Surgery Clinical Trial
Official title:
Multiphasic Prehabilitation in Patients Undergoing Surgery for Head and Neck Cancer
Implementing a multiphasic, multimodal prehabilitation intervention for people undergoing surgery with free flap reconstruction for the treatment of head and neck cancer.
Status | Recruiting |
Enrollment | 96 |
Est. completion date | December 31, 2024 |
Est. primary completion date | December 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Aged =18 years; - Histologically verified primary head and neck squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, larynx, or in lymph nodes of the neck from an unknown primary tumour - Scheduled to undergo oncologic resection or resection for benign disease with free flap reconstruction - Approval received from a clinical exercise physiologist (CSEP-CEP) and/or clinician - Ability to provide written informed consent and understand study information in English Exclusion Criteria: - Neurological or musculoskeletal co-morbidity inhibiting exercise - Diagnosed psychotic, addictive, or major cognitive disorders - Severe coronary artery disease (Canadian Cardiovascular Society class III or greater) - Significant congestive heart failure (New York Heart Association class III or greater) |
Country | Name | City | State |
---|---|---|---|
Canada | University of Calgary | Calgary | Alberta |
Lead Sponsor | Collaborator |
---|---|
University of Calgary |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Quality of life: Functional Assessment of Cancer Therapy-Head and Neck Version 4 (FACT-H&N) | Total score ranges from 0-156. A higher score is a better outcome. | Baseline, 6 weeks, 6 months and 12 months after surgery (6 months is primary). | |
Secondary | Weekly step counts | Total weekly step counts, measured using the Garmin vivosmart® 4 | Phase 1 (before surgery) | |
Secondary | Weekly "intensity minutes" | Total weekly "intensity minutes", measured using the Garmin vivosmart® 4 | Phase 1 (before surgery) | |
Secondary | Weekly step counts | Total weekly step counts. Garmin vivosmart® 4 | Phase 3 (0-6 weeks after hospital discharge) | |
Secondary | Weekly "intensity minutes" | Total weekly step counts, measured using the Garmin vivosmart® 4 | Phase 3 (0-6 weeks after hospital discharge) | |
Secondary | Self-reported moderate and strenuous physical activity score: Godin Leisure-Time Exercise Questionnaire (GLTEQ) | [moderate frequency per week × 5] + [strenuous frequency per week × 9]. A higher score indicates more physical activity. The minimum score is 0, the maximum is dependent on the participant's frequency of physical activity. | Pre-intervention, 6 weeks after surgery, 6 and 12 months after cancer treatment | |
Secondary | Self-reported physical activity (leisure score index): Godin Leisure-Time Exercise Questionnaire (GLTEQ) | [mild frequency per week × 3] + [moderate frequency per week × 5] + [strenuous frequency per week × 9]. A higher score indicates more physical activity. The minimum score is 0, the maximum is dependent on the participant's frequency of physical activity. | Baseline, 6 weeks after surgery, 6 and 12 months after cancer treatment | |
Secondary | Fatigue severity: Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F). Total score. | Total score ranges from 0-52. Higher score means lower fatigue severity. | Baseline, 10-14 days after surgery, 6 weeks after surgery, 6 and 12 months follow-up | |
Secondary | Anxiety score: Hospital Anxiety and Depression Scale (HADS) | Score ranges from 0-21, a higher score means more anxiety symptoms. | Baseline, 10-14 days after surgery, 6 weeks after surgery, 6 and 12 months follow-up | |
Secondary | Depression score: Hospital Anxiety and Depression Scale (HADS) | Score ranges from 0-21, a higher score means more depressive symptoms. | Baseline, 10-14 days after surgery, 6 weeks after surgery, 6 and 12 months follow-up | |
Secondary | Symptom burden: Edmonton Symptom Assessment System (ERAS-r). | Each item scored from 0 (no symptom) to 10 (worst possible symptom) | Baseline, 10-14 days after surgery, 6 weeks after surgery, 6 and 12 months follow-up | |
Secondary | Self-reported health status: EQ VAS (visual analogue) score | Score ranges from 0 (worst health) to 100 (best health). | Baseline, 10-14 days after surgery, 6 weeks after surgery, 6 and 12 months follow-up | |
Secondary | Single-leg balance (s) | Timed single-limb stance, both legs where tolerable, eyes open and closed where tolerable, up to a maximum of 45 seconds. | Before surgery, 6 weeks after surgery, 6 and 12 months follow-up | |
Secondary | Lower-limb muscular endurance (number of sit-to-stands) | Thirty second sit-to-stand test | Before surgery, 6 weeks after surgery, 6 and 12 months follow-up | |
Secondary | Functional exercise capacity (total steps) | Two-minute step test | Before surgery, 6 weeks after surgery, 6 and 12 months follow-up | |
Secondary | Hospital length of stay (total number of days) | Part of routine clinical data collection with the Calgary Head & Neck Enhanced Recovery Program. | The in-hospital period after surgery (from surgery to hospital discharge) | |
Secondary | Number of complications | Part of routine clinical data collection with the Calgary Head & Neck Enhanced Recovery Program. | Within 1 year after surgery. | |
Secondary | Mobilization after surgery (i) | Mean daily step count. Garmin vivosmart® 4 | The mean of the hospital period after surgery (typically 10-14 days) | |
Secondary | Mobilization after surgery (ii) | Total daily step counts. Garmin vivosmart® 4 | The in hospital period after surgery (typically 10-14 days) |
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