神经疏导根治性前列腺切除术入院患者多学科预康复的详细描述--随机可行性研究方案

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Contemporary Clinical Trials Communications Pub Date : 2024-06-10 DOI:10.1016/j.conctc.2024.101319
Malene Blumenau Pedersen , John M. Saxton , Brigitta Rasmussen Villumsen , Jørgen Bjerggaard Jensen , Sara Birch
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引用次数: 0

摘要

背景采用根治性前列腺切除术治疗局部前列腺癌疗效显著,但术后常见严重的副作用。术前康复是一种在手术前优化患者身心资源,以改善术后效果的方法。利用远程医疗技术为等待前列腺癌根治术的患者提供多模式家庭康复计划的可行性尚不清楚。本文介绍了为等待前列腺癌根治术的患者制定康复计划的过程。方法在制定过程中使用了医学研究委员会制定和评估复杂干预措施的模型(MRC 框架)。为确保对干预措施进行充分描述,采用了干预措施描述和复制模板(TIDieR)核对表。共有 40 名患者将被随机分配到干预组或对照组。对照组患者将接受标准护理。为期 4 周的预康复计划包括运动、盆底肌锻炼、性咨询、压力管理和营养支持。干预措施以家庭为基础,通过远程医疗提供。可行性结果将包括招募率、减员率、依从性、安全性和适用性。结论我们开发了一种多模式康复前计划,它有可能为等待前列腺癌根治术的男性患者带来切实的健康益处。可行性研究的结果将为设计完全有效的随机对照试验提供参考。
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Detailed description of multidisciplinary prehabilitation in patients admitted to nerve sparring radical prostatectomy – A randomized feasibility study protocol

Background

Localized prostate cancer treated with radical prostatectomy is highly effective, though severe side-effects are common after the surgery. Prehabilitation is an approach to optimize patient's physical and mental resources before surgery, to improve postoperative outcomes. The feasibility of a multi-modal home-based prehabilitation program, delivered using telehealth in patients awaiting radical prostatectomy is unknown. This paper describes the development of a prehabilitation program for patients awaiting radical prostatectomy.

Method

A model by The Medical Research Council for developing and evaluating complex interventions (MRC Framework) was used in the development process. The Template for Intervention Description and Replication (TIDieR) checklist was applied for ensuring sufficient description of the interventions. A total of 40 patients will be randomized to either intervention or control group. Patients in the control group will follow standard care. The 4-week prehabilitation programme consists of exercise, pelvic floor exercise, sexual counseling, stress management and nutritional support. The interventions are home-based and delivered using telehealth. Feasibility outcomes will include recruitment, attrition rates, adherence, safety and suitability.

Conclusion

We have developed a multimodal prehabilitation programme, which has the potential to bring tangible health benefits to men with prostate cancer awaiting radical prostatectomy. The results of the feasibility study will inform the design of a fully powered randomized controlled trial.

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来源期刊
Contemporary Clinical Trials Communications
Contemporary Clinical Trials Communications Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
2.70
自引率
6.70%
发文量
146
审稿时长
20 weeks
期刊介绍: Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.
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