Clinical trial · Observational
Cognitive and Physical Frailty as Predictors of Decision Satisfaction in Geriatric Gynecologic Oncology
Preoperative Cognitive and Physical Frailty as Predictors of Decision Satisfaction and Postoperative Adaptation in Geriatric Gynecologic Oncology Patients: A Pilot Observational Study
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This prospective observational study aims to evaluate the association between preoperative cognitive function, measured by the Montreal Cognitive Assessment (MoCA), and physical frailty, assessed using the Clinical Frailty Scale (CFS), with postoperative decision satisfaction and adaptation in geriatric patients undergoing gynecologic cancer surgery. Approximately 60 to 70 female patients aged 65 years or older will be enrolled. Participants will complete preoperative assessments of cognitive status and frailty. Postoperative outcomes including decision satisfaction, medication adherence, mobilization, respiratory exercise compliance, and return to functional baseline will be evaluated. The study is conducted at İzmir City Hospital and is designed to generate preliminary data to inform larger-scale research.
Conditions
Conditions (4)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Cognitive Impairment | — | UNRESOLVED | — |
| Frailty | — | UNRESOLVED | — |
| Geriatric Oncology | — | UNRESOLVED | — |
| Gynecologic Cancer | Malignant Female Reproductive System Neoplasm | ALIAS | 0.90 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| No Intervention - Observational Assessment | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- label
- Geriatric Gynecologic Cancer Patients
- description
- This cohort includes female patients aged 65 years or older with a diagnosis of gynecologic malignancy who are scheduled for elective surgery. Cognitive status and physical frailty will be assessed preoperatively, and participants will be followed postoperatively to evaluate decision satisfaction and adaptation parameters.
- interventionNames
- Other: No Intervention - Observational Assessment
Primary outcomes (1)
- measure
- Postoperative Decision Satisfaction Score
- timeFrame
- From the day of surgery to postoperative day 15.
- description
- Decision satisfaction will be assessed using the Decision Regret Scale (DRS) on postoperative day 15. The scale measures the patient's satisfaction with the surgical decision-making process, with higher scores indicating greater regret.
Secondary outcomes (5)
- measure
- Preoperative Cognitive Function (MoCA)
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 65 Years
Show eligibility criteria text
Inclusion Criteria: * Female patients aged 65 years or older * Diagnosed with a gynecologic malignancy (endometrial, ovarian, cervical, or vulvar cancer) * Scheduled for elective surgery with curative or staging intent * Ability to provide informed consent * Ability to complete preoperative cognitive (MoCA) and frailty (CFS) assessments Exclusion Criteria: * Diagnosis of severe dementia or MoCA score \<10 * Undergoing emergency surgery * Patients under exclusive palliative care * Non-Turkish speaking or inability to comprehend study assessments * Presence of severe psychiatric conditions interfering with cognitive assessment
References
Publications (0)
Data not yet available