Use of Pedometer Following Radical Prostatectomy
Study Details
Study Description
Brief Summary
This is a study to evaluate whether use of a pedometer following radical prostatectomy decreases post-operative narcotic use and time to return of bowel function.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
This is a randomized controlled prospective study looking at the effect of using a pedometer with graduated step-count goals following radical prostatectomy on return of bowel function and post-operative narcotic use. Subjects will be randomized into a control group or study group. The control group will receive standard of care, with information provided regarding the importance of ambulation following surgery. The study group will receive a pedometer with graduated step-count goals from post-operative day 0 to post-operative day 14. Both groups will be given a standardized post-operative narcotic regimen, and will be asked to record initial passage of flatus and first bowel movement. Subjects will remain on the study until initial post-operative visit.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Pedometer group This group will be given a pedometer following radical prostatectomy. Subjects in the experimental group will have a graduated step-count goal as follows: POD 0-2: 2,000/day. POD 3-6: 3,000/day. POD 7-9: 4,000/day. POD 10-14: 5,000/day. |
Behavioral: Use of a pedometer following surgery
Subjects in the study group will receive a pedometer with graduated step count goals as discussed in arm description.
|
Active Comparator: Control group This is the control group. Following radical prostatectomy, subjects in the control group will receive standard of care, which includes counseling regarding the importance of ambulation following surgery. |
Behavioral: Standard of care
Subjects in the control group will be counseled on the importance of ambulation during their pre-operative visit.
|
Outcome Measures
Primary Outcome Measures
- Post operative narcotic use [7-14 days]
Morphine equivalents used following radical prostatectomy.
Secondary Outcome Measures
- Rate of return of bowel function [7-14 days]
First passage of flatus and first bowel movement following surgery
Eligibility Criteria
Criteria
Inclusion Criteria:
This study will include men 18-75 undergoing robot-assisted laparoscopic radical prostatectomy for prostate cancer at Virginia Mason Medical Center.
Exclusion Criteria:
-
Long-term opioid use, defined by CDC as use of opioids on most days for >3 months
-
History of inflammatory bowel disease
-
Prior abdominopelvic radiation
-
Travel to Europe during study period
-
Concurrent surgery during radical prostatectomy
-
Inability to ambulate
-
Gastroparesis or other baseline bowel dysmotility issues
-
Inability or unwillingness of subject or legal guardian/representative to give written informed consent.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Virginia Mason Medical Center | Seattle | Washington | United States | 98101 |
Sponsors and Collaborators
- Benaroya Research Institute
- Virginia Mason Hospital/Medical Center
Investigators
- Principal Investigator: John Corman, MD, Virginia Mason Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IRB19-096