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Evaluation of a physiatrist-directed prehabilitation intervention in frail patients with colorectal cancer: a randomised pilot study protocol.
BMJ Open 2017; 7(6):e015565BO

Abstract

INTRODUCTION

Prehabilitation interventions have shown efficacy in the orthopaedic and cardiothoracic surgical populations, but there has been limited evidence for general surgical patients. We present the protocol for a pilot trial of a novel prehabilitation intervention, consisting of a physiatrist-directed preoperative assessment and treatment programme.

METHODS AND ANALYSIS

This is a single-centre pilot randomised controlled trial investigating physiatrist-directed prehabilitation for a 4 to 6-week preoperative period. We will block randomise 40-50 participants awaiting surgery for colorectal cancer to prehabilitation versus control. Participants in the prehabilitation arm will undergo assessment by a physiatrist and enrol in a supervised exercise programme. The control group will not undergo any prehabilitation interventions in the preoperative period. Our primary outcome is feasibility, measured by examining recruitment, refusal, retention and adherence rates as well as participant satisfaction and feedback. Secondary outcomes include physical fitness, functional ability, health-related quality of life, postoperative complications, mortality, readmissions, length of stay, prehabilitation interventions performed and exercise complications.

ETHICS AND DISSEMINATION

This study has been approved by the Hamilton Integrated Research Ethics Board (HIREB reference number 2015-0090-GRA). The results of this pilot study will be used to design a full-scale study and published in peer-reviewed journals.

TRIAL REGISTRATION NUMBER

NCT02531620; Pre-results.

Authors+Show Affiliations

Department of Surgery, McMaster University, Hamilton, Ontario, Canada.Department of Medicine, McMaster University, Hamilton, Ontario, Canada.Department of Medicine, McMaster University, Hamilton, Ontario, Canada.Department of Surgery, McMaster University, Hamilton, Ontario, Canada. Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Ontario, Canada.Department of Surgery, McMaster University, Hamilton, Ontario, Canada. Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Ontario, Canada.Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

28600373

Citation

Wong, Sherman G., et al. "Evaluation of a Physiatrist-directed Prehabilitation Intervention in Frail Patients With Colorectal Cancer: a Randomised Pilot Study Protocol." BMJ Open, vol. 7, no. 6, 2017, pp. e015565.
Wong SG, Maida E, Harvey D, et al. Evaluation of a physiatrist-directed prehabilitation intervention in frail patients with colorectal cancer: a randomised pilot study protocol. BMJ Open. 2017;7(6):e015565.
Wong, S. G., Maida, E., Harvey, D., Wagner, N., Sonnadara, R., & Amin, N. (2017). Evaluation of a physiatrist-directed prehabilitation intervention in frail patients with colorectal cancer: a randomised pilot study protocol. BMJ Open, 7(6), pp. e015565. doi:10.1136/bmjopen-2016-015565.
Wong SG, et al. Evaluation of a Physiatrist-directed Prehabilitation Intervention in Frail Patients With Colorectal Cancer: a Randomised Pilot Study Protocol. BMJ Open. 2017 06 9;7(6):e015565. PubMed PMID: 28600373.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of a physiatrist-directed prehabilitation intervention in frail patients with colorectal cancer: a randomised pilot study protocol. AU - Wong,Sherman G, AU - Maida,Eugene, AU - Harvey,David, AU - Wagner,Natalie, AU - Sonnadara,Ranil, AU - Amin,Nalin, Y1 - 2017/06/09/ PY - 2017/6/11/entrez PY - 2017/6/11/pubmed PY - 2018/3/30/medline KW - Adult surgery KW - Colorectal surgery KW - Prehabilitation KW - REHABILITATION MEDICINE KW - SURGERY SP - e015565 EP - e015565 JF - BMJ open JO - BMJ Open VL - 7 IS - 6 N2 - INTRODUCTION: Prehabilitation interventions have shown efficacy in the orthopaedic and cardiothoracic surgical populations, but there has been limited evidence for general surgical patients. We present the protocol for a pilot trial of a novel prehabilitation intervention, consisting of a physiatrist-directed preoperative assessment and treatment programme. METHODS AND ANALYSIS: This is a single-centre pilot randomised controlled trial investigating physiatrist-directed prehabilitation for a 4 to 6-week preoperative period. We will block randomise 40-50 participants awaiting surgery for colorectal cancer to prehabilitation versus control. Participants in the prehabilitation arm will undergo assessment by a physiatrist and enrol in a supervised exercise programme. The control group will not undergo any prehabilitation interventions in the preoperative period. Our primary outcome is feasibility, measured by examining recruitment, refusal, retention and adherence rates as well as participant satisfaction and feedback. Secondary outcomes include physical fitness, functional ability, health-related quality of life, postoperative complications, mortality, readmissions, length of stay, prehabilitation interventions performed and exercise complications. ETHICS AND DISSEMINATION: This study has been approved by the Hamilton Integrated Research Ethics Board (HIREB reference number 2015-0090-GRA). The results of this pilot study will be used to design a full-scale study and published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT02531620; Pre-results. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/28600373/Evaluation_of_a_physiatrist_directed_prehabilitation_intervention_in_frail_patients_with_colorectal_cancer:_a_randomised_pilot_study_protocol_ L2 - http://bmjopen.bmj.com/cgi/pmidlookup?view=long&pmid=28600373 DB - PRIME DP - Unbound Medicine ER -