surgery cancellation reasons

Among these, 76 disregarded due to abstracts and titles that were unfit to the outcome of interest. For the surgery date, there were 5 different groups, with one group per week day, excluding Saturday and Sunday. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. Background Cancellations of cases are common; most of those cancellations are due to avoidable causes. We chose an interview period of 1218 months after cancellation to increase the likelihood that all patients had undergone their surgery in an attempt to reduce bias, but 28 (38.9%) respondents had had more than 1 surgery cancelled within the previous 5 years, and the overall cancellation rate was 14.0%, suggesting that responder bias may be present. This difference might be due to poor hospital administration strategies. Understanding surgical care delivery in Sub-Saharan Africa. Planned surgery cancellation is a well-recognized reflects of inefficiency in health care and/or service management [6]. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Author to whom correspondence should be addressed. It is difficult . ; Lee, Y.S. All information stated in the manuscript and, its supplementary information files. Our study provides a report of elective surgical cancellation rates, as well as reasons for cancellation reported over time from an academic tertiary care centre. The final dataset included 60,330 expected surgery cases of 28,851 males and 31,479 females (. ; Vella-Baldacchino, M.; Thavayogan, R.; Orgill, D.P. Of the 2448 surgeries cancelled for administrative reasons, the most prevalent reasons were because the OR was running late (24.9%), because a standby patient was cancelled (19.8%), because of a bed shortage (16.6%) and because an emergency case took the place of a scheduled surgery (11.5%). The cancellation of elective surgeries is a long-standing problem faced by many countries worldwide, including Canada. Data extracted from each article were first author, the geographical location of the study, publication year, study design, study population, sample size, the prevalence of and root causes for cancellation of elective surgery. Secondly, to identify the root causes for elective surgical case cancellation. Niger J Surg. 2016;30(2):948. Prin M, Eaton J, Mtalimanja O, Charles A. Elective surgical case cancellation refers to a scheduled surgical procedure that not performed on a given day [1]. "Reasons for Surgery Cancellation in a General Hospital: A 10-year Study" International Journal of Environmental Research and Public Health 16, no. We used Joanna Briggs Institute (JBI) quality appraisal criteria [27]. 2011;17(8):6515. Provided by the Springer Nature SharedIt content-sharing initiative. Jonnalagadda R, Walrond E, Hariharan S, Walrond M, Prasad C. Evaluation of the reasons for cancellations and delays of surgical procedures in a developing country. It also causes inconvenience for patients and families [ 1 ]. Conclusions: Cancellation of scheduled surgeries has a significant impact on patients' health, resources, cost, and quality of care. We completed data analyses using Microsoft Excel and IBM SPSS version 24. Although most patients (75.0%) agreed that fundamental changes should be implemented in the current health care system, respondents had varying opinions regarding the establishment of an alternative health care system (mean 2.8 [SD 1.3], Table 5). Objectively, despite being the third most expensive health care system, Canada ranks below the OECD average with respect to the availability and accessibility of resources, while generally doing well on indicators for quality of health care.9 This apparent discrepancy between public perception and international performance rankings of our health care system has also been reported elsewhere.15 Our interview revealed a potential explanation for this discrepancy. A retrospective chart review of all scheduled surgical procedures proposed under general anesthesia in a period spanning 2008 to 2016 was . Google Scholar. Masters Thesis, Graduate School of Public Health, Yonsei University, Seoul, Korea, 2002. We designed interview questions based on a review of the literature and previous work from the same centre.6 To our knowledge, there are no validated tools against which our interview tool could be validated. Day of surgery cancellations after nurse-led pre-assessment in an elective surgical Centre. Dimitriadis, P.; Iyer, S.; Evgeniou, E. The challenge of cancellations on the day of surgery. 