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Effects of Prehabilitation in Gastric Cancer Patients With Metabolic Syndrome on Perioperative Outcome

Primary Purpose

Stomach Neoplasms, Metabolic Syndrome X

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
pre-operative prehabilitation
Sponsored by
Qingdao University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Stomach Neoplasms focused on measuring gastric neoplasm, metabolic syndrome, prehabilitation, pre-operative exercise, laparoscopic radical gastrectomy

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • histologically-proven pre-operative stage I-III gastric cancer
  • Combined with metabolic syndrome
  • Age limits from 18 to 80 years old
  • Classified into American Society of Anesthesiology (ASA) II or III surgical risk
  • no history of abdominal surgery on organs located at the abdominal supramesocolic level

Exclusion Criteria:

  • Combined with severe cardiac or pulmonary disease or other organ dysfunction
  • ASA IV
  • The history of abdominal surgery
  • Conversion to open surgery
  • The presence of gastrointestinal obstruction, perforation or necrosis;
  • Declined to participate in this study

Sites / Locations

  • the Affiliated Hospital of Qingdao University

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

No Intervention

Arm Label

pre-operative prehabilitation

Comparator

Arm Description

Patients in the pre-operative prehabilitation group required the exercise intervention protocol, which included climbing six flights of stairs at least 6 times as a daily routine and adaptive simulated training of restrictive ventilation dysfunction following abdominal surgery by using a full elastic breathable abdominal bandage.

Patients in the control group did not need to undergo this pre-rehabilitation protocol and prepared conventionally.

Outcomes

Primary Outcome Measures

The proportion of postoperative complications

Secondary Outcome Measures

Full Information

First Posted
January 4, 2016
Last Updated
December 17, 2018
Sponsor
Qingdao University
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1. Study Identification

Unique Protocol Identification Number
NCT02649348
Brief Title
Effects of Prehabilitation in Gastric Cancer Patients With Metabolic Syndrome on Perioperative Outcome
Official Title
Effects of Pre-operative Prehabilitation on the Clinical Outcomes of Gastric Cancer Patients With Metabolic Syndrome Who Undergo Laparoscopic Radical Gastrectomies: A Polit Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
September 2015 (Actual)
Primary Completion Date
February 2018 (Actual)
Study Completion Date
February 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Qingdao University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A prospective randomised controlled trial to investigate the effects of a pre-operative prehabilitation protocol on clinical outcomes of gastric cancer patients with metabolic syndrome who undergo laparoscopic radical gastrectomies and to determine the underlying mechanisms.
Detailed Description
To investigate the effects of a pre-operative prehabilitation protocol on clinical outcomes of gastric cancer patients with metabolic syndrome who undergo laparoscopic radical gastrectomies and to determine the underlying mechanisms.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stomach Neoplasms, Metabolic Syndrome X
Keywords
gastric neoplasm, metabolic syndrome, prehabilitation, pre-operative exercise, laparoscopic radical gastrectomy

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
82 (Actual)

8. Arms, Groups, and Interventions

Arm Title
pre-operative prehabilitation
Arm Type
Other
Arm Description
Patients in the pre-operative prehabilitation group required the exercise intervention protocol, which included climbing six flights of stairs at least 6 times as a daily routine and adaptive simulated training of restrictive ventilation dysfunction following abdominal surgery by using a full elastic breathable abdominal bandage.
Arm Title
Comparator
Arm Type
No Intervention
Arm Description
Patients in the control group did not need to undergo this pre-rehabilitation protocol and prepared conventionally.
Intervention Type
Behavioral
Intervention Name(s)
pre-operative prehabilitation
Intervention Description
To climb six flights of stairs (approximately 20 meters in height) at least 6 times as a daily routine and adaptive simulated training of restrictive ventilation dysfunction (increased thoracic and decreased abdominal breathing compliance) following abdominal surgery by using a full elastic breathable abdominal bandage.
Primary Outcome Measure Information:
Title
The proportion of postoperative complications
Time Frame
up to six months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: histologically-proven pre-operative stage I-III gastric cancer Combined with metabolic syndrome Age limits from 18 to 80 years old Classified into American Society of Anesthesiology (ASA) II or III surgical risk no history of abdominal surgery on organs located at the abdominal supramesocolic level Exclusion Criteria: Combined with severe cardiac or pulmonary disease or other organ dysfunction ASA IV The history of abdominal surgery Conversion to open surgery The presence of gastrointestinal obstruction, perforation or necrosis; Declined to participate in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yan Han, M.D.
Organizational Affiliation
The Affiliated Hospital of Qingdao University
Official's Role
Study Director
Facility Information:
Facility Name
the Affiliated Hospital of Qingdao University
City
Qingdao
State/Province
Shandong
ZIP/Postal Code
266001
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Effects of Prehabilitation in Gastric Cancer Patients With Metabolic Syndrome on Perioperative Outcome

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