Automated Geriatric Co-Management Program in Older Patients With Solid Mass or Nodule Suspicious for Cancer

Study Overview
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Brief Summary
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The purpose of this study is to find out if it is possible to use the automated geriatric co-management program to manage the participants care before, during and after surgery.

Official Title
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Feasibility and Effectiveness of Automated Geriatric Co-Management Program on Improving the Perioperative Care of Older Patients With Solid Mass or Nodule Suspicious for Cancer

Conditions
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Cancer

Intervention / Treatment
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* Other: in-person geriatric co-management
* Other: automated geriatric co-management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Solid mass or nodule suspicious for cancer Aged 65 or older Being considered for surgical resection of the solid mass or nodule, with anticipated hospital length of stay of at least two days, Completed the eRFA per routine care Exclusion Criteria: Unable to read or comprehend English Not having a completed electronic Rapid Fitness Assessment within 2 months of surgery**Note) To avoid excluding patients based this item, patients have to complete another eRFA within two months of surgery. Being discharged in one day or earlier from the hospital.

Ages Eligible for Study
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Minimum Age: 65 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The proposed study is a randomized controlled trial study.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: In-person geriatric co-management group<br>In-person geriatric consults to be done via telemedicine due to the current pandemic and consideration for patient safety. | Other: in-person geriatric co-management<br>* The geriatrics service sees these patients for at least 2 postoperative days, if deemed clinically necessary by the geriatrician. During the inpatient hospital course, the geriatrics service will ensure the execution of preoperative recommendations and will discuss with the surgical team, who will act as a primary team, any additional recommendation in order to improve postoperative care. In-person geriatric consults to be done via telemedicine due to the current pandemic and consideration for patient safety.<br>|
| Experimental: Automated geriatric co-management program group<br> | Other: automated geriatric co-management<br>* Following completion of the eRFA, the summary of impairments as well as the recommendations generated by the study team (hard-copy or email) will be provided in real-time to the surgery team for their attention.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| feasibility of automated geriatric co-management program | percentage of recommendations that were followed by the surgery team | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Automated Geriatric Co-Management Program, Perioperative Care, Solid mass, Nodule, 19-066