Comprehensive Optimization At-time of Radical Cystectomy Intervention Through Peri-operative Patient Care Program
University of Texas Southwestern Medical Center
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.
Description
The proposed study includes the following- Part I: Pre-operative period After randomization, patients in the intervention group will be referred to the Perioperative Optimization of Senior Health (POSH) program where they will undergo nutritional, functional, and global health assessment. The POSH team will refer patients as indicated to nutrition, physical medicine and rehabilitation, and other consultants to optimize their preoperative fitness for surgery. Patients in the intervention group will also receive a Remote Patient Monitoring (RPM) Ipad from ActiCare Health, which will serve as t…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Adults equal to or more than 18 years old * Diagnosis of bladder cancer with plan to undergo radical cystectomy * Agrees to participate in study procedures Exclusion Criteria: * Patients undergoing cystectomy for diagnosis other than bladder cancer * Do not provide informed consent
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
Location
- University of Texas Southwestern Medical CenterDallas, Texas