ANC1 Study Impact of a Geriatric and Nutritional Evaluation for the Malnutrition and Malnutrition Risk Screening in Patients Over 70 Years With Colorectal Surgery.
ANC1
1 other identifier
interventional
150
1 country
1
Brief Summary
Malnutrition priori a major abdominal surgery is frequent and increases morbidity and mortality. The management of malnutrition has an impact in reducing postoperative complications. However malnutrition is rarely detected and Guidelines infrequently followed. Recovery time and nutritional evaluation in elderly patients are major criteria in their postoperative management. Identifying malnutrition or malnutrition risk is fundamental to its treatment. It is therefore unsurprising that many validated tools for nutrition risk screening and nutrition assessment exist for the clinician to use in assisting with the accurate identification, referral and treatment of patients who are malnourished or at risk of malnutrition. And nutritional management must be adapted and based on this evaluation and evolution of the general status (Guidelines Grade A). A geriatric evaluation based on a screening of preoperative malnutrition should allow a better implementation of the European Society of Parenteral and Enteral Nutrition (ESPEN) guidelines.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2013
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2013
CompletedFirst Submitted
Initial submission to the registry
November 4, 2013
CompletedFirst Posted
Study publicly available on registry
March 12, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2017
CompletedOctober 5, 2016
October 1, 2016
Same day
November 4, 2013
October 4, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Perioperative nutritional management
Rate of nutritional support implemented in accordance with current European guidelines (ESPEN)
During perioperative period From D-7 before date of hospitalization until discharge from the hospital, up to 30 days
Secondary Outcomes (7)
Malnutrition screening
During preoperative seven days
Rate of preoperative nutritional management by immunonutrition implemented
During preoperative seven days
Rate of malnourished patients
During preoperative seven days
Rate of patients with cachexia
Seventh day preoperative
Postoperative complications
Postoperative follow-up until discharge from hospital, up to 30 days
- +2 more secondary outcomes
Study Arms (1)
Nutritional evaluation
NO INTERVENTIONInterventions
* Multidisciplinary training sessions for malnutrition and malnutrition risk screening, postoperative nutritional procedures according to the ESPEN Guidelines * Preoperative Geriatric evaluation : eligibility criteria, nutritional status, previous history, comorbidities, clinical examination, activities of daily living (ADL) and Instrumental activities of daily living (IADL) * Implementation of an adapted nutritional support based on ESPEN Guidelines
Eligibility Criteria
You may qualify if:
- Aged ≥ 70 years
- Colorectal or tumor resection with/without synchronous metastases
You may not qualify if:
- Emergency resection of colorectal tumor
- Unresectable colorectal tumor with/without synchronous metastases
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Professeur Marc BONNEFOY
Pierre-Bénite, 69495, France
Related Publications (1)
Dupuis M, Kuczewski E, Villeneuve L, Bin-Dorel S, Haine M, Falandry C, Gilbert T, Passot G, Glehen O, Bonnefoy M. Age Nutrition Chirugie (ANC) study: impact of a geriatric intervention on the screening and management of undernutrition in elderly patients operated on for colon cancer, a stepped wedge controlled trial. BMC Geriatr. 2017 Jan 7;17(1):10. doi: 10.1186/s12877-016-0402-3.
PMID: 28061830DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 4, 2013
First Posted
March 12, 2014
Study Start
October 1, 2013
Primary Completion
October 1, 2013
Study Completion
January 1, 2017
Last Updated
October 5, 2016
Record last verified: 2016-10