Analysis of Influencing Factors of Preoperative Frailty in Elderly Patients With Gastric Cancer Based on the Health Ecology Theory
Study Details
Study Description
Brief Summary
Frailty is common in patients with gastric cancer undergoing surgical treatment. Preoperative frailty can lead to many adverse outcomes in patients after surgery. This study aims to comprehensively and systematically analyze the influencing factors of preoperative frailty in patients with gastric cancer based on the health ecology theory , to change some critical variable factors in the future, improving the overall prognosis of patients.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Outcome Measures
Primary Outcome Measures
- Frailty assessed by Frailty Phenotype (FP) [preoperative period]
The total score is 0~5, and a score of 0~3 is considered as frailty.
Secondary Outcome Measures
- Nutrition assessed by Nutrition Risk Screening 2002 (NRS2002) [preoperative period]
NRS2002 comprises 3 components: nutritional status, disease status and age, with a total score ranging from 0 to 7. A score of ≥3 is considered to be at nutritional risk.
- Anxiety and depression assessed by Hospital Anxiety Depression Scale (HADS) [preoperative period]
HADS contains 2 subscales: anxiety and depression subscales. Each subscale consists of 7 items, with a total score ranging from 0 to 21. A score of each subacale reaches 8 or more is regarded as the presence of anxiety or depression.
- Social support assessed by Social Support Rate Scale (SSRS) [preoperative period]
SSRS contains 10 items and 3 dimensions, which are objective support, subjective support, and support utilization, with higher scores indicating higher degrees of the corresponding dimensions.
- Familial caring degree assessed by Family Concern Index Questionnaire (APGAR) [preoperative period]
The total score ranges from 0 to 10, and a score of ≤6 is considered as having family dysfunction.
- Sleep assessed by Pittsburgh Sleep Quality Index (PSQI) [preoperative period]
A total score range from 0 to 21, a score of 0~5 indicates "very good" sleep quality; a score of 6~10 indicates "good" sleep quality; a score of 11~15 indicates "poor" sleep quality; a score of 16~21 indicates "very poor" sleep quality.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Clinical diagnosis of gastric cancer
-
Age over 60 years old
-
With clear surgical indication
Exclusion Criteria:
-
Malignant tumors in other parts of the body
-
Severe cardiopulmonary complications
-
Receive palliative surgery
-
Have received preoperative radiotherapy and chemotherapy
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Jiangsu Province Hospital | Nanjing | China |
Sponsors and Collaborators
- Nanjing Medical University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- LDing