Effect of an Early Mobilization Program on Outcomes After Major Cancer Surgery
Study Details
Study Description
Brief Summary
The aim of this study is to evaluate the effect of an early postoperative physical rehabilitation program on the functional capacity and incidence of postoperative complications in patients undergoing major elective surgery for treatment of a neoplasm
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: early postoperative mobilization Early postoperative supervised aerobic exercise, resistance and flexibility training |
Behavioral: Early mobilization program
Early postoperative supervised aerobic exercise, resistance and flexibility training
|
No Intervention: Standard Standard rehabilitation care |
Outcome Measures
Primary Outcome Measures
- Ability to walk three meters or crossing a room without assistence [at 5 days after surgery or at hospital discharge]
Secondary Outcome Measures
- fatigue [at 5 and 30 days after surgery]
We will assess the level of fatigue through the Piper fatigue scale
- quality of life [at 5, 30, 180 and 365 days after surgery]
- length of hospital stay [at hospital discharge]
- recurrence of cancer [at 180 days after surgery]
- hospital costs [at 180 days after surgery]
- post operatorative complications [at 30 days after surgery]
Clavien classification
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients who will be submitted to major surgery for cancer treatment.
-
Age ≥ 18 years
-
Reading and signing the informed consent
Exclusion Criteria:
Acute myocardial infarction (within the last 30 days)
-
Unstable Angina
-
Cardiac arrhythmia uncontrolled
-
symptomatic severe aortic stenosis
-
Congestive heart failure NYHA III or IV
-
infarction or acute pulmonary thromboembolism
-
pericarditis or myocarditis
-
Acute Endocarditis
-
Acute aortic dissection
-
Active infection
-
Acute renal failure
-
Thyrotoxicosis
-
Refusal to participate in the study
-
Inability to ambulate independently and / or inability to exercises
-
Presence of bone metastasis
-
musculoskeletal and neurological conditions that preclude the achievement of an exercise program designed for this study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Instituto do Câncer do Estado de São Paulo | São Paulo | Brazil | 01246000 |
Sponsors and Collaborators
- Instituto do Cancer do Estado de São Paulo
Investigators
- Principal Investigator: Ludhmila A Hajjar, MD, PhD, University of Sao Paulo
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 118/12