This study will compare the outcome after surgery between a group of patients that receives instructions for prehabilitation training and one group that received standard treatment.
The aim of this study is to investigate whether a training program with intensified physical activity prior to and after a surgical procedure reduces the surgical-related postoperative recovery time, hospital stay, sick leave and complication rate. A secondary aim is to investigate the effect of a training program with pre- and post- operative PA on the rate of resumption of QoL and normal physical function.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
761
The intervention will take place both pre- and postoperatively. During the hospital stay both groups will be treated in the same manner.
Sahlgrenska University Hospital/Östra
Gothenburg, Sweden
Dept. of Surgery, Skaraborgs Sjukhus
Skövde, Sweden
Recovery measured as physical recovery measured in questionnaire
Time frame: 4-6 weeks
Psychological recovery measured in a questionnaire, patient reported
Recovery
Time frame: 4-6 weeks and 1 year post-operatively
Recovery measured as time back to work
Recovery
Time frame: 1 year
Complications according to Clavien-Dindo
Postoperative complications
Time frame: within 90 days
QoL measured using SF-36
QoL according to SF-36
Time frame: 4-6 weeks and 1 year
QoL measured using EQ-5D
QoL according to EQ-5D
Time frame: 4-6 weeks and 1 year
QoL measured using a specifically developed instrument for this study
Health related QoL
Time frame: 4-6 weeks and 1 year
Mortality
Long term mortality
Time frame: 3 and 5 years
Re-admissions
Hospital re-admissions
Time frame: 1 year
Reoperations
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Reoperations
Time frame: 1 year
Total time of hospital stay
Length of stay
Time frame: 1 year
IGF-1 and IGFBP-3
Lab values
Time frame: 4 weeks postopeartively
Postoperative pain measured with Brief Pain Inventory-Short form
Pain measured by BPI-S
Time frame: 4 weeks
Postoperative pain measured with Brief Pain Inventory-Short form
Pain measured by BPI-S
Time frame: 12 months
Health economic analysis
Health economic analysis modified according to results of primary outcome
Time frame: 4 weeks
Health economic analysis
Health economic analysis modified according to results of primary outcome
Time frame: 12 months