Study of Prehabilitation Before Surgery for Kidney Tumors in People 65 and Older

What this Trial Is About

Researchers are studying whether one month of general health optimization before surgery for kidney tumors can help participants recover faster. This process, called prehabilitation, is being compared to the standard care approach. The study aims to see if those who receive prehabilitation have better satisfaction with their recovery and maintain more physical abilities after surgery. The prehabilitation program lasts four weeks and includes a detailed health assessment guided by a geriatric specialist. This assessment covers cognitive checks, depression screening, functional and nutritional evaluations, disease history, medication review, social history, and lab tests. The program also involves a home exercise plan tailored to each participants physical condition and assisted smoking cessation. Participants in the intervention group undergo surgery after completing this program, while the control group has surgery following standard timing guidelines. Participants will be monitored from enrollment through outpatient follow-ups at 21 and 90 days after surgery, and longer-term assessments up to five years. Researchers will measure changes in quality of recovery, physical tests like the chair stand and hand grip strength, adherence to the prehabilitation program, hospital stay duration, quality of life, surgical complications, economic impact, survival, and muscle mass changes. These evaluations help determine if prehabilitation improves recovery and outcomes for older adults undergoing kidney tumor surgery.

Prehabilitation Prior to Surgery for Kidney Tumors