ANC1 Study Impact of a Geriatric and Nutritional Evaluation for the Malnutrition and Malnutrition Risk Screening in Patients Over 70 Years With Colorectal Surgery. (ANC1)
4. oktober 2016 opdateret af: Hospices Civils de Lyon
Malnutrition priori a major abdominal surgery is frequent and increases morbidity and mortality. The management of malnutrition has an impact in reducing postoperative complications. However malnutrition is rarely detected and Guidelines infrequently followed.
Recovery time and nutritional evaluation in elderly patients are major criteria in their postoperative management. Identifying malnutrition or malnutrition risk is fundamental to its treatment. It is therefore unsurprising that many validated tools for nutrition risk screening and nutrition assessment exist for the clinician to use in assisting with the accurate identification, referral and treatment of patients who are malnourished or at risk of malnutrition.
And nutritional management must be adapted and based on this evaluation and evolution of the general status (Guidelines Grade A).
A geriatric evaluation based on a screening of preoperative malnutrition should allow a better implementation of the European Society of Parenteral and Enteral Nutrition (ESPEN) guidelines.
Studieoversigt
Status
Ukendt
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Assessing the impact of a geriatric action (Team Mobile Geriatrics, EMG, or if the geriatric facility team when it does not have EMG) on the rate of nutritional support perioperative elderly subjects (≥ 70 years) who underwent a colorectal cancer according to ESPEN recommendations and SFNEP.
Undersøgelsestype
Interventionel
Tilmelding (Forventet)
150
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
-
Pierre Benite, Frankrig, 69495
- Rekruttering
- Professeur Marc BONNEFOY
-
Kontakt:
- Laurent VILLENEUVE
- Telefonnummer: 04 788 645 36
- E-mail: laurent.villeneuve@chu-lyon.fr
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
70 år og ældre (Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Aged ≥ 70 years
- Colorectal or tumor resection with/without synchronous metastases
Exclusion Criteria:
- Emergency resection of colorectal tumor
- Unresectable colorectal tumor with/without synchronous metastases
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Screening
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Ingen indgriben: Nutritional evaluation
|
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Perioperative nutritional management
Tidsramme: During perioperative period From D-7 before date of hospitalization until discharge from the hospital, up to 30 days
|
Rate of nutritional support implemented in accordance with current European guidelines (ESPEN)
|
During perioperative period From D-7 before date of hospitalization until discharge from the hospital, up to 30 days
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Malnutrition screening
Tidsramme: During preoperative seven days
|
Rate of malnutrition screening procedure
|
During preoperative seven days
|
|
Rate of preoperative nutritional management by immunonutrition implemented
Tidsramme: During preoperative seven days
|
Nutritional management by immunonutrition implemented is based on a complete nutritional evaluation
|
During preoperative seven days
|
|
Rate of malnourished patients
Tidsramme: During preoperative seven days
|
Rate of malnourished patients is defined by the ESPEN criteria
|
During preoperative seven days
|
|
Rate of patients with cachexia
Tidsramme: Seventh day preoperative
|
Rate of patients with cachexia is defined by the French National Authority for Health (HAS) criteria
|
Seventh day preoperative
|
|
Postoperative complications
Tidsramme: Postoperative follow-up until discharge from hospital, up to 30 days
|
Rate and type of postoperative complications (Grade I, II et IIIa of Dindo classification)
|
Postoperative follow-up until discharge from hospital, up to 30 days
|
|
Rate of postoperative nutritional management implemented
Tidsramme: Postoperative follow-up until discharge from hospital, up to 30 days
|
Nutritional management implemented is based on the ESPEN guidelines
|
Postoperative follow-up until discharge from hospital, up to 30 days
|
|
Evolution of the activities of daily living
Tidsramme: During preoperative seven days and postoperative follow-up until discharge from hospital, up to 30 days
|
Variations of Activities of daily living (ADL) and Instrumental activities of daily living (IADL) scores
|
During preoperative seven days and postoperative follow-up until discharge from hospital, up to 30 days
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. oktober 2013
Primær færdiggørelse (Faktiske)
1. oktober 2013
Studieafslutning (Forventet)
1. januar 2017
Datoer for studieregistrering
Først indsendt
4. november 2013
Først indsendt, der opfyldte QC-kriterier
11. marts 2014
Først opslået (Skøn)
12. marts 2014
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
5. oktober 2016
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
4. oktober 2016
Sidst verificeret
1. oktober 2016
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 2011.703
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .