Physical Therapy in Pre-cystectomy Patients
Study Details
Study Description
Brief Summary
This single-site, non-randomized, interventional study evaluates the impact of a physical therapy consultation for patients with bladder cancer scheduled for radical cystectomy (RC). The purpose of this study is to investigate whether consultation with a physical therapist and the development of a personally tailored exercise program in the pre-cystectomy period for patients with bladder cancer will result in reduced post-operative complications, morbidity, length of inpatient stay, improve readmission 30-day and 90-day and improve 90-day mortality. This study will be partially retrospective (pre-implementation of a physical therapy consultation order) and partially prospective.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: A personally tailored exercise A personally tailored exercise program will be offered to the participants after the Physical Therapy assessment, before the surgery. |
Other: A personally tailored exercise program
A personally tailored exercise program will be offered to the participants after Physical Therapy assessment, before the surgery.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Thirty-day readmission rates [Up to 30 days after the date of cystectomy]
Thirty-day readmission rates will be defined as the comparison of the number of hospital admission after physical therapy consultation and tailored exercises and historical hospital admission data.
Secondary Outcome Measures
- The proportion of individuals who received a physical therapy consultation [1 day (the date of cystectomy)]
The feasibility of implementing a physical therapy consultation and tailored exercise program in the pre-cystectomy treatment pathway will be determined by calculating the proportion of individuals who received a physical therapy consultation in the prospective group.
- Ninety-day readmission rates [Up to 90 days after the date of cystectomy]
Ninety-day readmission rates will be defined as the comparison of the number of hospital admission after physical therapy consultation and tailored exercises and historical hospital admission data.
- Acute care length of stay [Starting to the exercises to up to 90 days after the date of cystectomy]
Acute care length of stay will be defined as comparing number of hospital day stay after physical therapy consultation and tailored exercises and historical hospital admission data.
- Mortality rates [Up to 90 days after the date of cystectomy]
Mortality rates will be defined as the comparison of the number of subjects who died after physical therapy consultation and tailored exercises and historical hospital admission data.
- Post-cystectomy complication types and rates [Up to 90 days after the date of cystectomy]
Post-cystectomy complication types and rates will be defined as comparison of the numbers and types of complications after physical therapy consultation with tailored exercises and historical data.
Eligibility Criteria
Criteria
In order to participate in this study a subject must meet all of the eligibility criteria outlined below:
Inclusion Criteria:
-
Age ≥ 18 years at the time of bladder cancer diagnosis
-
History of bladder cancer
-
Performance of radical cystectomy
Exclusion Criteria:
- No history of bladder cancer or radical cystectomy
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Lineberger Comphrehensive Cancer Center at University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | United States | 27599 |
Sponsors and Collaborators
- UNC Lineberger Comprehensive Cancer Center
Investigators
- Principal Investigator: Sasha Knowlton, Lineberger Comprehensive Cancer Center, The University of North Carolina Chapel Hill
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- LCCC2251