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Ventral HerniaNCT04787874

Effect of Prehabilitation on Surgical Outcomes of Abdominally-based Plastic Surgery Procedures

A study testing Prehabilitation Program in people with Ventral Hernia and Panniculus, run by Stanford University at 2 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to determine whether a program to optimize patient physical fitness and nutrition ("prehabilitation") prior to and after plastic surgery involving the abdomen improves surgical outcomes. Read more about this study

Who is it for?
Ages 19 years and olderHealthy volunteers can take part
Conditions the study is for
Ventral Hernia, Panniculus, Abdominoplasty
What is being tested?
Prehabilitation Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
520 participants
Where
2 sitesUnited States
Study dates
21 Jun 2021to 2 Jun 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adult patients (>18 years) who are undergoing elective abdominally-based plastic surgery operations in 3+ weeks by one of the following plastic surgeons: Nazerali, Lee, Murphy, Nguyen, Lorenz.

Who cannot join

  • Patients who do not speak English
  • Patients who do not have access to a smartphone or internet/cell service.
  • Patients who are undergoing another intervention study that consists of a nutrition and/or exercise behavior change.

Trial locations and contacts

2 sites in 1 country.

Cara Black, PGY-2 contact

650-723-7001

carablack@stanford.edu

United States2 sites, 2 recruiting
  • Stanford Cancer Center South Bay

    San Jose, California, 95124

    Rahim Nazerali, MD, MHS

    Recruiting
  • Stanford Plastic and Reconstructive Surgery Clinic

    Stanford, California, 94304

    Rahim Nazerali, MD, MHS

    Recruiting

Other trials in United States

About this study

Official title: Effect of Health Habits on Outcomes in Plastic and Reconstructive Surgery

The purpose of this study is to determine whether a program to optimize patient physical fitness and nutrition ("prehabilitation") prior to and after plastic surgery involving the abdomen improves surgical outcomes. The investigators hope to determine how a multimodal peri-operative prehabilitation program can be most effective in engaging and motivating patients to physically and mentally get ready for an abdominally-based plastic surgery operation. The overall goal is to determine if this program will improve post-operative recovery after abdominally-based plastic surgery. The importance of this new knowledge is better understanding of ways that plastic surgeons can improve outcomes, engagement, and experience of patients undergoing abdominally-based plastic surgery operations. This would translate to increased healthcare value and better long-term outcomes.

Being tested
Prehabilitation Program
Medical subject headings
Hernia, Ventral

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Prehabilitation ProgramBehavioural

    Nutrition component: Participants will receive information on how to follow a healthy diet (Mediterranean-style diet) with emphasis on whole foods, plants, lean protein, olive oil; restriction of red meats, processed meats, processed foods, added sugar)

    Exercise component: Participants will receive an activity tracker to use during the study period (3+ weeks before surgery, and 30 days after surgery). Participants will be assigned strength exercises to work on core strength and proximal muscle strength (biceps/triceps, quads, hamstrings, calves).The exercises will mainly be focused on strengthening the abdominal wall. Exercises will be tailored to patients' individual capabilities. They will also be assigned cardio exercises - either low-intensity steady state cardio vs High Intensity Interval training. Level of cardio exercise will be tailored based on patient's Duke Activity score and baseline activity.

Study groups in NCT04787874
Study groupRoleWhat they receive
ControlNo interventionThe control arm will receive no additional prehabilitation material prior to material. Rather, they will receive standard preoperative care in which they will be given standard advice on nutrition and fitness. REDcap surveys will be administered.
Prehab Intervention ArmExperimentalThe intervention arm will receive access to the prehab program (abdominal workout videos) and surveys via RedCAP.The program will start no less than 14 days before the date of surgery.
Receives: Behavioral: Prehabilitation Program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Occurrence of surgical complications (Post-op days 7-14)

    Will analyze the occurrence of surgical complications after surgery. Hematoma, seroma, or abscess.

    Measured: Post-operative days 7-14

  2. Occurrence of surgical complications (Post-op day 30)

    Will analyze the occurrence of surgical complications after surgery. Hematoma, seroma, or abscess.

    Measured: Post-operative day 30

  3. Occurrence of surgical complications (Post-op day 90)

    Will analyze the occurrence of surgical complications after surgery. Hematoma, seroma, or abscess.

    Measured: Post-operative day 90

  4. Occurrence of surgical complications (Post-op day 180)

    Will analyze the occurrence of surgical complications after surgery. Hematoma, seroma, or abscess.

    Measured: Post-operative day 180

  5. Occurrence of surgical complications (Post-op day 360)

    Will analyze the occurrence of surgical complications after surgery. Hematoma, seroma, or abscess.

