Unique ID issued by UMIN | UMIN000014175 |
---|---|
Receipt number | R000016510 |
Scientific Title | ESSENSE protocol for peri-operative patients management; a multi-center prospective clinical trial |
Date of disclosure of the study information | 2014/06/15 |
Last modified on | 2016/06/05 20:05:03 |
ESSENSE protocol for peri-operative patients management; a multi-center prospective clinical trial
ESSENSE protocol for peri-operative patients management; a multi-center prospective clinical trial
ESSENSE protocol for peri-operative patients management; a multi-center prospective clinical trial
ESSENSE protocol for peri-operative patients management; a multi-center prospective clinical trial
Japan |
Status after high-stress surgical procedure, such as esophagectomy, total or distal gastrectomy, colectomy, hepatectomy and pancreatico-duodenectomy.
Surgery in general | Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
Malignancy
NO
ESSENSE protocol is extracted from Enhanced Recovery After Surgery (ERAS) protocol established in European society. The purpose of this study is to examine the effectiveness of ESSENSE protocol for the patients physical recovery after high-stress surgical treatment.
"ESSENSE" is an acronym of ESsential Strategy for Early Normalization after Surgery with patient's Excellent satisfaction.
Safety,Efficacy
Confirmatory
Pragmatic
Phase II,III
Post-operative patients recovery estimated by QoR40 format in 3rd and 7th postoperative days.
Patient's physical condition estimated by blood test; Albumin, total lymphocyte count, sodium, C-reactive protein and total cholesterol. Number of complications.
Length of hospital stay after surgery.
Interventional
Factorial
Non-randomized
Open -no one is blinded
Active
2
Treatment
Maneuver |
Patients in the study group will be managed by ESSENSE protocol as indicated below for 6 months. Control group will be managed by standard care protocol in each hospital.
1. Intensive pain control: postoperative pain will be estimated by Prince Henry Hospital pain scale and pain must be reduced to be able enough to cough.
2. Minimization of fasting: 400ml clear fluid will be provided until 2hour before induction of anesthesia and restart drinking since 1st postoperative day. Amount of intake is recorded in ESSENSE diary by medical staff and patients themselves.
3. Early mobilization: walking around the bed is scheduled since 1st postoperative day. Count of steps walking is recorded in ESSENSE diary by patients.
4. Encourage the will of recovery: Physical condition will be conscious by recording ESSENSE diary that is a tool for sharing the goal and the process of recovery among medical staff and patients themselves.
In contrast of ESSENSE protocol, control group patients will be managed by standard protocol. Pain killer will be administrated according to patient's complaints. Fasting in the day of the operation and restart drinking according to patient's bowel condition. Mobilization will be done voluntary.
Not applicable |
Not applicable |
Male and Female
The patients who are judged as operable in the individual hospital.
1.Patients unable to record their physical status in diary.
2.Patients unable to drink from before an operation.
3.Patients unable to walk from before an operation.
120
1st name | |
Middle name | |
Last name | Go Miyata |
Tohoku University, Graduate School of Medicine
Division of Advanced Surgical Science and Technology
Seiryo-machi 1-1, Aoba-ku, Sendai,city, Miyagi pref. JAPAN
+81-22-717-7214
miyata5@med.tohoku.ac.jp
1st name | |
Middle name | |
Last name | Go Miyata |
Japanese Society for Surgical metabolism and nutrition
Peri-operative management study group
Shunkosha Co.Ltd. Ohkubo 2-4-12, Shinjuku-ku, Tokyo, JAPAN
+81-3-5291-6231
http://www.jsmmn.jp/essense/index.html
essense@shunkosha.com
Japanese Society for Surgical metabolism and nutrition
Japanese Society for Surgical metabolism and nutrition
Self funding
NO
東北大学病院(宮城県)、浜松医療センター(静岡県)、下関医療センター(山口県)、埼玉医大国際医療センター(埼玉県)、小張総合病院(千葉県)、東邦大学医療センター大森病院(東京都)、関西医科大学(大阪府)、那須赤十字病院(栃木県)、横浜中央病院(神奈川県)、県立広島病院(広島県)、市立堺病院(大阪府)、東京慈恵会医科大学付属病院(東京都)、市立池田病院(大阪府)
2014 | Year | 06 | Month | 15 | Day |
http://www.jsmmn.jp/essense/index.html
Unpublished
No longer recruiting
2014 | Year | 04 | Month | 01 | Day |
2014 | Year | 06 | Month | 15 | Day |
2014 | Year | 06 | Month | 05 | Day |
2016 | Year | 06 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016510