RecruitingNot ApplicableNCT05714826

Comprehensive Optimization At-time of Radical Cystectomy Intervention

Comprehensive Optimization At-time of Radical Cystectomy Intervention Through Peri-operative Patient Care Program

Sponsor

University of Texas Southwestern Medical Center

Enrollment

194 participants

Start Date

Apr 25, 2024

Study Type

INTERVENTIONAL

Conditions

Bladder Cancer Radical Cystectomy

Summary

The proposed study is aimed at a comprehensive optimization at-time of radical cystectomy (COARC) intervention that focuses on patient optimization throughout the perioperative continuum, from the pre-operative setting to the post-operative period, among patients undergoing radical cystectomy for bladder cancer. This multi-modal strategy will focus on three phases of care around surgery: the pre-operative, peri-operative, and post-operative phases. The intervention group will focus on multiple areas of patient optimization including remote patient monitoring for the earlier identification of potential complications. The overall study mission is to decrease complication rates after radical cystectomy using this comprehensive approach.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a comprehensive, coordinated care program — combining nutritional support, physical rehabilitation, and psychological preparation — provided at the time of radical cystectomy (surgical removal of the bladder) leads to better recovery and outcomes for bladder cancer patients. The goal is to optimize patients' condition before, during, and after this major operation. **You may be eligible if...** - You are 18 years of age or older - You have a confirmed diagnosis of bladder cancer - You are scheduled to undergo a radical cystectomy (complete surgical removal of the bladder) as part of your treatment - You agree to participate in the study's care program and procedures **You may NOT be eligible if...** - You are having bladder removal surgery for a reason other than bladder cancer - You are unwilling to provide informed consent to participate Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERPreop Intervention and Monitored Recovery

Perioperative Optimization of Senior Health (POSH) Program; patient monitoring by device orientation, initial intake, education; ERAS protocol, inpatient geriatric co-management; and remote monitoring with Acticare device; post-op continuity of care

OTHERUsual Care

ERAS, Usual referral and recovery care, and Standard follow-up protocol