    Measured: Post-operative day 360

  6. Patient-Reported Outcome Measures: RAND 36-Item Health Survey (RAND-36) on Post-op days 7-14

    Will use the RAND 36-Item Health Survey (RAND-36) to assess the patient's perceived health following their surgical procedure. The score for RAND-36 ranges from 0-100, having higher scores mean better outcomes.

    Measured: Post-operative days 7-14

  7. Patient-Reported Outcome Measures: Abdominal Surgery Impact Scale (ASIS) on Post-op days 7-14

    Will use the Abdominal Surgery Impact Scale (ASIS) to assess the patient's perceived health following their surgical procedure. The ASIS score ranges from 18-126, having higher scores indicate better quality of life.

    Measured: Post-operative days 7-14

  8. Patient-Reported Outcome Measures: RAND 36-Item Health Survey (RAND-36) on Post-op day 30

    Will use the RAND 36-Item Health Survey (RAND-36) to assess the patient's perceived health following their surgical procedure. The score for RAND-36 ranges from 0-100, having higher scores mean better outcomes.

    Measured: Post-operative day 30

  9. Patient-Reported Outcome Measures: Abdominal Surgery Impact Scale (ASIS) on Post-op day 30

    Will use the Abdominal Surgery Impact Scale (ASIS) to assess the patient's perceived health following their surgical procedure. The ASIS score ranges from 18-126, having higher scores indicate better quality of life.

    Measured: Post-operative day 30

  10. Patient-Reported Outcome Measures: RAND 36-Item Health Survey (RAND-36) on Post-op day 90

    Will use the RAND 36-Item Health Survey (RAND-36) to assess the patient's perceived health following their surgical procedure. The score for RAND-36 ranges from 0-100, having higher scores mean better outcomes.

    Measured: Post-operative day 90

  11. Patient-Reported Outcome Measures: Abdominal Surgery Impact Scale (ASIS) on Post-op day 90

    Will use the Abdominal Surgery Impact Scale (ASIS) to assess the patient's perceived health following their surgical procedure. The ASIS score ranges from 18-126, having higher scores indicate better quality of life.

    Measured: Post-operative day 90

  12. Patient-Reported Outcome Measures: RAND 36-Item Health Survey (RAND-36) on Post-op day 180

    Will use the RAND 36-Item Health Survey (RAND-36) to assess the patient's perceived health following their surgical procedure. The score for RAND-36 ranges from 0-100, having higher scores mean better outcomes.

    Measured: Post-operative day 180

  13. Patient-Reported Outcome Measures: Abdominal Surgery Impact Scale (ASIS) on Post-op day 180

    Will use the Abdominal Surgery Impact Scale (ASIS) to assess the patient's perceived health following their surgical procedure. The ASIS score ranges from 18-126, having higher scores indicate better quality of life.

    Measured: Post-operative day 180

  14. Patient-Reported Outcome Measures: RAND 36-Item Health Survey (RAND-36) on Post-op day 360

    Will use the RAND 36-Item Health Survey (RAND-36) to assess the patient's perceived health following their surgical procedure. The score for RAND-36 ranges from 0-100, having higher scores mean better outcomes.

    Measured: Post-operative day 360

  15. Patient-Reported Outcome Measures: Abdominal Surgery Impact Scale (ASIS) on Post-op day 360

    Will use the Abdominal Surgery Impact Scale (ASIS) to assess the patient's perceived health following their surgical procedure. The ASIS score ranges from 18-126, having higher scores indicate better quality of life.

    Measured: Post-operative day 360

  16. Physical Function Test: 6-minute walk test at Time of Enrollment

    Will use the 6-minute walk test. The 6-minute walk test will be used to assess aerobic capacity and endurance. A normal walk distance ranges from 400 to 700 m.

    Measured: Time of enrollment

  17. Physical Function Test: 5-times-sit-to-stand test at Time of Enrollment

    Will use the 5-times-sit-to-stand test. The 5-times-sit-to-stand test is a method to quantify functional lower extremity strength. Lower times indicate better scores.

    Measured: Time of enrollment

  18. Physical Function Test: Timed-up-and-go test at Time of Enrollment

    Will use the timed-up-and-go test. The timed-up-and go test assesses one's mobility. A lower score signifies better mobility.

    Measured: Time of enrollment

  19. Physical Function Test: 6-minute walk test at 3 weeks

    Will use the 6-minute walk test. The 6-minute walk test will be used to assess aerobic capacity and endurance. A normal walk distance ranges from 400 to 700 m.

    Measured: 3 weeks

  20. Physical Function Test: 5-times-sit-to-stand test at 3 weeks

    Will use the 5-times-sit-to-stand test. The 5-times-sit-to-stand test is a method to quantify functional lower extremity strength. Lower times indicate better scores.

