| Unique ID issued by UMIN | UMIN000054300 |
|---|---|
| Receipt number | R000061978 |
| Scientific Title | Prospective study of prehospital prehabilitation for elderly, sarcopenic, and malnourished patients in hepatobiliary and pancreatic surgery |
| Date of disclosure of the study information | 2024/05/10 |
| Last modified on | 2026/01/13 17:26:22 |
Prospective study of prehospital prehabilitation for elderly, sarcopenic, and malnourished patients in hepatobiliary and pancreatic surgery
Prospective study of prehospital prehabilitation for elderly, sarcopenic, and malnourished patients in hepatobiliary and pancreatic surgery: PROPRE study
Prospective study of prehospital prehabilitation for elderly, sarcopenic, and malnourished patients in hepatobiliary and pancreatic surgery
PROPRE study
| Japan |
potentially resectable hepatobiliary and pancreatic cases
| Hepato-biliary-pancreatic surgery |
Malignancy
NO
The purpose of this study was to evaluate the safety and effectiveness of self-prehabilitation by using the waiting period before hospitalization to perform self-prehabilitation at home, including postoperative complications, prognosis, and quality of life.
Safety
Prehabilitation Achievement and Safety
(1) Perioperative complications (evaluated by Clavien-Dindon classification)
(2) Length of hospital stay and postoperative hospital stay
(3) Disease free survival (DFS)
(4) Over all survival (OS)
(5) Change in quality of life (EORTC-QLQ-C30, FACT-HEP)
(6) Change in depression assessment (HADS)
(7) Nutritional assessment (In Body, blood test, CT iliopsoas assessment)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Prevention
| Other |
Squatting, standing on one leg, and walking 4,000 to 5,000 steps per day (40 minutes) in the 2 weeks prior to admission
| 20 | years-old | <= |
| Not applicable |
Male and Female
(1) Patients clinically ill with hepatobiliary-pancreatic disease for whom surgery is contemplated.
(2) Patients over 65 years old.
(3) In addition to 2 above, all patients with possible sarcopenia will be considered regardless of age. The diagnosis of possible sarcopenia will be evaluated according to the AWGS 2019 sarcopenia diagnostic criteria as described below.
(4) Eligible surgical procedures will be as follows (all procedures will include both laparoscopic and open procedures) (a)Liver resection cases (b) Pancreatectomy
(5) Cases with PS (ECOG classification) of 0 to 1
(6) Cases in which functions of major organs (bone marrow, liver, kidney, lung, etc.) are preserved
(The following criteria are met according to laboratory values within 14 days prior to enrollment.)
White blood cell count: greater than 3,500/mm3 and less than 12,000/mm3
Neutrophil count: 2,000/mm3 or more
Hemoglobin level: 9.0 g/dl or greater
Platelet count: 100,000/mm3 or greater
Total bilirubin: 2.0 mg/dL or less*.
Patients undergoing yellowing reduction for obstructive jaundice are expected to have a level of 3.0 mg/dL or less at the time of surgery.
AST and ALT levels: 150 U/L or less
Creatinine: 1.2 mg/dl or less
(7) Cases in which oral intake is possible
(8) Patients who have given written consent to be a subject in this study
(9)Patients who are at least 20 years of age at the time of consent and have sufficient judgment to obtain consent for this study.
(10)Cases in which the subject has been fully informed of the details of the study and has given his/her written consent.
(1) Patients with pulmonary fibrosis or interstitial pneumonia
(2) Patients with malignant tumors that are expected to have no gross residual cancer at the time of resection.
(3) Patients with active multiple cancers.
Simultaneous overlapping cancers or disease-free period of less than 3 years. However, intraepithelial and intramucosal cancers are not included.
(4) Active infection (e.g., fever > 38.0 degrees Celsius)
(5) Patients using flucytosine, phenytoin, or warfarin
(6) Pregnant or possibly pregnant
(7) Other conditions deemed by the attending physician to be inappropriate for the safe conduct of this study
50
| 1st name | Yu |
| Middle name | |
| Last name | Katayose |
Tohoku Medical and Pharmaceutical University Hospital
Hepatobiliary and pancreatic surgery
983-8512
1-2-1, FUkumuro, Miyaginoku, SENDAI
022-259-1221
y17.katayo@tohoku-mpu.ac.jp
| 1st name | Hiroto |
| Middle name | |
| Last name | Sakurai |
Tohoku Medical and Pharmaceutical University Hospital
Hepatobiliary and pancreatic surgery
983-8512
1-12-1, FUkumuro, Miyaginoku, SENDAI
022-259-1221
h.sakurai@tohoku-mpu.ac.jp
Tohoku Medical and Pharmaceutical University Hospital
Lab Budget
Other
Tohoku Medical and Pharmaceutical University Hospital Clinical Research Audit Committee
1-12-1, FUkumuro, Miyaginoku, SENDAI
022-259-1221
research@hosp.tohoku-mpu.ac.jp
NO
東北医科薬科大学病院(宮城県)
| 2024 | Year | 05 | Month | 10 | Day |
Unpublished
No longer recruiting
| 2023 | Year | 11 | Month | 23 | Day |
| 2023 | Year | 12 | Month | 11 | Day |
| 2024 | Year | 01 | Month | 01 | Day |
| 2026 | Year | 12 | Month | 31 | Day |
| 2024 | Year | 05 | Month | 01 | Day |
| 2026 | Year | 01 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061978