Effectiveness of a Personalized 6-month Programme on Frailty in Older Patients Treated for Bladder or Kidney Cancer.
Effectiveness of a Personalized 6-month Programme on Frailty in Older Patients Treated for Bladder or Kidney Cancer - FRAGECO - Multicenter, Controlled, Randomized Study
Centre Hospitalier Universitaire de Saint Etienne
106 participants
Dec 3, 2025
INTERVENTIONAL
Conditions
Summary
Bladder and kidney cancers are commonly diagnosed in older adults. Surgery remains the primary treatment modality for patients with kidney or bladder cancer. In older patients, common co-morbidities include fatigue, physical deconditioning characterized by reduced cardiorespiratory fitness and progressing sarcopenia, pain- whether disease- related or treatment-induced- and undernutrition. These factors increased the risk of post-operative complications and exacerbate patient frailty. The investigators propose a personalized 6-month program both pre- and post-surgery, including adapted physical activity sessions, therapeutic education workshops, and systematic referral to the department's DAPAP program.
Eligibility
Inclusion Criteria5
- Diagnosis of bladder or kidney cancer
- Surgical treatment
- No severe cognitive impairment preventing understanding of the protocol
- Affiliated or entitled to a social security scheme
- Having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study
Exclusion Criteria4
- Surgery already done
- Significant co-morbidities that contraindicate physical activity: associated cardiac pathologies, respiratory pathologies, disabling joint pathologies, etc.
- Deprived of liberty or under guardianship
- Benefiting from a prehabilitation prescription with a private physiotherapist.
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Interventions
2 adapted physical activity (APA) sessions per week for 4 weeks before and after surgery
Therapeutic education workshops tailored to individual needs, covering topics as physical activity, nutrition, treatments, fatigue, and relaxation.
Referral to the department's DAPAP for a 12-week "bridge program", consisting of one session per week.
Locations(2)
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NCT07073703