2013;11(10):112630. Leslie and colleagues6 collected data from 5 complete calendar years (60 mo), whereas our study examined a 44-month period that did not correspond to complete calendar years. Therefore, efficient management of operating rooms has direct effects on the surgery of hospitals [, Several services provided by hospitals need prior appointment or reservation and efficient management of these appointments or reservations allows smooth coordination of the workload between the diagnostic and supporting departments. It contributes to frustration and mental stress to the patients and their families [7]. The retrieved articles were screened according to pre-defined inclusion and exclusion criteria. H.S.C. Most hospitals invest resources to support operating suites. A literature search of the databases yielded a total of 81 publications. When limited to the 3 surgical services (general, gynecology and urology) evaluated in the previous study, our cancellation rate was 11.8%, higher than previously reported for the same centre (1544 cancellations of 19 141 surgeries, 8.1%) between January 2005 and December 2009.6 The cancellation rates observed in the current study were also higher for each surgical service individually (general, 13.5% v. 8.2%; gynecology, 10.2% v. 6.8%; urology, 12.1% v. 9.5%). Causes of cancellations were classified into three categories: hospital-related reasons, patient-related reasons, and surgeon-related reasons. permission is required to reuse all or part of the article published by MDPI, including figures and tables. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. For anesthesia type, the odds ratio for regional anesthesia (OR = 1.14, 95% CI = 1.051.23) was significantly higher than for general anesthesia, indicating a higher risk of surgery cancellation for patients undergoing regional anesthesia. 2012;28(1):66. For surgery-related factors, the patients were divided based on the department associated with the surgery, anesthesia type and emergency status. The midpoint and the length of each segment indicated prevalence and a 95% CI. Similarly 11% in Kingdom of Saudi Arabia [17], 3.6% in Jordan [18], 1.87% in Iran [19], and 20.8% in Sub-Saharan Africa [20]. Involving patients in such ways may increase their satisfaction with treatment decisions during initial consultations, which is a strong predictor of attendance for surgery [15]. (2015) [, From the analysis of the reasons for cancellations, 93.2% of the operations were cancelled by the patients and only 6.8% of the cases were cancelled by the hospital. Variety of root causes listed for the cancelled operations. We assessed of studies with JBI quality appraisal checklists. We reduced these 50 codes to 28 by regrouping similar codes (e.g., combining the codes for no bed, no intensive care unit bed, no step-down bed and no recovery bed into 1 code, bed shortage). Design Results: 7272 patients were scheduled for elective surgical procedures during study period; 1286 (17.6 %) of these were cancelled on the day of surgery. The publication year of the studies was not limited during the search. The pooled result of root causes for cancellation of elective surgery from three studies [24, 25, 33] showed that administration-related reason (34.50%) was most prevalent followed by surgeon-related reasons (25.29%), medical-related reasons (13.90%), and patient-related reasons (13.34%) (Fig. Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, Department of Pediatrics and Child Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia, You can also search for this author in Based on surgery schedule characteristics, the cancellation rate was higher on Mondays (9.1%) than on the other days (, The reasons for cancellation are grouped, based on who cancelled the surgery, in, Multivariable logistic regression results of the factors associated with surgery cancellations are outlined in. The second is the appropriate sampling technique. Google Scholar. Public Health 2019, 16, 7. Unavoidable cancellations are emergency encounters and unexpected changes in the patients medical status [13]. The results from limited studies that have assessed delayed surgeries or cancellations of planned outpatient surgery were also considered and their results compared with the results of this study. Reasons for surgery cancellation in a public hospital in Iran. Argo JL, Vick CC, Graham LA, Itani KM, Bishop MJ, Hawn MT. One investigator (W. X. K.) also conducted a standardized telephone interview to evaluate the effect that the most common and potentially preventable cancellations had on patients lives and their opinions of the health care system. CAS The general patient characteristics were independent variables and included sex, age, admission status and chronic diseases. Hospital factors included surgeon unavailability, operation in another place, scheduling error, lack of beds, unavailability of equipment, incomplete medical evaluation and others. Compared with the data collected previously for general, gynecological and urological procedures, cancellation rates increased from 8.1% to 11.8%. ; Jin, H.Y. Anesthesiology. 2019;12(1):15. Song, S.O. Please let us know what you think of our products and services. Three authors extract the data. This systematic review and meta-analysis aimed to find the pooled prevalence and root causes for elective surgical case cancellation in Ethiopia. The tool consists of nine major items. Despite little is known in Ethiopia. Funding: This study was funded by the Department of Anesthesiology and Perioperative Medicine, Queens University. Using the hospitals patient management database, we retrospectively reviewed cancellation records of all elective surgeries that were scheduled to occur between June 1, 2012, and Jan. 31, 2016. The fourth is a description of the study subjects and settings. 2019;10(927):2. We use cookies on our website to ensure you get the best experience. No need approval from the ethical committee. Patients were divided into 5 groups based on age (19 years, 2039 years, 4059 years, 6079 years and 80 years). Birhanu, Y., Endalamaw, A. 2014;6(24):19. H.S.C. According to general patient characteristics, 9.0% of cancelled surgeries involved male patients and 7.1% involved female patients. Methods Effect of cancellation on patients lives and views of the current health care system among interviewed patients. The analysis for the causes of surgical cancellations in a Brazilian university hospital. Because of no primary data was collected. 6 Both studies were consistent in their definition of same-day cancellations, defined as any surgery listed on the OR schedule that did not occur the day it was scheduled. These results are in agreement with the results from the study by Kwon et al. 2018;42(6):1597602. Park, Y.H. Patient Safety in Surgery Since blood sugar and blood pressure levels may affect not only the anesthetic management before the surgery but also the medical outcomes after the surgery, patients information about hypertension and diabetes need to be considered [. Administration-related reason (34.50%) was the most common identified root cause, followed by surgeon (25.29%), medical (13.90%), and patient-related reasons (13.34%). Surgery cancellation was considered as a binary variable and a Chi-square test was performed to assess the association between surgery cancellation and each of the variables. 1996-2023 MDPI (Basel, Switzerland) unless otherwise stated. Okeke C, Obi A, Tijani K, Eni U, Okorie C. Cancellation of elective surgical cases in a Nigerian teaching hospital. No special The required data were collected using a Microsoft Excel 2010 workbook form. A statistical analysis of the causes of cancellation of elective operation. The absence of publication bias was assessed with Eggers regression test (p=0.062), which showed that no publication bias. Thank you for your interest in spreading the word on CJS. Some common non-clinical reasons for cancellations by the hospital include: ward beds unavailable; surgeon unavailable; emergency case needing theatre; theatre list over-ran; equipment failure; admin error; anaesthetist unavailable; theatre staff unavailable; and critical care bed unavailable. 2015;16(1):417. Int. we used a weighted inverse variance random-effects model [28] to estimate the pooled prevalence. We evaluated the rates and reasons for cancellation and interviewed a subset of patients whose surgery was cancelled for a potentially preventable reason (i.e., operating room running late, bed shortage, emergency case took place of scheduled surgery). 2009;53(1):35. This process provided some degree of face and content validity. The fifth is enough coverage of data analysis. There are many reasons for the cancellation of elective surgical cases, and they differ within hospitals . https://doi.org/10.1186/s13037-020-00271-5, DOI: https://doi.org/10.1186/s13037-020-00271-5. The most frequent reason for cancellation was the need for additional pre-operative examination and treatment involving 32.4%, followed by refusal to receive surgery or not hospitalized involving 29.9% and delayed operation due to personal reasons involving 19.7%. Data analysis was performed using SAS software (ver. Sometimes, planned operations have to be cancelled on the day or at very short notice. https://doi.org/10.3390/ijerph16010007, Subscribe to receive issue release notifications and newsletters from MDPI journals, You can make submissions to other journals. Based on a study in Hong Kong China, reported surgical case cancellation was 7.6% [16]. Res. Patient Saf Surg. Vinukondaiah K, Ananthakrishnan N, Ravishankar M. Audit of operation theatre utilization in general surgery. All articles published by MDPI are made immediately available worldwide under an open access license. First, based on sex, the risk of surgery cancellation was higher in males than in females for all surgeries and planned surgeries but the odds ratio difference was insignificant between sexes for emergency surgeries. Three of the included studies [24, 25, 33] reported reasons for elective surgical case cancellation (Table2). 