Bladder Cancer Clinical Trial
Official title:
Trial of Prehabilitation in Vulnerable Patients Undergoing Cystectomy for Bladder Cancer
The development of clinically relevant and scalable exercise interventions in older
cystectomy patients may have an impact upon:
- Patients: Exercise interventions may improve patient outcomes, including quality of life
and avoidance of skilled nursing facilities.
- Clinicians: Proving the safety and feasibility of targeted interventions in older
surgical patients may facilitate the development of clinically relevant preoperative
interventions suitable for wider study and implementation.
- Payers: Improved surgical outcomes among high risk surgical patients will be associated
with significant cost savings.
- Researchers: Targeted and well controlled studies focusing on improving surgical
outcomes through exercise may provide insight into relationships between patient
factors, surgical stressors and outcomes. Ultimately, such work may lead to novel
clinical approaches to optimize patients for surgery.
The investigators will study the effects of preoperative exercise training on cystectomy
patients, specifically targeting increasing functional capacity and muscular strength. Prior
to conducting a more extensive, multi-center, randomized-controlled trial, the feasibility,
safety, and initial efficacy of preoperative exercise in cystectomy patients must be
determined. To address this issue, the investigators will complete a trial of rehabilitation
in cystectomy patients at the University of Michigan.
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