Improving consumption compliance and satisfaction with quality coffee to enhance bowel recovery after colorectal surgery

ISRCTN ISRCTN97926586
DOI https://doi.org/10.1186/ISRCTN97926586
Submission date
07/05/2024
Registration date
08/05/2024
Last edited
28/11/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Colorectal surgery is frequently followed by a prolonged absence of bowel function called post-operative ileus (POI). Recent studies have shown that coffee consumption after surgery leads to a faster recovery of bowel function. However, such a protocol with coffee served at the hospital is not always the most pleasant experience and compliance is unknown. This study looks at issues that are key to ensuring widespread implementation and routine use of a standardized coffee for POI prevention, such as choosing a freshly made quality coffee “at the patient’s bedside”, according to personal preference (flavour and amount). This study aims to measure patients’ compliance and satisfaction with tasty, freshly made and high-quality coffee made using a capsule system to enhance compliance for POI prevention after colorectal surgery.

Who can participate?
Patients aged 18 years old and over who are scheduled for elective colorectal surgery or stony closure in our hospital

What does the study involve?
The study involves drinking 3 coffees per day. The participant can choose among a selection of 4 different types of coffee ensuring a variety of flavours to satisfy different tastes and add a ludic dimension. The participant is asked to complete a diary about consumption and satisfaction with the experiment.

What are the possible benefits and risks of participating?
The participant will benefit from the effect and the satisfaction of freshly brewed coffee, with no specific risk.

Where is the study run from?
January 2021 to October 2022

When is the study starting and how long is it expected to run for?
The visceral surgery service at Centre Hospitalier Universitaire Vaudois (CHUV) in Lausanne, Switzerland

Who is funding the study?
Nestlé Health Science

Who is the main contact?
Constant Delabays, constant.delabays@chuv.ch

Contact information

Dr Constant Delabays
Public, Scientific

Rue du Bugnon 46
Lausanne
1011
Switzerland

ORCiD logoORCID ID 0000-0002-9346-9486
Phone +41799546922
Email constant.delabays@chuv.ch
Prof Martin Hübner
Principal Investigator

Rue du Bugnon 46
Lausanne
1011
Switzerland

ORCiD logoORCID ID 0000-0002-4521-8279
Phone +41 079 556 15 06
Email Martin.Hubner@chuv.ch
Dr Constant Delabays
Public

Rue du Bugnon 46
Lausanne
1011
Switzerland

Phone +41799546922
Email delabays.constant@gmail.com

Study information

Study designProspective monocentric single-arm feasibility study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeOther
Participant information sheet No participant information sheet available
Scientific titleImproving compliance and satisfaction with quality coffee in-take to enhance bowel recovery after colorectal surgery
Study acronymCoffee trial
Study objectivesThe key to ensure widespread implementation and routine use of a standardized coffee for post operative ileus prevention is to choose a freshly made quality coffee “at the patient’s bedside”, according to personal preference (flavour and amount).
Ethics approval(s)

Approved 07/09/2021, CER VD (Avenue de Chailly 23, Lausanne, 1012, Switzerland; +41 21 316 18 30; secretariat.CER@vd.ch), ref: CER-VD 2021-01430

Health condition(s) or problem(s) studiedCompliance to coffee in the post operative setting after elective colorectal surgery or ostomy closure
InterventionDaily doses of freshly made coffee with a capsule coffee system will be proposed and served to participants 3 times a day, starting from the first day after surgery, for a total of 3 days. This protocol and schedule are based on studies demonstrating the effectiveness of coffee intake in POI prevention. Doses are scheduled on a standard basis (8:00 a.m., 12:00 p.m. and 3:00 p.m.) but remain flexible and can be adapted according to the wishes of each patient. Participants will also be able to use the coffee machine themselves, thus stimulating early mobilization. A selection of different types of coffee is also proposed, ensuring a variety of flavours to satisfy every participant’s taste and add a ludic dimension. In addition, the coffee will be offered in two ways: Espresso (40 ml) or Lungo (110 ml), at the patient’s discretion. The dose of caffeine is standardized and equal in each capsule, varying between 60 and 80 mg depending on the type and variety of coffee. Finally, to guarantee an optimal sensory and visual experience, the coffee will be offered in glass cups. The day before surgery, participants will receive a diary to self-assess postoperative compliance to the suggested schedule, resp. its reasons and reasons for non-compliance. After every coffee proposal, compliance and/or reason for non-compliance will be reported by the patient and controlled by nurses. At the end of the 9 doses planned by the study, a survey will be conducted to evaluate the experience and satisfaction of each participant (patient-related experience measure PREM). Secondary outcomes such as time to first transit, complication and length of hospital stay are systematically assessed in a prospective enhanced recovery (ERAS) database and will be extracted for this study. Post-operative surveillance and care will not deviate from the standard protocol for colorectal procedures in the Department of Visceral Surgery. These consist of standardized postoperative controls (dedicated care maps and clinical itineraries). There is no exclusion criterion for patients after enrolment. No material will be sampled for this study and no particular biases are expected.
Intervention typeSupplement
Primary outcome measure1. Compliance with coffee measured using a capsule system at the suggested schedule using a self-report diary during the three first postoperative days (ie a total of 9 possible coffees)
2. Reason for non-compliance to coffee measured using a self-report diary during the first three days
Secondary outcome measures1. Satisfaction and the experience felt by each participant measured using a specific and dedicated Patient-Related Experience Measure (PREM) questionnaire after 3 postoperative days
2. Bowel recovery (time to first flatus and first bowel movement), measured using data documented by a nurse during hospitalisation
3. Length of hospital stay (interval from the day of operation until the day of discharge) measured using medical records at the end of the study
4. Post-operative 30-day complication measured using the Dindo-Clavien classification during hospitalisation and 30 days follow-up
Overall study start date15/01/2021
Completion date31/10/2022

Eligibility

Participant type(s)Patient
Age groupMixed
Lower age limit18 Years
Upper age limit100 Years
SexBoth
Target number of participants50
Total final enrolment53
Key inclusion criteriaScheduled for elective colorectal surgery or stony closure in our hospital
Key exclusion criteria1. Impaired cognitive status
2. Intolerance to coffee
3. Pregnancy
4. Pre-existing ileus
5. Need for post-operative surveillance in intensive or intermediate care units
Date of first enrolment01/11/2021
Date of final enrolment31/08/2022

Locations

Countries of recruitment

  • Switzerland

Study participating centre

Centre Hospitalier Universitaire Vaudois
Rue du Bugnon 21
Lausanne
1011
Switzerland

Sponsor information

University Hospital of Lausanne
Hospital/treatment centre

Rue du Bugnon 46
Lausanne
1011
Switzerland

Phone +41 21 314 24 00
Email Demartines@chuv.ch
Website https://www.chuv.ch/fr/chuv-home/
ROR logo "ROR" https://ror.org/05a353079

Funders

Funder type

Industry

Nestlé Health Science
Private sector organisation / For-profit companies (industry)
Alternative name(s)
Nestlé Health Science S.A.
Location
United States of America

Results and Publications

Intention to publish date01/06/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe Datasets generated during and/or analyses during the current study will be available upon request from Constant Delabays, constant.delabays@chuv.ch

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 28/11/2024 No No

Additional files

ISRCTN97926586_BasicResults.pdf

Editorial Notes

28/11/2024: Basic results uploaded.
07/05/2024: Study's existence confirmed by the Cantonal Commission for Ethics in Research on Human Beings.