This trial studies the impact of early mobility tracked with a 3-dimensional (3D) motion tracking technology (XSENS) on post-surgery recovery in patients undergoing oncologic surgeries. Xsens uses wireless measurements which could be used in clinical settings to objectively measure movement patterns (the joint range of movement and the distance of movement) during functional activities. Post-surgery mobility tracking may help doctors to identify the minimum required level of mobility after inpatient oncologic surgeries to enhance early post-surgery recovery and decrease early post-surgery complications.
PRIMARY OBJECTIVES: I. To investigate objectively using evidence based randomized controlled trial the impact of early mobility (first day after the surgery) after any inpatient oncologic procedures on early recovery of postoperative course. II. Try to find out the minimum level of postoperative mobility that needed for early postoperative course recovery by objective assessment of range of movement for each participant using 3D motion tracking system (Xsens). OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients walk one to two laps around the ward twice per day, and have mobility tracked with Xsens over 5-10 minutes, until discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. ARM II: Patients walk for minimum 30 minutes per day and mobility is tracked with Xsens over 5-10 minutes up to discharge from hospital. Patients also mobilize (walk out of the bed) on first day post-surgery under supervision and assistant of attending nurse in the floor if the clinical situation allows. After completion of study, patients are followed up for 30 days post discharge.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
17
Receive standard of care
Walk for minimum 30 minutes per day
Ancillary studies
Roswell Park Cancer Institute
Buffalo, New York, United States
Changes in Mobility
changes in mobility (as measured by average velocity of pelvis) from baseline to discharge are compared between groups using a one-sided, two-sample t-test.
Time frame: Baseline up to 30 days post discharge
Early Return of Bowel Motion
Days from operation to passing flatus and/or stool, treated as continuous measure
Time frame: Up to 30 days after discharge
Presence or Absence of Nausea and/or Vomiting
Presence or absence of nausea and/or vomiting, treated as a binary variable
Time frame: Up to 30 days after discharge
Presence or Absence of Chest Symptoms
Presence or absence of chest symptoms (cough, sputum, and ability of using incentive spirometry), treated as a binary variable
Time frame: Up to 30 days after discharge
Early Discharge From the Hospital
Days from operation until hospital discharge, treated as continuous variable
Time frame: Up to 30 days after discharge
Surgical Related Complications and Readmissions
Presence or absence of surgical complication (including readmission), treated as a binary variable
Time frame: Up to 30 days after discharge
Range of Joint Movement in Upper and Lower Joints of Body
Will be measured using the 3 dimensional (3D) motion tracking system (Xsens), to identify the minimum required level of mobility for better early postoperative course recovery.
Time frame: Up to 30 days after discharge
Post-surgical Complications
The complication status (present/absent) and grades will be summarized by group and compared using Fisher's exact test or the chi-square test, as appropriate.
Time frame: Up to 30 days post discharge
Change in Exercise Habits Outside of the Hospital
Post study questionnaire .
Time frame: Up to 3 months post discharge
Application of Sensors in a Hospital Setting
Adequate application of sensors, treated as a categorical variable
Time frame: Up to 3 months post discharge
Mobility Quality of Life Questionnaire
The correlation between complication status and changes in mobility may be evaluated using a post study questionnaire.
Time frame: Up to 3 months post discharge
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