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Feasibility of a 4-Week Intensive Postoperative Multimodal Rehabilitation Program in Complicated Patients After Proximal Pancreatectomy: A Prospective Single-Cohort Study

RecruitingNAAges 18 Years - anyAllIRCCS San Raffaele
NCT07768384 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The REACT study is a prospective, single-center, single-cohort study designed to evaluate the feasibility of a 4-week intensive multimodal postoperative rehabilitation program in patients who develop severe complications after proximal pancreatic resection (pancreatoduodenectomy or total pancreatectomy). Postoperative complications after pancreatic surgery may result in substantial physiological and metabolic stress, leading to loss of muscle mass, malnutrition, reduced functional capacity, and delayed recovery. Although prehabilitation programs have been proposed to improve patients' functional capacity before surgery, evidence regarding structured multimodal rehabilitation after pancreatic surgery is currently lacking. Adult patients undergoing elective proximal pancreatic resection who develop a severe postoperative complication (Comprehensive Complication Index \>21) will be eligib

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📋 Eligibility rules (as published)
* Inclusion Criteria: * Age ≥18 years. * Patients undergoing elective proximal pancreatic resection (pancreatoduodenectomy or total pancreatectomy). * Patients developing a severe postoperative complication during their hospital stay, defined as a Comprehensive Complication Index (CCI) \>21. * Exclusion Criteria: * Metastatic disease. * Surgical procedures other than pancreatoduodenectomy or total pancreatectomy. * Inability to speak Italian. * Cognitive impairment or illiteracy resulting in inability to read and understand the Italian language. * Medical conditions contraindicating the rehabilitation regimen (exercise and nutritional intervention), including orthopedic or cognitive disabilities and chronic renal failure (dialysis or creatinine \>250 mmol). * Pregnancy.
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What it tests

  • Multimodal Postoperative Rehabilitation Program
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Where

1 site
Ospedale San Raffaele
Milan, Italy
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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