在接受重大胃肠道手术的瘤患者的预康复: PROGRESS 试验的理由和设计
Federico Mattia Oliva1, Stefano Turi1, Marta Veneziano1
1Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Contemporary clinical trials
|February 1, 2026
概括
多模式预康复可以显著减少癌症手术患者的重大术后并发症. 这项正在进行的试验调查了它在改善胃肠道手术后恢复的有效性.
科学领域:
- 在瘤学瘤学.
- 外科手术的结果
- 康复医学 康复医学 康复医学
背景情况:
- 初步证据表明,多式预康复可以降低癌症手术患者的术后并发症.
- 关于康复前治疗的真正有效性,仍然存在重大知识差距.
- 这项试验注册号为NCT06404489.
研究的目的:
- 评估多模式预康复计划在减少重大术后并发症方面的有效性.
- 评估预康复对功能恢复和住院时间的影响.
- 为 PROGRESS 关于瘤胃肠道手术恢复的试验提供数据.
主要方法:
- 一个双臂,多中心随机对照试验,涉及400名接受重大胃肠道手术的成年患者.
- 干预组接受了为期4周的多式预康复计划 (运动,营养,心理支持) 以及标准护理.
- 对照组接受标准护理,与手术后增强恢复 (ERAS) 途径保持一致.
主要成果:
- 该试验目前正在进行中,并正在招募参与者.
- 主要结局是30天内出现重大术后并发症的发生率.
- 假设预康复后,并发症从40%减少到25%.
结论:
- 该试验旨在确定预康复是否可以减少主要并发症,并帮助瘤胃肠道手术患者的康复.
- 结果将为临床实践提供有关预康复方案的信息.
- 需要进一步的数据来充分确定预康复的好处.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
9.2K
07:36Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
2.4K
相关概念视频
Bioavailability Study Design: Healthy Subjects Versus Patients
156
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
156
Clinical Trials: Overview
5.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
5.0K
Trial and Error and Algorithm
420
A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
420
Clinical Trials
10.5K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
10.5K
Anatomy of the Gastrointestinal System
2.8K
The human digestive system is an intricate and essential network for nutrient absorption and waste elimination. It encompasses the gastrointestinal (GI) tract and several accessory organs.
Here's a detailed walkthrough of this complex system:
Here's a detailed walkthrough of this complex system:
2.8K
Factorial Design
13.8K
Factorial Analysis is an experimental design that applies Analysis of Variance (ANOVA) statistical procedures to examine a change in a dependent variable due to more than one independent variable, also known as factors. Changes in worker productivity can be reasoned, for example, to be influenced by salary and other conditions, such as skill level. One way to test this hypothesis is by categorizing salary into three levels (low, moderate, and high) and skills sets into two levels (entry level...
13.8K
