RECRUITINGINTERVENTIONAL

Effectiveness of a Personalized 6-month Programme on Frailty in Older Patients Treated for Bladder or Kidney Cancer.

Effectiveness of a Personalized 6-month Programme on Frailty in Older Patients Treated for Bladder or Kidney Cancer - FRAGECO - Multicenter, Controlled, Randomized Study

About This Trial

Bladder and kidney cancers are commonly diagnosed in older adults. Surgery remains the primary treatment modality for patients with kidney or bladder cancer. In older patients, common co-morbidities include fatigue, physical deconditioning characterized by reduced cardiorespiratory fitness and progressing sarcopenia, pain- whether disease- related or treatment-induced- and undernutrition. These factors increased the risk of post-operative complications and exacerbate patient frailty. The investigators propose a personalized 6-month program both pre- and post-surgery, including adapted physical activity sessions, therapeutic education workshops, and systematic referral to the department's DAPAP program.

Who May Be Eligible (Plain English)

Who May Qualify: - Diagnosis of bladder or kidney cancer - Surgical treatment - No severe cognitive impairment preventing understanding of the protocol - Affiliated or entitled to a social security scheme - Having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study Who Should NOT Join This Trial: - Surgery already done - Significant co-morbidities that contraindicate physical activity: associated cardiac pathologies, respiratory pathologies, disabling joint pathologies, etc. - Deprived of liberty or under guardianship - Benefiting from a prehabilitation prescription with a private physiotherapist. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * Diagnosis of bladder or kidney cancer * Surgical treatment * No severe cognitive impairment preventing understanding of the protocol * Affiliated or entitled to a social security scheme * Having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study Exclusion Criteria: * Surgery already done * Significant co-morbidities that contraindicate physical activity: associated cardiac pathologies, respiratory pathologies, disabling joint pathologies, etc. * Deprived of liberty or under guardianship * Benefiting from a prehabilitation prescription with a private physiotherapist.

Treatments Being Tested

PROCEDURE

APA

2 adapted physical activity (APA) sessions per week for 4 weeks before and after surgery

BEHAVIORAL

Therapeutic education workshops

Therapeutic education workshops tailored to individual needs, covering topics as physical activity, nutrition, treatments, fatigue, and relaxation.

PROCEDURE

DAPAP

Referral to the department's DAPAP for a 12-week "bridge program", consisting of one session per week.

Locations (2)

Chu Saint-Etienne

Saint-Etienne, France

Hôpital privé de la Loire

Saint-Etienne, France