A Study to Determine Whether Perioperative Energy Dynamics Correlates With Postoperative Outcomes

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorM.D. Anderson Cancer Center

About this trial

To validate a new method for assessing perioperative risk in the cancer patient undergoing major cancer surgery.

In this proposed study researchers will:

1. Measure preoperative energy reserve capacity (fitness) 2. Determine if postoperative morbidity is a function of perioperative cardiopulmonary gas exchange metabolism

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants 18 years of age or older.

Participants with newly diagnosed esophageal and lung cancer undergoing neoadjuvant chemotherapy, radiation therapy, and/or immunotherapy.

Participants who have signed the consent form to participate in the study.

Participants must have been evaluated in the Perioperative Evaluation and Management (POEM) Center or by a staff Anesthesiologist.

Disqualifiers

Participant is under age 18.

Participant is unwilling to sign consent.

Participant is unable to exercise (bedridden or wheel chair bound).

Participant is enrolled in another study deemed by the investigator to affect oxygen metabolic efficiency and not presently the standard of care at MDACC.

Trial population

Individuals scheduled for elective major intrabdominal surgery or pelvic surgeries surgeries (e.g. gastrectomy, esophagectomy, pancreatectomy, radical cystectomy, radical transabdominal debulking with or without intrabdominal hyperthermic perfusion, pelvic exenteration, retroperitoneal lymph node dissections, and low anterior resection).

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Cardiopulmonary Exercise Testing (CPET)

    Other intervention

    Pedaling on a Stationary Bicycle at 60 Revolutions Per Minute as the Resistance to Pedaling Gradually Increases.

Treatment groups

200 Participants
are divided into 1 treatment group
Group A: Cardiopulmonary Exercise Testing (CPET)1 intervention

Trial outcomes

Primary outcomes

1

Patient Perioperative Risk

Measure preoperative energy reserve capacity (fitness) using perioperative energy dynamics where fitness is defined by gas exchange data during cardiopulmonary exercise testing as method of assessing perioperative risk

Time frame
Baseline + 30 days postoperatively monitoring for morbid events

Secondary outcomes

Other outcomes

Sponsors and contacts

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