Clinical trial NCT02084524: ANC1 Study Impact of a Geriatric and Nutritional Evaluation for the Malnutrition and Malnutrition Risk Screening in Patients Over 70 Years With Colorectal Surgery.
Official title: ANC1 Study Impact of a Geriatric and Nutritional Evaluation for the Malnutrition and Malnutrition Risk Screening in Patients Over 70 Years With Colorectal Surgery.
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Colorectal Tumor
Keywords: vulnerable
nutrition
cancer
colorectal
tumor
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2014-03-12
Enrollment: 150
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SCREENING

Brief summary: Malnutrition priori a major abdominal surgery is frequent and increases morbidity and mortality. The management of malnutrition has an impact in reducing postoperative complications. However malnutrition is rarely detected and Guidelines infrequently followed.

Recovery time and nutritional evaluation in elderly patients are major criteria in their postoperative management. Identifying malnutrition or malnutrition risk is fundamental to its treatment. It is therefore unsurprising that many validated tools for nutrition risk screening and nutrition assessment exist for the clinician to use in assisting with the accurate identification, referral and treatment of patients who are malnourished or at risk of malnutrition.

And nutritional management must be adapted and based on this evaluation and evolution of the general status (Guidelines Grade A).

A geriatric evaluation based on a screening of preoperative malnutrition should allow a better implementation of the European Society of Parenteral and Enteral Nutrition (ESPEN) guidelines.

Detailed description: Assessing the impact of a geriatric action (Team Mobile Geriatrics, EMG, or if the geriatric facility team when it does not have EMG) on the rate of nutritional support perioperative elderly subjects (≥ 70 years) who underwent a colorectal cancer according to ESPEN recommendations and SFNEP.

Eligibility criteria: Inclusion Criteria:

* Aged ≥ 70 years
* Colorectal or tumor resection with/without synchronous metastases

Exclusion Criteria:

* Emergency resection of colorectal tumor
* Unresectable colorectal tumor with/without synchronous metastases

Primary outcomes:
measure: Perioperative nutritional management
timeFrame: During perioperative period From D-7 before date of hospitalization until discharge from the hospital, up to 30 days
Secondary outcomes:
measure: Malnutrition screening
timeFrame: During preoperative seven days
measure: Rate of preoperative nutritional management by immunonutrition implemented
timeFrame: During preoperative seven days
measure: Rate of malnourished patients
timeFrame: During preoperative seven days
measure: Rate of patients with cachexia
timeFrame: Seventh day preoperative
measure: Postoperative complications
timeFrame: Postoperative follow-up until discharge from hospital, up to 30 days
measure: Rate of postoperative nutritional management implemented
timeFrame: Postoperative follow-up until discharge from hospital, up to 30 days
measure: Evolution of the activities of daily living
timeFrame: During preoperative seven days and postoperative follow-up until discharge from hospital, up to 30 days
Other outcomes:
Locations:
city: Pierre Benite
country: France
facility: Professeur Marc BONNEFOY
Study officials:
References:
citation: Dupuis M, Kuczewski E, Villeneuve L, Bin-Dorel S, Haine M, Falandry C, Gilbert T, Passot G, Glehen O, Bonnefoy M. Age Nutrition Chirugie (ANC) study: impact of a geriatric intervention on the screening and management of undernutrition in elderly patients operated on for colon cancer, a stepped wedge controlled trial. BMC Geriatr. 2017 Jan 7;17(1):10. doi: 10.1186/s12877-016-0402-3.