RCT on Elderly Patients Undergoing Colorectal Cancer Surgery With Enhanced Geriatric Care

Study Overview
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Brief Summary
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This study evaluates the effects of enhanced geriatric input on elderly patients undergoing colorectal cancer surgery. Half of the participants will received additional pre, peri and post-operative care from the geriatric team, while the other half will receive standard surgical care.

Detailed Description
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Additional geriatric care involves appropriate assessments and interventions by a multidisciplinary team involving geriatricians, physiotherapist, occupational therapist, surgical team, dietician and social worker. It is divided into three stages of care: 1) preoperative assessment, 2) perioperative care and 3) discharge or rehabilitation. In preoperative assessment, a comprehensive geriatric assessment will be carried out which encompasses patients medical and social backgrounds, cognitive status, nutritional assessment and risk factors identification. Perioperative care includes a joint care by surgical and geriatric teams aiming to prevent and treat any postoperative complications. Discharge and rehabilitation aim to identifies and facilities any potential discharge problem or accelerates patients for rehabilitation to the appropriate locations. Standard surgical care will be given to patients who are undergoing colorectal cancer surgery but without the additional input mentioned above.

Official Title
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A Randomised Controlled Trial on Preoperative Elderly Patients Undergoing Colorectal Cancer Surgery With Enhanced Geriatric Input

Conditions
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Colorectal Cancer

Intervention / Treatment
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* Procedure: Enhanced Colorectal Geriatric Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Consecutive colorectal cancer patients (aged 70 and over) undergoing elective colorectal cancer surgery at the Prince of Wales Hospital, Shatin, Hong Kong American Society of Anaesthesiologists fitness score of I, II or III Exclusion Criteria: Colorectal cancer patients aged 69 or under undergoing colorectal surgery Patients undergoing emergency colorectal cancer resection Patients with benign pathology Patients with evidence of locally advanced or metastatic spread of their primary disease Patient who are unable to give informed consent

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Enhanced Colorectal Geriatric Care<br>Multidisciplinary team involving in the elderly colorectal cancer patients' pre-, peri- and postoperative care. | Procedure: Enhanced Colorectal Geriatric Care<br> <br> |
| No Intervention: Standard Surgical Care<br>Standard care given to elderly patients undergoing colorectal cancer resection. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of postoperative hospital stay |  | up to 90 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 30-day morbidity |  | 30 day from time of surgery | 
| 30-day mortality |  | 30 day from time of surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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elderly, enhanced recovery after surgery