This is a pilot study designed to evaluate a programme of rehabilitation for patients undergoing elective colorectal resection surgery.
Operations on the colon and rectum are major abdominal operations and many individuals can become severely deconditioned or weakened afterwards. For some individuals this can even mean that they can no longer completely return to their usual way of life following one of these major operations. As part of this study the investigators are attempting to identify ways to maximize patients' recovery and to maximize their overall quality of life following these major operations. It is possible that preconditioning may make a difference to patient's overall quality of life, decreased or need for hospital length of stay and decreased postoperative medical complications occasionally seen during these operations, in essence provide an overall enhancement to their surgical recovery. Physiatrists are physicians who are medical experts in maximizing a patient's overall ability to function well and live independently. Investigators are proposing patient participation in an initial pilot study in order to test the question as to whether or not participation with a physiatrist and any interventions recommended by said physician would help improve a patient's postoperative recovery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
70
Physiatrists are physicians who are medical experts in maximizing a patient's overall ability to function well and live independently. The Investigators are proposing your participation in an initial pilot study in order to test the question as to whether or not participation with a physiatrist and any interventions recommended by said physician would help improve a patient's postoperative recovery.
Usual care for your disease process
St Joseph Healthcare Hamilton
Hamilton, Ontario, Canada
RECRUITINGNumber of participants recruiting
Screening and recruiting of eligible patients
Time frame: 6 months
Post-op complications
Post-op complications by Clavien-Dindo classification (pulmonary, DVT, MI) Completed by surgical team during admission, discharge and 30 days
Time frame: 30 days
Mortality
Survival will be noted at completion of 6 month study period.
Time frame: 6 months
Length of Stay
Length of stay in hospital will be collected and compared for the two treatment groups
Time frame: 30 days post-op
Number of patients with readmissions
Number of patients with readmission to hospital during the 30 day and 6 month period will be compared for the two treatment groups
Time frame: 30 days and 6 months
Physical Function Assessment (6 Minute Walk Test)
6 Minute Walk Test (6MWT)
Time frame: 1, 3 and 6 months
Symptom Assessment (Edmonton Symptom Assessment System)
Edmonton Symptom Assessment System (ESAS)
Time frame: 1, 3 and 6 months
Functional Independence Assessment (UK Functional Independence Measure and Functional Assessment Measure)
UK Functional Independence Measure and Functional Assessment Measure (UK FIM+FAM)
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Time frame: 1, 3 and 6 months
Quality of Life Survey (Short Form 36 Health Survey)
Short Form 36 Health Survey (SF-36)
Time frame: 1, 3 and 6 months
Pain Assessment (Visual Analog Scale)
Pain score by Visual Analog Scale
Time frame: 1, 3 and 6 months
Bowel Function Assessment
Bowel Function Index
Time frame: 1, 3 and 6 months