Prehabilitation to Enhance Preoperative Function in Elderly Undergoing Abdominal Malignancy Surgery
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age60-90
SponsorSiriraj Hospital
About this trial
The goal of this observational study is to evaluate the effectiveness of the multimodal prehabilitation program at the Siriraj Integrated Preoperative and Prehabilitation Center (SiPAP) on improving preoperative walking capacity and functional status in patients undergoing elective intraabdominal cancer surgery. The main question it aims to answer is:
\- Does the prehabilitation program lead to a significant change in 6-minute walk distance (6MWD) at preoperative admission as compared to at baseline assessment? Participants will receive the structured multimodal prehabilitation program, which represents the standard of care for patients in the ERAS protocol at the study site. Outcomes will be measured at preoperative admission and at 1 and 3 months after surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with intraabdominal malignancy (e.g., colorectal, esophageal, gastric, pancreatic, hepatic, biliary tract, urinary bladder, or endometrial malignancies).
Schedules for elective major surgery and formally enrollment in the ERAS program at Siriraj Hospital. (at Siriraj Hospital, patients scheduled for pre-specific elective major surgeries are enrolled into the ERAS program as individual hospital protocols for each ERAS module. All patients are informed about the ERAS program by their surgical team.)
Referred to the SiPAP center for prehabilitation in accordance with the ERAS preoperative protocol, with a minimum preoperative time of 14 days before the scheduled surgery date.
Able to understand the study protocol and provide written informed consent.
Disqualifiers
Have emergency surgery
Reschedule the surgery for an earlier date, allowing less than 14 days for prehabilitation.
Severe cardiopulmonary or musculoskeletal conditions that contraindicate exercise (e.g., unstable angina, decompensated heart failure, severe COPD, or orthopedic disability).
Cognitive impairment or psychiatric illness precluding participation in prehabilitation.
Trial population
The patients who enroll to Enhanced Recovery After Surgery (ERAS) program, Siriraj Hospital and referred to the SiPAP program.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
Six-minute walk distance (6MWD)
A six-minute walk test will be performed on a standardized 30-meter indoor track following American Thoracic Society guidelines. Distance that participants can walk in 6 minutes will be record as six-minute walk distance (6MWD)
Time frame
Preoperative period and postoperative period (1 and 3 months)Secondary outcomes
1
Dominant handgrip strength
Dominant handgrip strength in kilogram
Time frame
Preoperative period and postoperative period (1 and 3 months)2
Lower limb strength, balance, and functional mobility
Lower limb strength, balance, and functional mobility quantified by time (seconds) use during Five-time chair stand test
Time frame
Preoperative period and postoperative period (1 and 3 months)3
Functional capacity
Functional capacity status in metabolic equivalents (METs) using Duke Activity Status Index (DASI): score ranged 0 - 58.2
Time frame
Preoperative period and postoperative period (1 and 3 months)Locations
Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: