Move For Surgery - A Novel Preconditioning Program (MFS)

St. Joseph's Healthcare Hamilton

Status and phase: Completed; Phase 3

Conditions: Lung Cancer, Nonsmall Cell

Treatments: Device: Move For Surgery Preconditioning Program using a Wearable Activity Tracker (Fitbit) Intervention Group

Study type: Interventional

Funder types: Other

Identifiers

NCT03689634

SJHH-MFS-RCT

Details and patient eligibility

About

Lung cancer is the leading cause of cancer death in Canada. Most patients with this cancer will undergo treatment with major chest surgery that is associated with serious complications. As many as 50% of patients will suffer respiratory complications after surgery, keeping them in the hospital for extended periods of time. These long hospitalizations have a dramatic negative effect on the lives of those people, in addition to a large cost burden on our healthcare system. Traditionally, patients who suffer from complications are treated with rehabilitation AFTER the complications have occurred. But what if complications can be prevented BEFORE they happen? Having major chest surgery imposes great stress on the human body, one that is equivalent to running a marathon. Analogous to training before completing a marathon, the investigator designed Move For Surgery (MFS), a novel preconditioning program that encourages and empowers patients to improve their health prior to surgery. The investigator aims to demonstrate that patients who train with Move For Surgery will have lower respiratory complication rates, will recover better, and will leave the hospital sooner than their counterparts.

Enrollment: 102 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ≥ 18 years
• Clinical stage I, II, or IIIa non-small cell lung cancer (NSCLC)
• Candidates for thoracic surgery, as determined by the operating surgeon

Exclusion criteria

• Clinical stage IIIb or IV NSCLC
• Patients with affected mobility (wheelchair, walker)
• Patients who use oxygen at home

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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102 participants in 2 patient groups

Move For Surgery Preconditioning Program Intervention Group

Experimental group

Treatment:

Device: Move For Surgery Preconditioning Program using a Wearable Activity Tracker (Fitbit) Intervention Group

Standard Preoperative Care Group

No Intervention group