RecruitingNot ApplicableNCT06802991

Optimised Post-discharge Care in Older Patients After Surgery for Colon Cancer (ERAS 3.0)

Sponsor

Copenhagen University Hospital at Herlev

Enrollment

60 participants

Start Date

Apr 1, 2025

Study Type

INTERVENTIONAL

Conditions

Colon Cancer Frailty

Summary

The purpose of the study is to investigate whether an extended program (ERAS 3.0) initiated hospital discharge, can improve recovery in elderly, frail patients who have undergone surgery for colon cancer. The study is a randomised controlled trial with two groups: an intervention group receiving the ERAS 3.0 program and a control group recieving standard care. The ERAS 3.0 program includes a comprehensive geriatric health assessment, dietary counseling from a dietitian, and instructions on training and physical activity. These activities will take place in the participant's homes after hospital discharge. Data will be collected at multiple time points: at the hospital, 12 days post-discharge (at the outpatient clinic), and at 1 and 3 months post discharge in the participants' homes.

Eligibility

Min Age: 65 Years

Inclusion Criteria8

Age 65+
Clinical Frailty Scale preoperative score 4-7
Nutritional Risk Screening tool (NRS 2002) \> 3
Elective colonic resection
No stoma planned
Minimally invasive surgical approach (laparoscopic or robotic)
Patients discharged to own home
Informed consent to participate

Exclusion Criteria10

Stoma creation during index surgery
Conversion to laparotomy
Major complications following surgery (Clavien-Dindo \>3a)
Participation in other randomised trials in conflict with the protocol and end- points of the ERAS 3.0 project
Discharged with tube feeding and parenteral nutrition (partially or completely)
Known food allergies to dairy or any other ingredient contained in the nutrition package
Incapable of providing informed consent
Discharge to 24-hour municipal rehabilitation facility
All conditions including psychological, geographical, and social factors that could hinder adherence to the trial protocol
Neoadjuvant radio- or chemotherapy

Interventions

OTHERERAS 3.0 (Enhanced Recovery After Surgery)

Nutritional support at discharge and home visits which include comprehensive geriatric assessment, nutritional guidance by dietitian, and instructions on exercise and physical activity.