WesFit: The Wessex Fit-4-Cancer Surgery Trial
Research type
Research Study
Full title
The WesFit study: A pragmatic factorial design randomised controlled study to assess the efficacy of the implementation of a prehabilitation programme in patients undergoing elective major intra – cavity cancer surgery in Wessex.
IRAS ID
227256
Contact name
Sandy Jack
Contact email
Sponsor organisation
University Hospital Southampton NHS Foundation Trust
Clinicaltrials.gov Identifier
Duration of Study in the UK
3 years, 0 months, 1 days
Research summary
Recent statistics estimate that in the UK > 10 million major surgical procedures are performed annually. Patients who are unfit before cancer surgery are more likely to die or have poor outcomes. Patients who also undergo chemotherapy have reduced strength, energy and overall fitness Patients receiving a diagnosis of cancer find it very hard to cope in the wait for treatment to start. Patients with a positive outlook and approach are more likely to have better outcomes. Especially for those who are able to self-manage their condition.
By preparing patients both mentally and physically before surgery, we believe we can make life measurably healthier and happier for patients and make savings for the NHS.
WesFit Patient Pathway: (Surgery ± cancer treatments pathways).
Group 1: Standard cancer treatment (surgery +/- cancer treatments).
Group 2: An in-hospital SRETP, then rolled out into a community-based setting prior to surgery +/- during neoadjuvant cancer treatments at a community gym. Personal trainers delivering the SRETP will be trained in healthy conversation skills to support participants to exercise beyond the trial.
Group 3: Psychological support prior to surgery +/- during neoadjuvant cancer treatments at a cancer support centre in Wessex.
Group 4: An in-hospital SRETP, then rolled out into a community-based setting. Personal trainers delivering the SRETP will be trained in healthy conversation skills to support participants to exercise beyond the trial. Also provided with psychological support prior to surgery +/- during neoadjuvant cancer treatments at a cancer support centre in Wessex.
This project aims to conduct a pragmatic study in patients undergoing major cancer surgery across Wessex to improve postoperative in-hospital length of stay and overall survival.
REC name
London - Westminster Research Ethics Committee
REC reference
18/LO/0129
Date of REC Opinion
6 Mar 2018
REC opinion
Further Information Favourable Opinion