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Early Mobilization After Colorectal Surgery

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McGill University

Status

Completed

Conditions

Rectal Diseases
Colonic Diseases

Treatments

Other: Usual care
Other: Facilitated early mobilization

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT02131844
Mitacs Elevate Fellowship (Other Grant/Funding Number)
MUHC Study Code 13-329-SDR

Details and patient eligibility

About

Early mobilization (i.e. initiation of out of bed activities from the day of surgery) is considered an important component of postoperative care after colorectal surgery. Having a health professional dedicated to facilitate early mobilization has the potential to enhance postoperative recovery by preventing the negative effects of prolonged bed rest (e.g. increased risk for complications, muscle loss, deconditioning and functional decline); however, the need to implement this resource-intensive approach is not evidence based. This study aims to contribute evidence about the role of facilitated early mobilization as a strategy to enhance recovery after colorectal surgery.

Full description

The primary research question of this study is: to what extent does postoperative facilitation of early mobilization impact on recovery of functional walking capacity at 4 weeks after surgery in comparison to standard care (preoperative education).

The hypothesis is that, by 4 weeks after surgery, facilitated early mobilization will result in a greater proportion of participants returning to preoperative levels of functional walking, as measured by the six-minute walk test (6MWT).

Enrollment

100 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adult people (>18 years)
  • Colonic or rectal diseases (i.e. cancer, inflammatory bowel disease, diverticulitis) planned for surgical resection

Exclusion criteria

  • Metastatic disease
  • Medical conditions that preclude postoperative mobilization (e.g. neurological or musculoskeletal diseases)
  • Inability to understand English or French
  • Admission to intensive care immediately after the surgery

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

100 participants in 2 patient groups

Facilitated early mobilization
Experimental group
Description:
Early mobilization facilitated by a dedicated health professional
Treatment:
Other: Facilitated early mobilization
Usual care
Active Comparator group
Description:
Instructions about early mobilization covered in a preoperative education session
Treatment:
Other: Usual care

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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