series of outcome measures taken at baseline, which will then be compared to these same outcome measures when repeated after undergoing prehabilitation and at 3 months' post-operatively |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Colorectal Cancer Prehabilitation Programme | Other | Assessment and Interventions involving the Prehabilitative domains of medical optimisation, exercise prescription, nutrition and mental health optimisation |
| Measure | Description | Time Frame |
|---|---|---|
| 6-minute-walk-test | Distance walked in 6 minutes under standardised conditions | Baseline |
| 6-minute-walk-test | Distance walked in 6 minutes under standardised conditions | Pre-Operatively (after prehabilitation) |
| 6-minute-walk-test | Distance walked in 6 minutes under standardised conditions | Post-Operatively (3 months) |
| Measure | Description | Time Frame |
|---|---|---|
| 30-second-sit-to-stand-test | Number of repetitions of sit-to-stand within 30 seconds | Baseline |
| 30-second-sit-to-stand-test | Number of repetitions of sit-to-stand within 30 seconds |
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Inclusion Criteria:
1. All newly diagnosed colorectal cancer patients planned for surgery in Changi General Hospital, Singapore
Exclusion Criteria:
1. Patients' refusal to participate
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Changi General Hospital | Singapore | 529889 | Singapore |
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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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before-after trial
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| Pre-Operatively (after prehabilitation) |
| 30-second-sit-to-stand-test | Number of repetitions of sit-to-stand within 30 seconds | Post-Operatively (3 months) |
| Hospital Anxiety and Depression Scale | Divided into Anxiety (0-21 points) and Depression scale (0-21 points), the higher the worser | Baseline |
| Hospital Anxiety and Depression Scale | Divided into Anxiety (0-21 points) and Depression scale (0-21 points), the higher the worser | Pre-Operatively (after prehabilitation) |
| Hospital Anxiety and Depression Scale | Divided into Anxiety (0-21 points) and Depression scale (0-21 points), the higher the worser | Post-Operatively (3 months) |
| EuroQol- 5 Dimension | Health Score (visual analogue scale from 0-100), the higher the better | Baseline |
| EuroQol- 5 Dimension | Health Score (visual analogue scale from 0-100), the higher the better | Post-Operatively (3 months) |
| Post-Operative Hospital Length of Stay | Post-Operative Hospital Length of Stay | From Date of Admission for Surgery till Date of Discharge, assessed up to 100 weeks |
| 30-Day Post-Operative Major Complications | 30-Day Post-Operative Major Complications | From Surgery till 30 Days Post-op |
| 30-Day Post-Operative Readmission Rates | 30-Day Post-Operative Readmission Rates | From Surgery till 30 Days Post-op |
| 30-Day Post-Operative Mortality | 30-Day Post-Operative Mortality | From Surgery till 30 Days Post-op |
| Patient Satisfaction Survey | Patient Satisfaction Survey | Pre-Operatively (after prehabilitation) |
| Patient Satisfaction Survey | Patient Satisfaction Survey | Post-Operatively (3 months) |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |