Changes in Value-Based Assessment in Patients Undergoing Major Oncological Surgery

Introduction The study focuses on analyzing the level of awareness among oncological patients, their perception of their health status, and expectations regarding radical surgical intervention. It assesses changes in patients' attitudes toward their diagnosis, therapeutic options, and prognosis both preoperatively and postoperatively. The research involves a systematic collection of value-based medical history through structured interviews, enabling the identification of key factors influencing patient experience and decision-making processes in oncological treatment.

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Key information

Conditions

Senior Oncologic Disease

Age range

65 year–100 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Tomas Bata regional Hospital

Zlín, 76001, Czechia

About this study

The study is particularly focused on collecting patients' value-based medical history before and immediately after surgery. Respondents must meet specific inclusion criteria to undergo surgical procedures classified as BUPA D-hemicolectomy, rectal resection, urological surgery (cystectomy or radical nephrectomy), or resection of malignant brain tumors. Patients scheduled for surgical intervention initially underwent an assessment in the anesthesiology clinic, where they were informed about the possibility of participating in the study. Upon signing the informed consent, the collection of their value-based medical history commenced. Following surgery and prior to discharge from the intensive care unit (ICU), a subsequent interview was conducted, during which responses were compared and potential changes in personal attitudes were evaluated [1,2, 3].

The value-based medical history was obtained following a predefined set of questions. The aim of the study is to determine whether collecting value-based medical history reveals patients' level of awareness regarding their illness, their expectations, and any shifts in attitudes after surgery and hospitalization in the ICU at ARIM KNTB Zlín. The findings may indicate further hypotheses related to the collection of value-based medical history.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

• Age ≥ 65 years

Type of procedure: hemicolectomy, rectal amputation, cystectomy, extensive nephrectomy, malignant brain tumor
ASA classification III
No sensory impairment (blindness, deafness, deaf-muteness)
Patients had access to sensory aids (glasses) during assessment
No legal incapacity
Consent to participate in the study
Signed informed consent
Postoperative hospitalization in the ICU (anticipated during pre-anesthetic examination)

Exclusion criteria

• Glasgow Coma Scale ≤ 14

Somnolence, coma
Known psychiatric disorder
Effect of premedication, psychiatric or analgesic-sedative drugs during cognitive function assessment

Treatment and study plan

Primary outcomes

Understanding of illness

Time frame: one week before surgery
- What do you know about your health condition?
- How do you understand it?
Identification of a close person

Time frame: one week before surgery
- With whom do you discuss important life matters?
- Who could think or decide for you?
Patient values and preferences

Time frame: one week before surgery

What is important to you in life? Besides the surgery, what else do you think about?

Sponsors and collaborators

Lead sponsor

Tomas Bata Hospital, Czech Republic

Other

Registry information

Acronym: Value-Based As

Important dates

Study start: 2024
Primary completion: 2027
Study completion: 2027
First posted: Mar 19, 2026
Registry last updated: Mar 19, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed