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Lung Cancer Surgery in Sarcopenia Patients With Old Age (LUCAS-PEN)

10 mei 2022 bijgewerkt door: In Kyu Park, Seoul National University Hospital

Association of Preoperative Sarcopenia on Postoperative Outcomes After Lung Cancer Surgery: Prospective Observational Study

The presence of sarcopenia before lung resection surgery might be an important factor of short-term and long-term prognosis in lung cancer patients. Through this study, investigators plan to demonstrate evidence whether sarcopenia is a useful clinical biomarker for risk stratification in elderly patients undergoing lung cancer surgery.

Studie Overzicht

Toestand

Werving

Gedetailleerde beschrijving

Sarcopenia is a syndrome characterized by a decrease in the amount and function of skeletal muscle, and is known to have a prevalence of about 6-10% in 65 years of age or older and about 20-25% in 70 years of age or older. Recently, many studies have been conducted on the clinical importance of sarcopenia, and it has been reported that sarcopenia is significantly associated with a decline in quality of life and physical activity in the elderly population, as well as harmful clinical outcomes in postoperative patients and poor long-term outcomes in various solid cancer patients. Due to the promising result of lung cancer screening trial, lung cancer has been included in national cancer screening in South Korea since last year. As a result, more people are being diagnosed with lung cancer early. Furthermore, the number of patients having surgical resection for lung cancer is steadily growing, and as life expectancy rises, even older patients are increasingly considering surgical treatment. It's critical to appropriately assess risk in older individuals before and after surgery, and sarcopenia is considered a significant fartor for major surgery. According to studies on the association between sarcopenia and the postoperative clinical outcome of lung cancer surgery, sarcopenia evaluated by computed tomography has demonstrated to be associated with a poor surgical outcome and long-term prognosis. However, according to two recognized guidelines for sarcopenia (European Working Group on Sarcopenia in Elder People, and Asian Working Group for Sarcopenia), sarcopenia is supposed to comprehensively evaluate muscle mass, muscle strength, and physical activity. Regarding muscle mass, it is recommended to measure through dual energy-ray absoptiometery or bioelectrial impedance analysis. However, so far, there are no studies that have conducted an accurate evaluation of sarcopenia in elderly lung cancer patients and analyzed the relationship between them and the clinical outcome after lung cancer surgery.

Studietype

Observationeel

Inschrijving (Verwacht)

400

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

  • Naam: Kwon Joong Na, MD
  • Telefoonnummer: 82-10-3329-9392
  • E-mail: kjna85@gmail.com

Studie Contact Back-up

Studie Locaties

      • Seoul, Korea, republiek van, 03080
        • Werving
        • Seoul National University Hospital
        • Contact:

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

70 jaar en ouder (Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Bemonsteringsmethode

Niet-waarschijnlijkheidssteekproef

Studie Bevolking

Patients above the age of 70 who are planning to undergo curative surgery for proven lung cancer or pulmonary nodules suspected for lung cancer

Beschrijving

Inclusion Criteria:

  • Patients planning to perform curative surgery for confirmed lung cancer and pulmonary nodules suspected for lung cancer
  • Patients or legal representatives who could understand and write written consent prior to the initiation of the clinical trial and are able to comply with the requirements for the clinical trial

Exclusion Criteria:

  • Patients with treatment history for lung cancer or other solid cancer within 5 years (except patients with adenocarcinoma in situ for lung cancer)
  • Patients who need simultaneous surgery with lung caner surgery for other accompanying diseases
  • Patients who are not eligible to participate in the study judged by the researcher

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
overall survival
Tijdsspanne: 5 years after the day of lung cancer surgery
survival status during the follow-up after the lung cancer surgery
5 years after the day of lung cancer surgery

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
recurrence free survival
Tijdsspanne: up to 5 years after the day of lung cancer surgery
any recurrence or death during the follow-up after the lung cancer surgery
up to 5 years after the day of lung cancer surgery
non-cancer related mortality
Tijdsspanne: up to 5 years after the day of lung cancer surgery
any death not related to lung cancer during the follow-up after the lung cancer surgery
up to 5 years after the day of lung cancer surgery
postoperative change of pulmonary function
Tijdsspanne: at postoperative 1 year, 5 year
pulmonary function during the follow-up after the lung cancer surgery
at postoperative 1 year, 5 year
postoperative complication rate
Tijdsspanne: from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
complication after lung cancer surgery
from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
operative mortality
Tijdsspanne: from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
mortality related to lung cancer surgery
from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
length of stays
Tijdsspanne: from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
length of hospital stays after lung cancer surgery
from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
quality of life questionnaire
Tijdsspanne: before the surgery, at postoperative 1 year, and at postoperative 5 year
EQ-5D-5L (5-level European quality of life Five Dimension)
before the surgery, at postoperative 1 year, and at postoperative 5 year
quality of life questionnaire
Tijdsspanne: before the surgery, at postoperative 1 year, and at postoperative 5 year
EQ-VAS (European quality of life visual analogue score)
before the surgery, at postoperative 1 year, and at postoperative 5 year
geriatric depression scale questionnaire
Tijdsspanne: before the surgery, at postoperative 1 year, and at postoperative 5 year
Korean version geriatric depression scale (0-15, higher number indicates normal mood)
before the surgery, at postoperative 1 year, and at postoperative 5 year
cognitive function questionnaire
Tijdsspanne: before the surgery, and at postoperative 5 year
Korean version Montreal Cognitive Assessment
before the surgery, and at postoperative 5 year

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Hoofdonderzoeker: In Kyu Park, MD, PhD, Seoul National University Hospital, Department of Thoracic and Cardiovascular Surgery

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

13 april 2021

Primaire voltooiing (Verwacht)

30 juni 2023

Studie voltooiing (Verwacht)

30 juni 2028

Studieregistratiedata

Eerst ingediend

20 april 2022

Eerst ingediend dat voldeed aan de QC-criteria

20 april 2022

Eerst geplaatst (Werkelijk)

26 april 2022

Updates van studierecords

Laatste update geplaatst (Werkelijk)

17 mei 2022

Laatste update ingediend die voldeed aan QC-criteria

10 mei 2022

Laatst geverifieerd

1 mei 2022

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

ONBESLIST

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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