Multidisciplinary Care for Older Colorectal Cancer Patients
Impact of a Multidisciplinary Approach in the Perioperative Geriatrics Unit on Functional Status of Patients Aged 70 and Over Operated on for Colorectal Cancer
Recruiting
N/AInterventional Study
Colorectal CancerSurgery
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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At a Glance
Age
70 and older
Sex
Any
Study type
Interventional
Purpose
Supportive Care
Participants needed
90 (estimated)
Sponsor
Centre Hospitalier Universitaire de Nīmes · Other
Who this trial is looking for
This trial is looking for older patients who are scheduled for colorectal surgery due to cancer. Participants will receive a specialized care approach aimed at improving recovery and overall quality of life after surgery.
Are You a Good Fit for This Trial?
You may be able to join if
I have been diagnosed with colorectal cancer.
I have scheduled colorectal surgery.
I am at least 70 years old.
I am a member of a health insurance plan.
I have given my consent to participate in the trial.
You may not be able to join if
I cannot understand the information about this trial.
I am under state guardianship.
I am involved in another important medical study that affects this trial.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
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Health establishments encourage the development of specific care pathways for the elderly by supporting Geriatric Peri-Operative Units (GPOU). Indeed, this shared care model has shown a clear reduction in mortality and the number of re-hospitalizations in patients 6 months after their care. The multidisciplinary approach of global management of the patient in the perioperative period aims to reduc…
Health establishments encourage the development of specific care pathways for the elderly by supporting Geriatric Peri-Operative Units (GPOU). Indeed, this shared care model has shown a clear reduction in mortality and the number of re-hospitalizations in patients 6 months after their care. The multidisciplinary approach of global management of the patient in the perioperative period aims to reduce surgical stress as well as the rapid restoration of previous physical and psychic abilities. Colorectal surgery, the main treatment for stage I to III colon cancer, is a morbid surgery. Despite numerous efficacy data on improved rehabilitation after colorectal surgery, care programs are not specific to the geriatric population and geriatric assessment criteria to describe the functional status of patients are not commonly used. The study investigators wish to evaluate the impact of GPOU treatment following colorectal surgery, on the evolution of several clinical parameters such as: functional status, morbidity mortality, quality of life, and lifestyle. The study investigators hypothesize that management in the GPOU for colorectal cancer surgery in patients aged 70 and over will improve functional status at 3 months, in comparison with traditional management. The proposed intervention should also lead to an improvement in patient satisfaction with care, complications and re-hospitalizations, nutritional status, lifestyle and patient survival.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* The patient or their representative must have given their free and informed consent and signed the consent form
* The patient must be a member or beneficiary of a health insurance plan
* Diagnosis of proven colorectal cancer.
* Patient to benefit from scheduled colorectal surg…
Inclusion Criteria:
* The patient or their representative must have given their free and informed consent and signed the consent form
* The patient must be a member or beneficiary of a health insurance plan
* Diagnosis of proven colorectal cancer.
* Patient to benefit from scheduled colorectal surgery at the University Hospital of Nîmes validated in digestive surgery SPC after oncogeriatric evaluation.
* Surgical act: resection with anastomosis in one step.
Exclusion Criteria:
* Interventional RIPH patient defined as category 1 if there is interference with the primary endpoint
* It is impossible to give the subject informed information
* The patient is under safeguard of justice or state guardianship
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