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This single-site, non-randomized, study evaluates the impact of a physical therapy consultation for patients with bladder cancer scheduled for radical cystectomy (RC). The purpose of this study is to investigate whether consultation with a physical therapist and the development of a personally tailored exercise program in the pre-cystectomy period for patients with bladder cancer will result in reduced post-operative complications, morbidity, length of inpatient stay, improve readmission 30-day and 90-day and improve 90-day mortality. This study will be partially retrospective (pre-implementation of a physical therapy consultation order) and partially prospective.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A personally tailored exercise | A personally tailored exercise program will be offered to the participants after the Physical Therapy assessment, before the surgery. |
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| Measure | Description | Time Frame |
|---|---|---|
| Thirty-day readmission rates | Thirty-day readmission rates will be defined as the comparison of the number of hospital admission after physical therapy consultation and tailored exercises and historical hospital admission data. | Up to 30 days after the date of cystectomy |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of individuals who received a physical therapy consultation | The feasibility of implementing a physical therapy consultation and tailored exercise program in the pre-cystectomy treatment pathway will be determined by calculating the proportion of individuals who received a physical therapy consultation in the prospective group. | 1 day (the date of cystectomy) |
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In order to participate in this study a subject must meet all of the eligibility criteria outlined below:
Inclusion Criteria:
Exclusion Criteria:
1. No history of bladder cancer or radical cystectomy
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Subjects who are with bladder cancer and receiving treatment at the study site.
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| Name | Affiliation | Role |
|---|---|---|
| Sasha Knowlton | Lineberger Comprehensive Cancer Center, The University of North Carolina Chapel Hill | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lineberger Comphrehensive Cancer Center at University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | 27599 | United States |
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| Label | URL |
|---|---|
| University of North Carolina Lineberger Comprehensive Cancer Center Clinical Trials | View source |
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| ID | Term |
|---|---|
| D001749 | Urinary Bladder Neoplasms |
| ID | Term |
|---|---|
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Ninety-day readmission rates | Ninety-day readmission rates will be defined as the comparison of the number of hospital admission after physical therapy consultation and tailored exercises and historical hospital admission data. | Up to 90 days after the date of cystectomy |
| Acute care length of stay | Acute care length of stay will be defined as comparing number of hospital day stay after physical therapy consultation and tailored exercises and historical hospital admission data. | Starting to the exercises to up to 90 days after the date of cystectomy |
| Mortality rates | Mortality rates will be defined as the comparison of the number of subjects who died after physical therapy consultation and tailored exercises and historical hospital admission data. | Up to 90 days after the date of cystectomy |
| Post-cystectomy complication types and rates | Post-cystectomy complication types and rates will be defined as comparison of the numbers and types of complications after physical therapy consultation with tailored exercises and historical data. | Up to 90 days after the date of cystectomy |
| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |