Geriatric Intervention in Frail Elderly Patients With Colorectal Cancer
Recruitment status was Recruiting
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Purpose
This is a randomized, controlled trial on frail elderly patients (aged 65+) with colorectal cancer. The patients will be randomized into two groups. The control group will receive standard surgical treatment. The intervention group will in addition go through a preoperative comprehensive geriatric assessment. The assessment will include evaluation of co-morbidity and medication, social status, nutritional status, cognition, depression and physical performance. This assessment will form basis of an individualized perioperative intervention.
The main aim of the study is to see if the number of postoperative complications in this group can be reduced by a perioperative geriatric intervention. A study of inflammation markers in serum will also be performed, with focus on identifying potential biological frailty markers.
| Condition | Intervention |
|---|---|
|
Colorectal Neoplasms |
Other: Geriatric intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Geriatric Intervention in Elderly Surgical Patients With Colorectal Cancer - a Randomized, Controlled Trial. |
- Postoperative complications [ Time Frame: 30 days after surgery ] [ Designated as safety issue: No ]
- Reoperation [ Time Frame: 30 days after surgery ] [ Designated as safety issue: No ]Number of patients in need of any operation within thirty days after the operation for colorectal cancer.
- Readmission [ Time Frame: 30 days after surgery ] [ Designated as safety issue: No ]Number of patients being readmitted to hospital within 30 days after operation for colorectal surgery.
- Length of hospital stay [ Time Frame: 30 days after surgery ] [ Designated as safety issue: No ]
- Survival [ Time Frame: 3 months after surgery ] [ Designated as safety issue: No ]
- Quality of life [ Time Frame: 3 months after surgery ] [ Designated as safety issue: No ]
- Living at home or in institution [ Time Frame: 3 months after surgery ] [ Designated as safety issue: No ]Number of patients living at home, with or without formal help, and number of patients living in nursing homes 3 months after surgery.
| Estimated Enrollment: | 200 |
| Study Start Date: | February 2011 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Geriatric intervention |
Other: Geriatric intervention
A comprehensive geriatric assessment (CGA), focusing on co-morbidity, medication, cognitive status, depression, nutritional status and physical status is performed. The intervention is individualized according to the results of the CGA.
|
| No Intervention: Control |
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 65+
- Elective surgery for colorectal cancer
- Frail
Exclusion Criteria:
- Acute surgery
- Not able to consent
- Does not consent with registration
Contacts and Locations| Contact: Nina Ommundsen, MD | +4740225685 | ninaommundsen@gmail.com |
| Contact: Torgeir Bruun Wyller, Dr.med | +4722118702 | t.b.wyller@medisin.uio.no |
| Norway | |
| Dept of gastrointestinal surgery, Oslo University Hospital | Recruiting |
| Oslo, Norway, 0424 | |
| Contact: Nina Ommundsen, MD +4740225685 ninaommundsen@gmail.com | |
| Contact: Hans-Olaf Johannessen, dr.med uxhojo@ous-hf.no | |
| Principal Investigator: Nina Ommundsen, MD | |
| Study Chair: | Torgeir B Wyller, Dr.med | Geriatric dept., Oslo University hospital |
More Information
No publications provided
| Responsible Party: | Professor Torgeir Bruun Wyller, Dept of geriatric medicine, Oslo University hospital |
| ClinicalTrials.gov Identifier: | NCT01321658 History of Changes |
| Other Study ID Numbers: | 2010/1634 |
| Study First Received: | March 18, 2011 |
| Last Updated: | March 24, 2011 |
| Health Authority: | Norway: Regional Ethics Commitee |
Keywords provided by Oslo University Hospital:
|
Geriatric Assessment Perioperative Care Colorectal Neoplasms Frail Elderly |
Additional relevant MeSH terms:
|
Neoplasms Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site |
Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases |
ClinicalTrials.gov processed this record on May 21, 2013