Predictive Model to Early Diagnosis of Anastomotic Leak After Esophagectomy and Gastrectomy.
NCT05390684 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 800
Last updated 2022-05-25
Summary
The PROFUGO study (PRedictive Model for the early diagnosis of anastomotic leak after esophagectomy and gastrectomy) is proposed as a prospective and multicenter study at spanish national level that aims to develop, with the help of artificial intelligence methods, a tool and predictive model that allows identifying cases with a high risk of anastomotic leak (AF) and/or major complications through the analysis of different clinical and analytical variables collected during the perioperative period of patients undergoing esophagectomy or gastrectomy.
2.-HYPOTHESIS
Early identification of patients at high risk of developing AF and/or major complications after esophagogastric surgery can be carried out through the perioperative study of objective clinical variables and analytical markers.
3.-OBJECTIVE
The main objective of the study is to design a predictive model based on clinical and analytical variables that allow the identification of patients with a high risk of anastomotic leak (main variable) and/or major complication during the postoperative period of esophagogastric surgery.
4.-MATERIAL AND METHODS
* DESIGN: Prospective and multicenter study of 1 year duration.
* STUDY POPULATION: Patients diagnosed with neoplasia of the esophagus or stomach with an indication for oncological surgery with curative intent.
* INCLUSION CRITERIA: patients with surgical indication and curative intention due to esophagogastric neoplasm who do not meet exclusion criteria and recruited by hospitals nationwide that decide to participate in the study.
* EXCLUSION CRITERIA
* Patients under 18 or over 85 years
* Patients with chronic infections
* Patients with synchronous tumors in other locations
* Patients with autoimmune disease
* Patients who die in the operating room
* Patients who do not sign the informed consent to participate in the study
* Patients in clinical stage IVB
* Surgical resection R2 (there are macroscopic remains of the tumor in the surgical field after performing the resection of the surgical piece)
* Combined intraoperative resection of other organs
* Surgeries without anastomosis
* MONITORING: The patient will be monitored during the first 90 postoperative days.
5.-DURATION OF THE STUDY The time for the inclusion of patients in the study will be 1 year in each center from the incorporation of the first of their patients.
Conditions
- Esophagus Cancer
- Gastric Cancer
- Leak, Anastomotic
- Complication
Interventions
- OTHER
-
audit of complications, prospective data collection
Prospective colecction of data will be performed to create a predictive model of leak and major complication
Sponsors & Collaborators
-
Hospital Universitario La Fe
lead OTHER
Principal Investigators
-
Marcos Bruna · Hospital Universitario La Fe
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-05-01
- Primary Completion
- 2023-12-01
- Completion
- 2023-12-31
Countries
- Spain
Study Locations
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