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Geriatric Intervention in Frail Elderly Patients With Colorectal Cancer

Primary Purpose

Colorectal Neoplasms

Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Geriatric intervention
Sponsored by
Oslo University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Neoplasms focused on measuring Geriatric Assessment, Perioperative Care, Colorectal Neoplasms, Frail Elderly

Eligibility Criteria

65 Years - undefined (Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 65+
  • Elective surgery for colorectal cancer
  • Frail

Exclusion Criteria:

  • Acute surgery
  • Not able to consent
  • Does not consent with registration

Sites / Locations

  • Dept of gastrointestinal surgery, Oslo University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Geriatric intervention

Control

Arm Description

Outcomes

Primary Outcome Measures

Postoperative complications

Secondary Outcome Measures

Reoperation
Number of patients in need of any operation within thirty days after the operation for colorectal cancer.
Readmission
Number of patients being readmitted to hospital within 30 days after operation for colorectal surgery.
Length of hospital stay
Survival
Quality of life
Living at home or in institution
Number of patients living at home, with or without formal help, and number of patients living in nursing homes 3 months after surgery.

Full Information

First Posted
March 18, 2011
Last Updated
October 20, 2015
Sponsor
Oslo University Hospital
Collaborators
Norwegian Cancer Society, University Hospital, Akershus
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1. Study Identification

Unique Protocol Identification Number
NCT01321658
Brief Title
Geriatric Intervention in Frail Elderly Patients With Colorectal Cancer
Official Title
Geriatric Intervention in Elderly Surgical Patients With Colorectal Cancer - a Randomized, Controlled Trial.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
October 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Oslo University Hospital
Collaborators
Norwegian Cancer Society, University Hospital, Akershus

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Neoplasms
Keywords
Geriatric Assessment, Perioperative Care, Colorectal Neoplasms, Frail Elderly

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
122 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Geriatric intervention
Arm Type
Experimental
Arm Title
Control
Arm Type
No Intervention
Intervention Type
Other
Intervention Name(s)
Geriatric intervention
Intervention Description
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.
Primary Outcome Measure Information:
Title
Postoperative complications
Time Frame
30 days after surgery
Secondary Outcome Measure Information:
Title
Reoperation
Description
Number of patients in need of any operation within thirty days after the operation for colorectal cancer.
Time Frame
30 days after surgery
Title
Readmission
Description
Number of patients being readmitted to hospital within 30 days after operation for colorectal surgery.
Time Frame
30 days after surgery
Title
Length of hospital stay
Time Frame
30 days after surgery
Title
Survival
Time Frame
3 months after surgery
Title
Quality of life
Time Frame
3 months after surgery
Title
Living at home or in institution
Description
Number of patients living at home, with or without formal help, and number of patients living in nursing homes 3 months after surgery.
Time Frame
3 months after surgery

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 65+ Elective surgery for colorectal cancer Frail Exclusion Criteria: Acute surgery Not able to consent Does not consent with registration
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Torgeir B Wyller, Dr.med
Organizational Affiliation
Geriatric dept., Oslo University hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Dept of gastrointestinal surgery, Oslo University Hospital
City
Oslo
ZIP/Postal Code
0424
Country
Norway

12. IPD Sharing Statement

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Geriatric Intervention in Frail Elderly Patients With Colorectal Cancer

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