Prehabilitation for patients undergoing major abdominal surgery

ISRCTN ISRCTN21151716
DOI https://doi.org/10.1186/ISRCTN21151716
Secondary identifying numbers N/A
Submission date
20/11/2014
Registration date
04/12/2014
Last edited
25/01/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
When people have surgery, it is common practice for them to undergo postoperative rehabilitation to help them recover from the procedure and improve clinical outcome. However, it is possible that prehabilitation, a training programme to improve physical fitness before the surgery takes place, may be of more benefit. We want to see how possible it is to run a study from a number of different hospitals that compares the effects of a comprehensive prehabilitation programme with standard care (postoperative rehabilitation). We will look at how a prehabilitation programme helps patients recover from major abdominal surgery and whether it results in a better health-related quality of life, better physical fitness level, less pain and a shorter stay in hospital than patients that receive standard care.

Who can participate?
Adults scheduled for major abdominal surgery.

What does the study involve?
Participants are randomly allocated to attend a prehabilitation programme before their surgery or a standard rehabilitation programme after surgery.

What are the possible benefits and risks of participating?
We believe that patients would benefit from the prehabilitation intervention. No risk for any patient involved in the study is expected.

Where is the study run from?
1. University Hospital "Lozano Blesa" (Hospital Clinico Universitario de Zaragoza) (Spain)
2. University Hospital de Elche (Hospital Univeritario de Elche) (Spain)
3. University Hospital Infanta Leonor (Hospital Infanta Leonor) (Spain)
4. University Hospital Fundación Jiménez Díaz (Fundacion Jimenez Diaz) (Spain)
5. Hospital de la Ribera (Spain)
6. Hospital La Mancha Centro (Spain)

When is the study starting and how long is it expected to run for?
March 2013 to July 2020

Who is funding the study?
Investigator initiated and funded (Spain)

Who is the main contact?
Professor Jose-M Ramirez

Contact information

Prof Jose-M Ramirez
Scientific

Department of Surgery
University Hospital
Zaragoza
50009
Spain

ORCiD logoORCID ID 0000-0001-7964-1166

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titlePrehabilitation for patients undergoing major abdominal surgery with an enhanced recovery surgical protocol compared to traditional rehabilitation
Study objectivesPrehabilitation (the process of enhancing an individual’s functional capacity before scheduled surgery, aimed at improving the patient’s tolerance to surgical stress) increases functional capacity compared to traditional postoperative rehabilitation. This preoperative improvement will lead to earlier recovery and less morbidity
Ethics approval(s)Ethical committee of Clinical Research, 01/01/ 2014. ref: CP.-CI. PI13/0167
Health condition(s) or problem(s) studiedPatient scheduled for major abdominal surgery for benign or malignant conditions
InterventionPrehabilitation program initiated before surgery against a rehabilitation program (traditional care) initiated after surgery.
Intervention typeProcedure/Surgery
Primary outcome measureFunctional capacity as measured by the 6 minutes walking test (6MWT)
Secondary outcome measures1. Post-operative morbidity
2. Hospital Stay
3. Quality of life
Overall study start date01/03/2013
Completion date01/07/2020

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants100
Key inclusion criteriaPatient scheduled for major abdominal surgery
Key exclusion criteriaPatient classified as ASA IV with severe systemic disease that is a constant threat to life
Date of first enrolment01/06/2013
Date of final enrolment01/07/2019

Locations

Countries of recruitment

  • Spain

Study participating centres

University Hospital "Lozano Blesa" (Hospital Clinico Universitario de Zaragoza)
Avda. San Juan Bosco
Zaragoza
15 50009
Spain
University Hospital de Elche (Hospital Univeritario de Elche)
-
Spain
University Hospital Infanta Leonor (Hospital Infanta Leonor)
-
Spain
University Hospital Fundación Jiménez Díaz (Fundacion Jimenez Diaz)
-
Spain
Hospital de la Ribera
-
Spain
Hospital La Mancha Centro
-
Spain

Sponsor information

Department of Surgery, University Hospital of Zaragoza
University/education

San Juan Bosco 15
Zaragoza
50009
Spain

Biomedical Research Centre of Aragon (Grupo Español de Rehabilitación Multimodal (GERM))
Government

Avda. San Juan Bosco 13
Zaragoza
50009
Spain

Website www.iacs.aragon.es
University of Zaragoza
Not defined

Funders

Funder type

Other

Investigator initiated and funded (Spain)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryStored in repository
Publication and dissemination planTo be confirmed at a later date.
IPD sharing plan

Editorial Notes

25/01/2019: The following changes were made to the trial record:
1. The recruitment end date was changed from 31/12/2016 to 01/07/2019.
2. The overall trial end date was changed from 31/12/2016 to 01/07/2020.