Analysis of Influencing Factors of Preoperative Frailty in Elderly Patients With Gastric Cancer Based on the Health Ecology Theory

N/ACompletedNCT04929587

Nanjing Medical University406 enrolled

Overview

Frailty is common in patients with gastric cancer undergoing surgical treatment. Preoperative frailty can lead to many adverse outcomes in patients after surgery. This study aims to comprehensively and systematically analyze the influencing factors of preoperative frailty in patients with gastric cancer based on the health ecology theory , to change some critical variable factors in the future, improving the overall prognosis of patients.

Study Type

OBSERVATIONAL

Enrollment

406

Conditions

Gastric Cancer Frailty

Interventions

This is a observational research, there is no interventionOTHER

This is a observational research, there is no intervention

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Clinical diagnosis of gastric cancer * Age over 60 years old * With clear surgical indication Exclusion Criteria: * Malignant tumors in other parts of the body * Severe cardiopulmonary complications * Receive palliative surgery * Have received preoperative radiotherapy and chemotherapy

Locations (1)

Jiangsu Province Hospital

Nanjing, China

Outcomes

Primary Outcomes

Frailty assessed by Frailty Phenotype (FP)

The total score is 0\~5, and a score of 0\~3 is considered as frailty.

Time frame: preoperative period

Secondary Outcomes

Nutrition assessed by Nutrition Risk Screening 2002 (NRS2002)

NRS2002 comprises 3 components: nutritional status, disease status and age, with a total score ranging from 0 to 7. A score of ≥3 is considered to be at nutritional risk.

Time frame: preoperative period

Anxiety and depression assessed by Hospital Anxiety Depression Scale (HADS)

HADS contains 2 subscales: anxiety and depression subscales. Each subscale consists of 7 items, with a total score ranging from 0 to 21. A score of each subacale reaches 8 or more is regarded as the presence of anxiety or depression.

Time frame: preoperative period

Social support assessed by Social Support Rate Scale (SSRS)

SSRS contains 10 items and 3 dimensions, which are objective support, subjective support, and support utilization, with higher scores indicating higher degrees of the corresponding dimensions.

Time frame: preoperative period

Familial caring degree assessed by Family Concern Index Questionnaire (APGAR)

The total score ranges from 0 to 10, and a score of ≤6 is considered as having family dysfunction.

Time frame: preoperative period

Sleep assessed by Pittsburgh Sleep Quality Index (PSQI)

A total score range from 0 to 21, a score of 0\~5 indicates "very good" sleep quality; a score of 6\~10 indicates "good" sleep quality; a score of 11\~15 indicates "poor" sleep quality; a score of 16\~21 indicates "very poor" sleep quality.

Data from ClinicalTrials.gov

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NCT04929587 - Analysis of Influencing Factors of Preoperative Frailty in Elderly Patients With Gastric Cancer Based on the Health Ecology Theory | Crick | Crick