Effects of Different Doses of Vitamin D on Cancer-related Cognitive Impairment in Patients With Gastrointestinal Tumors

NCT05552729 — Phase 1 / Phase 2, Unknown, 114 participants, Yangzhou University

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Effect of Different Doses of Vitamin D on Cancer-related Cognitive Impairment in Patients With Gastrointestinal Tumors: a Randomized Controlled Study

RegistryNCT05552729
StatusUnknown
PhasePhase 1 / Phase 2
Study typeInterventional; randomized, parallel, masking: single, treatment
Enrollment114 (Estimated)
SponsorYangzhou University (Other); collaborators: Subei People's Hospital of Jiangsu Province
ConditionsGastrointestinal Neoplasms, Cognitive Impairment
InterventionsVitamin D (Drug)
Datesstart 2022-09-22 (estimated), primary completion 2022-12-30 (estimated), completion 2022-12-30 (estimated), first posted 2022-09-23, last updated 2022-09-23
Locations1 site in China

Related Papers Related Patents Related Grants Related Experts
All trials for Gastrointestinal Neoplasms All trials for Cognitive Impairment All trials of Vitamin D

-Summary

To explore the effect of different doses of vitamin D drugs on gastrointestinal cancer cancer-related cognitive impairment, so as to provide reference and basis for the clinical use of our cognitive function surgery nursing plan for patients with gastrointestinal cancer.

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+Detailed description

To determine the incidence of postoperative cognitive dysfunction in patients with gastrointestinal tumors to determine the influencing factors of postoperative cognitive dysfunction in patients with gastrointestinal tumors. The characteristics of perioperative cancer-related cognitive impairment in patients with gastrointestinal tumors were analyzed by monitoring preoperative and postoperative FACT-COG cognitive scale connection test (Hua-Shan-version auditory word learning test) DSST digit symbol test gaffes detection task and hematology indexes, such as observation and analysis of the interference pattern of supplement vitamin D preparation postoperative hospital stay in patients with gastrointestinal tumor short-term cognitive impairment related to cancer, in order to reduce the incidence of complications and hospitalization days, improve cognitive function in patients with gastrointestinal tumor surgery, and improve the quality of nursing.

+Arms and interventions

ArmTypeInterventionsDescription
High dose groupActive comparatorDrug: Vitamin DA 2000IU vitamin D3 supplement was started the next day after surgery.
Low dose groupActive comparatorDrug: Vitamin DA 400IU vitamin D3 supplement was started the next day after surgery.
The control group.No interventionNo vitamin D3 supplement was started the next day after surgery.
  • Vitamin D (Drug), also known as Different doses of vitamin D: The patients were given vitamin D supplementation 48 hours after surgery, and the two groups were given different doses of vitamin D supplementation until the postoperative discharge criteria were met. To scientifically evaluate the application effect of early postoperative vitamin D intervention in the improvement of perioperative cognitive function in patients with gastrointestinal tumors.

+Outcome measures

Primary outcomes

  • Cognitive function [Eight days after the surgery]: Fact-cog Cognitive Scale.The higher the score, the better the cognition.

Secondary outcomes

  • Sleep [Eight days after the surgery]: Pittsburgh sleep quality index.The overall score ranges from 0 to 21, with a score of 0 to 5 indicating good sleep quality,6 to 10 indicating fair sleep quality,11 to 15 indicating fair sleep quality, and 16 to 21 indicating very poor sleep quality.
  • Cancer related fatigue [Eight days after the surgery]: Cancer Fatigue Scale. The total score ranges from 0 to 15, and 4 is considered frailty.
  • Asthenia [Eight days after the surgery]: Groningen Frailty Indicator. The total score ranges from 0 to 15, and 4 is considered frailty.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Patients with gastrointestinal tumors diagnosed by gastroscopy and histology and their family members
* Elective surgery
* Education level in primary school or above
* Be able to fill in the questionnaire alone or under the guidance of the researcher
* Informed consent and voluntary participation in this study

Exclusion Criteria:

* Patients with cognitive impairment (illiteracy less than 17 points, primary school less than 20 points, secondary school or above less than 24 points) or previous history of cognitive impairment, dementia and delirium confirmed by MMSE examination before surgery
* Patients with life-threatening acute and chronic diseases
* Patients with eye or ear diseases leading to rapid loss of hearing or vision without AIDS
* Patients who have taken drugs related to improving cognitive function or drugs for psychiatric disorders
* Patients who cannot take care of themselves or are physically disabled and unable to perform neurological function tests
* Intraoperative hypoxemia (blood oxygen saturation < 94%) more than 10 minutes
* Patients who quit or died due to non-cooperation or emergency

+Locations (1)

FacilityCityCountryStatus
Daorong WangYangzhou, JiangsuChina

+Investigators