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CTRI Number  CTRI/2021/11/038241 [Registered on: 24/11/2021] Trial Registered Prospectively
Last Modified On: 29/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   A prospective study of faster recovery protocol for bone and soft tissue cancer surgeries 
Scientific Title of Study   A prospective observational study to assess the compliance to enhanced recovery protocols among patients undergoing bone and soft tissue cancer surgeries 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NA  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sohan Lal Solanki 
Designation  Professor 
Affiliation  Tata Memorial Hospital 
Address  Room No 210, Second Floor, OT Complex, Main Building, Tata Memorial Hospital, Dr E Borges Marg, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  02224177053  
Fax    
Email  me_sohans@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sagar Apte 
Designation  Junior Resident 
Affiliation  Tata Memorial Hospital 
Address  Room No 210, Second Floor, OT Complex, Main Building, Tata Memorial Hospital, Dr E Borges Marg, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  07972729182  
Fax    
Email  drsagarapte@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sagar Apte 
Designation  Junior Resident 
Affiliation  Tata Memorial Hospital 
Address  Room No 210, Second Floor, OT Complex, Main Building, Tata Memorial Hospital, Dr E Borges Marg, Parel, Mumbai

Mumbai
MAHARASHTRA
400012
India 
Phone  07972729182  
Fax    
Email  drsagarapte@gmail.com  
 
Source of Monetary or Material Support  
Tata Memorial Hospital, Dr E Borges Marg, Parel, Mumbai-400012, India 
 
Primary Sponsor  
Name  Dr Sohan Lal Solanki 
Address  Room No 210, Second Floor, OT Complex, Main Building, Tata Memorial Hospital, Dr E Borges Marg, Parel, Mumbai 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sohan Lal Solanki  TATA MEMORIAL HOSPITAL  Room No 210, Second Floor, OT Complex, Department of Anaesthesia, Main Building, Tata Memorial Hospital, Dr E Borges Marg, Parel, Mumbai
Mumbai
MAHARASHTRA 
02224177053

me_sohans@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Instititional Ethics Committee-II Tata Memorial Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C419||Malignant neoplasm of bone and articular cartilage, unspecified, (2) ICD-10 Condition: M968||Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NA  NA 
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1. ASA 1-3
2. Patients planned for curative surgeries of bone and soft tissue tumour (benign or malignant) of upper limb, lower limb, spine and pelvis (with or without neo-adjuvant chemotherapy)

 
 
ExclusionCriteria 
Details  1. Undergoing emergency surgery.
2. Patients in which surgery is abandoned because of inoperability.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Percentage compliance with individual components of the bone and soft tissue enhanced recovery pathway.  Time of first hospital visit to discharge from hospital after surgery 
 
Secondary Outcome  
Outcome  TimePoints 
1. Average compliance of patients with the components of the bone and soft tissue enhanced recovery pathway.
2. Post-operative complications between patients with different levels of compliance with the bone and soft tissue enhanced recovery pathway. 
Time of first hospital visit to discharge from hospital after surgery and 30-day mortality. 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

ERAS (Enhanced recovery after the surgery) society has provided multimodal approach for perioperative care of patients to improve postoperative outcome. The aim of implementation of ERAS protocol is to reduce the surgical stress, maintain normal physiology to expedite the recovery. ERAS protocols have been developed in various orthopaedic and spine surgeries including bone and spine tumours.  It has proven beneficial in terms of mortalities, morbidities and length of hospital stay.

Bone and soft tissue tumours are of various types and occurs in both adults and children. Orthopaedic oncosurgeries involves benign, malignant and metastatic bone tumours and soft tissue tumours. Recent surgical management for musculoskeletal tumours focuses more on function preservation and overall quality of life. Surgical management involves significant blood loss, functional impairment. Adjuvant chemotherapy causes various systemic complications which adds to further morbidity and mortality. Application of ERAS protocol has been studied in spinal tumours and soft tissue sarcomas, but evidence in bone tumours and soft tissue sarcoma is scarce.

The aim of our study is to conduct a prospective observational study to determine the compliance to enhanced recovery pathway in patients undergoing surgeries for musculoskeletal tumours at our tertiary care cancer centre.

 
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