Effectiveness of a Personalized 6-month Programme on Frailty in Older Patients Treated for Bladder or Kidney Cancer.

Effectiveness of a Personalized 6-month Programme on Frailty in Older Patients Treated for Bladder or Kidney Cancer - FRAGECO - Multicenter, Controlled, Randomized Study

Bladder and kidney cancers are commonly diagnosed in older adults. Surgery remains the primary treatment modality for patients with kidney or bladder cancer. In older patients, common co-morbidities include fatigue, physical deconditioning characterized by reduced cardiorespiratory fitness and progressing sarcopenia, pain- whether disease- related or treatment-induced- and undernutrition. These factors increased the risk of post-operative complications and exacerbate patient frailty.

The investigators propose a personalized 6-month program both pre- and post-surgery, including adapted physical activity sessions, therapeutic education workshops, and systematic referral to the department's DAPAP program.

Inclusion Criteria:

• Diagnosis of bladder or kidney cancer
• Surgical treatment
• No severe cognitive impairment preventing understanding of the protocol
• Affiliated or entitled to a social security scheme
• Having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study

Exclusion Criteria:

• Surgery already done
• Significant co-morbidities that contraindicate physical activity: associated cardiac pathologies, respiratory pathologies, disabling joint pathologies, etc.
• Deprived of liberty or under guardianship
• Benefiting from a prehabilitation prescription with a private physiotherapist.