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Active, not recruitingNCT07481994Value-Based AsUpdated Mar 19, 2026

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

An observational study in Senior and Oncologic Disease, sponsored by Tomas Bata Hospital, Czech Republic. Active, not recruiting at 1 site in Czechia. Open to participants aged 65 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Tomas Bata Hospital, Czech Republic · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
65 Years to 100 Years
Sex
All
01

Study summary

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.

Read the 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.

02

Conditions studied

  • Senior
  • Oncologic Disease

Keywords

  • senior
03

In context

Lead sponsor

Tomas Bata Hospital, Czech Republic is the lead sponsor of 11 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

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

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

Exclusion Criteria:

    • Glasgow Coma Scale ≤ 14

      • Somnolence, coma
      • Known psychiatric disorder
      • Effect of premedication, psychiatric or analgesic-sedative drugs during cognitive function assessment
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Understanding of illness

    1. What do you know about your health condition? 2. How do you understand it?

    Time frame: one week before surgery

  2. Identification of a close person

    * With whom do you discuss important life matters? * Who could think or decide for you?

    Time frame: one week before surgery

  3. Patient values and preferences

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

    Time frame: one week before surgery

07

Study locations

1 site
  • Tomas Bata regional Hospital
    Zlín, 76001, Czechia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07481994
Lead sponsor
Tomas Bata Hospital, Czech Republic
Responsible party
Turek Radovan (Deputy Head of the Department of Anesthesiology and Intensive Care, Tomas Bata Hospital, Czech Republic) — Principal investigator
First posted
Mar 19, 2026
Start date
Oct 11, 2024
Primary completion
Nov 11, 2027 (estimated)
Completion
Dec 20, 2027 (estimated)
Last update
Mar 19, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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