Early structured postoperative intervention encompassing nutrition, psychology, and exercise
Early structured postoperative intervention encompassing nutrition, psychology, and exercise: Nutritional intervention: Routine postoperative oral nutritional supplements (ONS) will be provided, and patients with metabolic diseases such as diabetes will undergo strict glycemic control. Psychological intervention: Patients with a Hospital Anxiety and Depression Scale (HADS) score ≥ 8 will receive cognitive behavioral therapy (CBT), and those with a HADS score ≥ 11 will be referred for psychological consultation. Exercise intervention: Postoperative rehabilitation training will be guided according to different postoperative periods.
Study summary
This study was conducted by Qilu Hospital and five other renowned medical centers, aiming to evaluate the impact of early structured postoperative intervention on quality of life and prognosis in patients with gastric cancer after neoadjuvant therapy.
Eligibility
Sex
ALL
Min age
18 Years
Max age
80 Years
Healthy volunteers
No
Inclusion Criteria:
* Age 18-80 years;
* Histologically confirmed adenocarcinoma by preoperative pathology;
* Completed preoperative neoadjuvant therapy without obvious immune-related adverse events (irAEs);
* Patients with ycT3-4N+Mx disease deemed surgically resectable based on evaluation by gastroscopy, CT, PET-CT, and other imaging modalities;
* Signed informed consent and voluntary participation in this study;
* Standard ERAS (Enhanced Recovery After Surgery) management during the - perioperative period, with postoperative hospital stay ≤7 days.
Exclusion Criteria:
* Patients with central nervous system diseases or psychiatric disorders;
* Patients with severe diseases of other organ systems;
* Patients with recurrent infectious diseases or severe comorbidities;
* Patients requiring synchronous surgery for other diseases;
* Patients undergoing emergency surgery;
* Patients who developed any complication during hospitalization.
Primary outcome measure(s)
incidence of complications within 30 days postoperatively — 30 days after operation The incidence of complications within 30 days postoperatively was calculated as the number of patients who developed complications within 30 days after surgery divided by the total number of patients in that group.
Postoperative recovery quality — Baseline (Day of Discharge) and POD 30（30 days after surgery） Postoperative recovery quality was assessed using The 15-item Quality of Recovery Score scale, with a maximum score of 150 points and a minimum score of 0 points, where higher scores indicate better postoperative recovery quality
Trial sites (1)
Facility
City
Region
Status
Qilu Hospital of Shandong University
Jinan
Shandong
More Qilu Hospital of Shandong University trials in China
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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