Titel: COMPETENCE – Comprehensive Geriatric Assessment for optimization in cystectomy.
Formål: The aim of the study is to investigate the effect of a perioperative Comprehensive Geriatric Assessment (CGA), tailored interventions, and implementation of an interdisciplinary collaboration in older, frail patients with bladder cancer undergoing radical cystectomy.
Primary outcome is number of Days-Alive-Out-of-Hospital (DAOH) 90-days postoperatively.
Number of patients: 140 patients
Metode: The study will be a national randomized trial. Patients ≥65 years of age and considered frail by assessment with the G8 screening tool, will be eligible for inclusion.
Patients will be randomized 1:1 and allocated into either control or intervention study arm. The control group will receive perioperative “care as usual” according to exciting principles and guidelines. The intervention will comprise a preoperative, thorough geriatric, multidisciplinary assessment, focused on optimizing health issues of expected importance in further course of surgery. Furthermore, postoperative ward rounds by a geriatric team will be conducted. Thus, the course of treatment for each patient will be a close interdisciplinary collaboration.
Sites: Dept. of Urology and Dept. of Geriatrics from:
- Aarhus University Hospital
- Odense University Hospital
- Aalborg University Hospital
Ph.D. student, Katharina Skovhus Prior, email: firstname.lastname@example.org
Clinical Trial Coordinator, Tine Christiansen, email: email@example.com, Phone: + 45 30 91 54 59
Main supervisor: Jørgen Bjerggaard Jensen, firstname.lastname@example.org
Katharina Skovhus Prior