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CTRI Number  CTRI/2020/04/024733 [Registered on: 20/04/2020] Trial Registered Prospectively
Last Modified On: 19/05/2022
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Preoperative evaluation of malnutrition using malnutrition universal screening tool(MUST),Malnutrition assessment short form(MNA-SF) and Calf Circumference(CC) in predicting postoperative problems in head and neck and gastrointestinal cancer patients 
Scientific Title of Study   Preoperative evaluation of malnutrition using Malnutrition universal screening tool(MUST),malnutrition assessment short form(MNA-SF),and Calf Circumference(CC) in predicting postoperative morbidity in head and neck and gastrointestinal cancer patients. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  NIVEDHYAA 
Designation  ASSISTANT PROFESOR 
Affiliation  Cancer Institute (WIA) 
Address  B-1,SDS PEARL,AJANTHA AVENUE,VENKATESAPURAM, KOTTIVAKKAM
SARDAR PATEL ROAD
Chennai
TAMIL NADU
600041
India 
Phone  9597423654  
Fax    
Email  nivedhyaa@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  NIVEDHYAA 
Designation  Assistant Professor 
Affiliation  Cancer Institute (WIA) 
Address  B-1,SDS PEARL,AJANTHA AVENUE,VENKATESAPURAM, KOTTIVAKKAM
SARDAR PATEL ROAD
Chennai
TAMIL NADU
600041
India 
Phone  9597423654  
Fax    
Email  nivedhyaa@gmail.com  
 
Details of Contact Person
Public Query
 
Name  nivedhyaa 
Designation  Assistant Professor 
Affiliation  Cancer Institute (WIA) 
Address  B-1,SDS Pearl,Ajantha Avenue,Venkatesapuram
sardar patel road,Adayar

TAMIL NADU
600041
India 
Phone  9597423654  
Fax    
Email  nivedhyaa@gmail.com  
 
Source of Monetary or Material Support  
CANCER INSTITUTE,SARDAR PATEL ROAD, NEXT TO IIT CHENNAI,ADYAR.600020 
 
Primary Sponsor  
Name  Nivedhyaa 
Address  B-1,SDS Pearl,Ajantha Avenue,Kottivakkam 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Nivedhyaa S  Cancer institute(WIA)  ROOM NO 10,PREANESTHETIC CLINIC,DEPARTMENT OF ANESTHESIA,SARDAR PATEL ROAD ADYAR-600020
Chennai
TAMIL NADU 
9597423654

nivedhyaa@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTE ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E43||Unspecified severe protein-caloriemalnutrition,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All head and Neck
Gastrointestinal Cancer patients 
 
ExclusionCriteria 
Details  Patients below 18 years
Patients undergoing Emergency surgeries 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare MUST,MNA-SF and Calf Circumference and to identify which amongst the three is better preoperative screening tool for assessment of malnutrition in our cohort of patients against the gold standard European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines for malnutrition  Until day of surgery 
 
Secondary Outcome  
Outcome  TimePoints 

Secondary outcome:Which of the nutritional screening tools reflected on the postoperative morbidity 
To be followed until discharge to identify the length of stay and thirty day readmission 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   21/04/2020 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="20" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Published the results in Journal of supportive care in cancer  
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
Preoperative poor nutritional state and weight loss are a major cause of postoperative morbidity.Reduced food intake,pain,decreased mouth opening,age ,vomiting,dysphagia,gastrointestinal obstruction,radiation are factors that influence perioperative nutrition in these patients
Definition of the Problem: There is a need for detailed assessement of nutrition in the pre anesthetic clinic and to identify undernourished patients.We retrospectively analysed 37 patients who underwent major GI and head and neck cancer surgeries in the month of january 2020 .The prevelance of malnutrition was 13% amongst 37 patients.50% of the malnourished patients had surgical site infection.The main objective of the study is to identify which amongst the three tools are effective in predicting malnutrition and the secondary objective if malnutrition is a major cause of postoperative infection
Materials and Methods:This will be a prospective observational study in which all patients will undergo the three screening tests at the pre anesthetic check up after obtaining consent from them.They will be followed up until discharge to know the length of hospital stay ,infection any type,antibiotic escalation,30 day mortality and readmission 
 
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