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Current public title as of 28/02/2019: Physical activity for people recovering from bowel cancer, or with inflammatory bowel disease who have a stoma Previous public title: Physical activity for people recovering from bowel cancer who have a stoma

ABSTRACT: Background and study aims Many people recovering from bowel cancer require surgery. If a section of the bowel is removed, the surgeon may temporarily divert the faeces by bringing a loop of bowel out through the abdominal wall and attaching it to the skin – this is called a stoma. A bag is worn over the stoma to collect the faeces. The formation of a stoma has many repercussions for the patient including low energy, tiredness, poor body image, fears of leakage, and fears of a hernia. These problems affect patient quality of life, and can be a barrier to being physically active. Activity levels might be improved in this patient group by addressing the concerns they have about their stoma, and by offering them input from a physical activity specialist. The aim of this study is to look at whether bowel cancer patients with a stoma enjoy a physical activity programme, and if it is beneficial. Who can participate? Currently as of 28/02/2019: Patients with bowel cancer undergoing surgery with the formation of a temporary or permanent stoma. The trial also includes people who have had their stoma formed as a result of inflammatory bowel disease. Previously: Patients with bowel cancer undergoing surgery with the formation of a temporary or permanent stoma What does the study involve? About 6 weeks after their surgery, the participants are offered a 12-week programme of physical activity intervention from exercise specialists. They record their activities in a diary, and are also given a device to measure their daily step counts. This study assesses how many patients participate, what activities they do each week; patients, clinicians and physical activity specialists’ opinions on the intervention; and if there are improvements in quality of life, function and fatigue.

DISEASE(S): Bowel Cancer Patients With A Stoma

PROVIDER: 2420302 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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Project description:Interventions: Elective or emergent colonic resection, defined using the procedural ICD-10 codes: 32000-00 Limited excision of large intestine with formation of stoma 32000-01 Right hemicolectomy with formation of stoma 32000-02 Laparoscopic limited excision of large intestine with formation of stoma 32000-03 Laparoscopic right hemicolectomy with formation of stoma 32003-00 Limited excision of large intestine with anastomosis 32003-01 Right hemicolectomy with anastomosis 32003-02 Laparoscopic limited excision of large intestine with anastomosis 32003-03 Laparoscopic right hemicolectomy with anastomosis 32004-00 Subtotal colectomy with formation of stoma 32004-01 Extended right hemicolectomy with formation of stoma 32004-02 Laparoscopic subtotal colectomy with formation of stoma 32004-03 Laparoscopic extended right hemicolectomy with formation of stoma 32005-00 Subtotal colectomy with anastomosis 32005-01 Extended right hemicolectomy with anastomosis 32005-02 Laparoscopic subtotal colectomy with anastomosis 32005-03 Laparoscopic extended right hemicolectomy with anastomosis 32006-00 Left hemicolectomy with anastomosis 32006-01 Left hemicolectomy with formation of stoma 32006-02 Laparoscopic left hemicolectomy with anastomosis 32006-03 Laparoscopic left hemicolectomy with formation of stoma 32009-00 Total colectomy with ileostomy 32009-01 Laparoscopic total colectomy with ileostomy 32012-00 Total colectomy with ileorectal anastomosis 32012-01 Laparoscopic total colectomy with ileorectal anastomosis The procedures were performed at the Austin Hospital, a tertiary hospital with colorectal expertise, over the period of January 2013 and June 2018. Patients were followed-up for 30 days following discharge from the index admission. If no subsequent readmissions occurred within this period, follow-up ceased. If a patient was readmitted within the 30-day period, then the readmission was included, and followi Primary outcome(s): Costs of complications (as a composite outcome) following Colon resections. Costs of complications defined as cost of patients with complications less the cost of patients without complications (ie by comparison of patients with and without complications). All costs related to the index admission for colon resection and any consequent readmissions are included. Costs related to preoperative course are not considered. Allocation of costs will be calculated using an activity-based costing methodology. Only in-hospital costs are considered, with both direct and indirect costs assessed to produce a total cost for each patient. Costs for each patient will be obtained from the Austin Health Department of Finance, which maintain an itemised prospective database of all hospital expenses related to each patient.[Costs will be calculated from day of surgery to hospital discharge. Readmissions are considered within 30 days of discharge from the index admission.] Study Design: Purpose: Natural history;Duration: Longitudinal;Selection: Defined population;Timing: Retrospective

Dataset Information

Current public title as of 28/02/2019: Physical activity for people recovering from bowel cancer, or with inflammatory bowel disease who have a stoma Previous public title: Physical activity for people recovering from bowel cancer who have a stoma

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