Changes in Value-Based Assessment in Patients Undergoing Major Oncological Surgery (Value-Based As)

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.

Study Overview

• Status: Active, not recruiting
• Conditions: Oncologic Disease; Senior

Detailed Description

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.

• Study Type: Observational
• Enrollment (Estimated): 100

Contacts and Locations

Study Locations

• Czechia
  • Zlín, Czechia, 76001
    • Tomas Bata regional Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Older adults aged 65 and above undergoing surgical procedures with oncological diagnosis.

Description

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

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Understanding of illness	What do you know about your health condition?; How do you understand it?	one week before surgery
Identification of a close person	With whom do you discuss important life matters?; Who could think or decide for you?	one week before surgery
Patient values and preferences	What is important to you in life? Besides the surgery, what else do you think about?	one week before surgery

Collaborators and Investigators

• Sponsor: Tomas Bata Hospital, Czech Republic

Study record dates

Study Major Dates

• Study Start (Actual): October 11, 2024
• Primary Completion (Estimated): November 11, 2027
• Study Completion (Estimated): December 20, 2027

Study Registration Dates

• First Submitted: March 15, 2026
• First Submitted That Met QC Criteria: March 15, 2026
• First Posted (Actual): March 19, 2026

Study Record Updates

• Last Update Posted (Actual): March 19, 2026
• Last Update Submitted That Met QC Criteria: March 15, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Keywords: senior
• Other Study ID Numbers: ARIM Tomas Bata Hospital Zlin; Radovan Turek (Other Identifier: ARIM Tomas Bata Hospital Zlin)

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No