    Measured: 3 weeks

  21. Physical Function Test: Timed-up-and-go test at 3 weeks

    Will use the timed-up-and-go test. The timed-up-and go test assesses one's mobility. A lower score signifies better mobility.

    Measured: 3 weeks

  22. Physical Function Test: 6-minute walk test on Post-op Day 30

    Will use the 6-minute walk test. The 6-minute walk test will be used to assess aerobic capacity and endurance. A normal walk distance ranges from 400 to 700 m.

    Measured: Post-operative day 30

  23. Physical Function Test: 5-times-sit-to-stand-test on Post-op Day 30

    Will use the 5-times-sit-to-stand test. The 5-times-sit-to-stand test is a method to quantify functional lower extremity strength. Lower times indicate better scores.

    Measured: Post-operative day 30

  24. Physical Function Test: Timed-up-and-go test on Post-op Day 30

    Will use the timed-up-and-go test. The timed-up-and go test assesses one's mobility. A lower score signifies better mobility.

    Measured: Post-operative day 30

  25. Physical Function Test: 6-minute walk test on Post-op Day 90

    Will use the 6-minute walk test. The 6-minute walk test will be used to assess aerobic capacity and endurance. A normal walk distance ranges from 400 to 700 m.

    Measured: Post-operative day 90

  26. Physical Function Test: 5-times-sit-to-stand test on Post-op Day 90

    Will use the 5-times-sit-to-stand test. The 5-times-sit-to-stand test is a method to quantify functional lower extremity strength. Lower times indicate better scores.

    Measured: Post-operative day 90

  27. Physical Function Test: Timed-up-and-go test on Post-op Day 90

    Will use the timed-up-and-go test. The timed-up-and go test assesses one's mobility. A lower score signifies better mobility.

    Measured: Post-operative day 90

Secondary outcomes (18)
  1. Change from Baseline Albumin Levels at Time of Surgery

    To analyze nutritional status

    Measured: Enrollment to time of surgery

  2. Change from Baseline Prealbumin Levels at Time of Surgery

    To analyze nutritional status

    Measured: Enrollment to time of surgery

  3. Change from Baseline Transferrin Levels at Time of Surgery

    To analyze nutritional status

    Measured: Enrollment to time of surgery

  4. Change from Baseline C-reactive Protein Levels at Time of Surgery

    To analyze level of physiologic inflammation

    Measured: Enrollment to time of surgery

  5. Change from Baseline Erythrocyte Sedimentation Rates at Time of Surgery

    To analyze level of physiologic inflammation

    Measured: Enrollment to time of surgery

  6. Change from Baseline Hemoglobin A1C Levels at Time of Surgery

    To analyze degree of diabetes mellitus control

    Measured: Enrollment to time of surgery

  7. Change from Baseline Plasma Glucose Levels at Time of Surgery

    To analyze degree of diabetes mellitus control

    Measured: Enrollment to time of surgery

  8. Change from Baseline White Blood Cell Count at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of the complete blood count.

    Measured: Enrollment to time of surgery

  9. Change from Baseline Hemoglobin Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of the complete blood count.

    Measured: Enrollment to time of surgery

  10. Change from Baseline Hematocrit Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of the complete blood count.

    Measured: Enrollment to time of surgery

  11. Change from Baseline Platelet Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of the complete blood count.

    Measured: Enrollment to time of surgery

  12. Change from Baseline Chloride Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of Basic Metabolic Panel

    Measured: Enrollment to time of surgery

  13. Change from Baseline Sodium Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of Basic Metabolic Panel

    Measured: Enrollment to time of surgery

  14. Change from Baseline Potassium Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of Basic Metabolic Panel

    Measured: Enrollment to time of surgery

  15. Change from Baseline Carbon Dioxide Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of Basic Metabolic Panel

    Measured: Enrollment to time of surgery

  16. Change from Baseline Blood Urea Nitrogen Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of Basic Metabolic Panel

    Measured: Enrollment to time of surgery

  17. Change from Baseline Creatinine Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of Basic Metabolic Panel

    Measured: Enrollment to time of surgery

  18. Change from Baseline Blood Glucose Levels at Time of Surgery

    Assessment for leukocytosis, anemia, renal disease; Part of Basic Metabolic Panel

    Measured: Enrollment to time of surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Mar 2021
  2. Study start21 Jun 2021
  3. Primary completion23 May 2025 (estimated)
  4. Study completion2 Jun 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
520 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04787874
Sponsor's protocol ID
60419
Status last verified
Dec 2021
First submitted
1 Mar 2021
Last updated
15 Dec 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Prehabilitation Program in people with Ventral Hernia and Panniculus, run by Stanford University at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 15 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Cara Black, PGY-2 (650-723-7001, carablack@stanford.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Occurrence of surgical complications (Post-op days 7-14) (time frame: Post-operative days 7-14). The study lists 27 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2021.

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