Summary

This trial studies how well the use of a pre-surgical toolkit (OPTI-Surg) works in improving surgical care and outcomes in older participants with cancer. In many elderly patients, surgery can greatly affect physical condition and the ability to return to pre-surgery levels of physical functioning. Providing pre-surgical recommendations may help improve participants' recovery rate and functioning after surgery.

Age: 70 Years and older

Gender: All

Start Date: 07/24/2019

Primary Completion Date (Estimated): 10/31/2023

Study Completion Date (Estimated): 08/01/2026

Accepts Healthy Volunteers: No

Trial Purpose and Description

PRIMARY OBJECTIVES: I. To compare 8-week postoperative function among elderly patients between sites randomized to implement the OPTI-Surg toolkit with or without a coach versus sites randomized to usual care. SECONDARY OBJECTIVES: I. To compare postoperative morbidity between sites randomized to implement the OPTI-Surg toolkit with or without a coach versus sites randomized to usual care. II. To compare the penetration of the OPTI-Surg toolkit between sites randomized to implement the OPTI-Surg toolkit with a coach versus sites randomized to implement the OPTI-Surg toolkit without a coach. Trial Design: OUTLINE: Healthcare providers/institutions are randomized to 1 of 3 arms. Patients/participants receive the intervention based on which arm their healthcare provider is in. ARM I: Healthcare providers/institutions perform usual care. ARM II: Healthcare providers/institutions receive OPTI-Surg training and informational materials. ARM III: Healthcare providers/institutions receive OPTI-Surg training and informational materials and meet with a coach. After conclusion of study, participants are followed up at 8 and 12 weeks post surgery, and healthcare providers/institutions are followed up 6-9 months after the last patient is registered.

Eligibility Criteria

Age: 70 Years and older

Gender: All

Accepts Healthy Volunteers: No

Inclusion criteria:

* Patients must have known or suspected cancer diagnosis and have one of the following cancer-directed operations planned:

* Gastrectomy

* Colectomy

* Proctectomy

* Esophagectomy

* Pancreatectomy

* Hepatectomy

* Total cystectomy

* Partial or total nephrectomy

* Lung lobectomy/pneumonectomy

* Patients with known metastatic disease with a plan for curative intent resection are eligible (e.g. curative liver resection for metastatic colorectal cancer).

* Patients with double primaries undergoing planned curative operation for both are eligible (e.g. synchronous colon cancers undergoing colectomy to treat both).

* Patients must be able to speak and complete questionnaires in English.

Exclusion criteria:

* Patients undergoing emergent surgery are not eligible.

* Patients under active treatment such as chemotherapy, targeted therapy, immunotherapy, radiation treatment, etc. for second primary, are not eligible.

* Patients with second primary are not eligible.

* Patients with known metastatic disease who are undergoing palliative resection are not eligible.

* Patients with psychiatric illness or other mental impairment that would preclude their ability to give informed consent or to participate in the prehabilitation program are not eligible.