Perioperative Risk Study
NCT02456389 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1456
Last updated 2025-04-04
Summary
The primary objective of this trial is to determine if perioperative risk stratification and risk-based, protocol-driven management leads to a reduction in the rate of death or serious complications compared to standard perioperative management in patients undergoing elective major cancer surgery.
Conditions
- Tumors
- Primary Neoplasm
- Secondary Neoplasm
- Surgery
Interventions
- OTHER
-
Preoperative risk stratification
Preoperative risk-prediction tool based on patient demographics/co-morbidity and planned procedure
- OTHER
-
Postoperative risk stratification
Postoperative risk-prediction tool based on intraoperative variables
- OTHER
-
Risk-based, escalating levels of care
Postoperative observation in regular unit vs. telemetry unit vs. stepdown unit vs. ICU
- OTHER
-
Risk-based, escalating levels of monitoring
Varying frequencies of vital signs monitoring Varying use of telemetry, pulse oximetry, and early warning system
- OTHER
-
Risk-based, escalating levels of co-management
Varying use of Hospitalist co-management
- OTHER
-
Standard postoperative care
Routine postoperative care, as medically indicated
Sponsors & Collaborators
-
Fox Chase Cancer Center
lead OTHER
Principal Investigators
-
Nestor F Esnaola, MD, MPH, MBA · Fox Chase Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-08-31
- Primary Completion
- 2020-06-19
- Completion
- 2025-06-30
Countries
- United States
Study Locations
More Related Trials
-
Benefit of a Flash Dose of Corticosteroids in Digestive Surgical Oncology: a Randomized, Double Blind, Placebo-controlled Trial
NCT03875690 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
The Effect of Enhanced Recovery After Surgery (ERAS) in Gastric Cancer Surgery
NCT06209983 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Perioperative Care in the Cancer Patient -1, ARCA-1 Study
NCT04491409 ·Status: COMPLETED
-
Preoperative Nutritional Support in Malnutritional Cancer Patients
NCT02626195 ·Status: COMPLETED ·Phase: NA
-
Fast-track Surgery After Gynecological Oncology Surgery
NCT02687412 ·Status: COMPLETED ·Phase: NA
-
Early Oral Feeding After Total Gastrectomy for Cancer
NCT01962519 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety of a Preoperative Aerobic Exercise Program in Patients With Gastrointestinal Cancer.
NCT03423056 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Nutrition-optimized Prehabilitation on Perioperative Intervention in Primary Hepatocellular Carcinoma
NCT06549829 ·Status: RECRUITING ·Phase: NA
-
Comparison of Scoring Systems in Gastrointestinal Cancer Surgery
NCT07325656 ·Status: COMPLETED
-
Perioperative Immunonutrition in Colorectal Cancer Patients Undergoing Abdominal Surgery
NCT02987296 ·Status: COMPLETED ·Phase: NA
-
Study Comparing Early and Late Nutrition in Cancer Patients Undergoing Abdominal Surgery
NCT01839617 ·Status: UNKNOWN ·Phase: NA
-
Perioperative Immunonutrition Under Enhanced Recovery After Surgery
NCT06039306 ·Status: RECRUITING ·Phase: NA
-
Pre-habilitation Within ERAS Protocol for Gynecologic Oncology Surgery: The Pre_ERAS Study
NCT07210164 ·Status: RECRUITING ·Phase: NA
-
Evaluating the Effect of Perioperative Caloric Restriction Program on Perioperative Outcomes in Patients With Obesity and Endometrial Cancer
NCT02665962 ·Status: TERMINATED ·Phase: NA
-
Prehabilitation to Improve Cancer Surgery Outcomes
NCT03502317 ·Status: UNKNOWN ·Phase: NA
-
Weight Management Aimed to Reduce Risk and Improve Outcomes From Radical Prostatectomy
NCT03261271 ·Status: COMPLETED ·Phase: NA
-
Iron Prehabilitation in Endometrial Cancer
NCT06049693 ·Status: COMPLETED ·Phase: PHASE4
-
Preoperative High Protein vs Immunodiet in Surgical Cancer Patients
NCT03980704 ·Status: COMPLETED ·Phase: PHASE4
-
Ferric Derisomaltose/Iron Isomaltoside and Outcomes in the Recovery of Gynecologic Oncology ERAS
NCT05467319 ·Status: UNKNOWN ·Phase: PHASE3
-
Does Prehabilitation Improve Outcome in Coloncancer Surgery?
NCT04199208 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effect of Probiotics in Patients Undergoing Surgery for Periampullary Neoplasms
NCT01468779 ·Status: COMPLETED ·Phase: PHASE3
-
An Exercise and Nutrition Monitoring Intervention (Pt Pal) for the Improvement of Strength in Patients With Pancreatic or Stomach Cancer Receiving Chemoradiation Therapy Before Surgery, SurgeryStrong Study
NCT05056805 ·Status: WITHDRAWN ·Phase: NA
-
Efficacy of Preoperative Nutritional Support on Postoperative Outcome in Gastric Cancer Patients at Nutritional Risk by NRS-2002
NCT01830907 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Management of Preoperative Anaemia in Surgical Oncology
NCT05505006 ·Status: UNKNOWN ·Phase: PHASE4
-
Caloric Restriction Before Surgery in Treating Patients With Endometrial, Prostate, or Breast Cancer
NCT02983279 ·Status: COMPLETED ·Phase: NA