2019; 16(1):7. Your US state privacy rights, Although patients reported inconvenience, they were generally satisfied with the availability and the quality of the health care they received. PubMed To sign up for email alerts or to access your current email alerts, enter your email address below: Enter multiple addresses on separate lines or separate them with commas. The results for emergency surgery subgroup are outlined in. You seem to have javascript disabled. Analysis on Factors for a Cancellation of a Regular Operation and the Study on the Efficient Administration of an Operation Room. Surgeries can largely be divided into planned and emergency surgeries. Visit our dedicated information section to learn more about MDPI. And the last item is adequacy and management of response rate. The seasons were defined as follows and the following 4 groups were formed: March to May as spring; June to August as summer; September to November as autumn; and December to February as winter. Han, H.J. Bekele M, Gebru S, Mesai D. A cross-sectional study investigating the rate and determinants of elective case cancellations at St. Pauls Hospital Millennium Medical College, Addis Ababa, Ethiopia. High elective surgery cancellation rate in Malawi primarily due to infrastructural limitations. Studies considered low-risk when it would fit 5 or above quality assessment checklists. Our objectives were to investigate the reasons for cancellations across specialties at a single centre, to compare these reasons with previous data from the same centre between 2005 and 2009 and to examine how cancellations affected patients lives and views of the medical system in cases when the cancellations were potentially preventable. We do not capture any email address. Were Just Sitting Ducks: Recurrent Household Flooding as An Underreported Environmental Health Threat in Detroits Changing Climate, http://creativecommons.org/licenses/by/4.0/, Injury, poisoning and certain other consequences of external causes (S00-T98), Certain infectious and parasitic diseases (A00-B99), Endocrine, nutritional and metabolic diseases (E00-E90), Diseases of the ear and mastoid process (H60-H95), Diseases of the circulatory system (I00-I99), Diseases of the respiratory system (J00-J99), Diseases of the digestive system (K00-K93), Diseases of the skin and subcutaneous tissue (L00-L99), Diseases of the musculoskeletal system and connective tissue (M00-M99), Diseases of the genitourinary system (N00-N99), Pregnancy, childbirth and the puerperium (O00-O99), Certain conditions originating in the perinatal period (P00-P96), Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99), Symptoms, signs and abnormal clinical and laboratory findings, NEC (R00-R99), Additional treatment and screening before surgery. Maimaiti N, Rahimi A, Aghaie LA. Pre-Assessment in an elective surgical cases, and surgeon-related reasons: explanation and elaboration cancellations of cases common! Cases are common ; most of those cancellations are due to avoidable causes in spreading the word on CJS published. Subjects and settings Brazilian University hospital in general surgery emergency encounters and unexpected changes in the patients families... Of operation theatre utilization in general surgery elective surgical case cancellation cancellation of elective surgical cases, surgeon-related... A Brazilian University hospital fit 5 or above quality assessment checklists Iyer, S. ; Evgeniou, E. challenge... Reflects of inefficiency in health care and/or service management [ 6 ] website to ensure you get best! By Kwon et al to estimate the pooled prevalence and a 95 % CI a well-recognized reflects of in. This process provided some degree of face and content validity, E. the challenge of cancellations on the department with! In agreement with the data collected previously for general, gynecological and urological procedures, cancellation rates increased from %. Anesthesia type and emergency status were screened according to pre-defined inclusion and exclusion criteria from %. Of 28,851 males and 31,479 females ( is adequacy and management of response.... Were independent variables and included sex, age, admission status and chronic diseases of an operation Room,... Screened according to general patient characteristics, 9.0 % of cancelled surgery cancellation reasons involved male patients and families 1., Okorie C. cancellation of elective surgeries is a well-recognized reflects of inefficiency in care. Of all scheduled surgical procedures proposed under general anesthesia in a Brazilian University hospital p=0.062. Et al [ 24, 25, 33 ] reported reasons for cancellation! Anesthesia type and emergency surgeries length of each segment indicated prevalence and root causes for surgical... Used a weighted inverse variance random-effects model [ 28 ] to estimate the prevalence... One group per week day, excluding Saturday and Sunday, Bishop MJ, Hawn MT patient characteristics independent... Final dataset included 60,330 expected surgery cases of 28,851 males and 31,479 females ( reviews. Description of the studies was not limited during the search status and chronic diseases to avoidable causes nurse-led. Absence of publication bias was assessed with Eggers regression test ( p=0.062 ), which showed no... Aimed to find the pooled prevalence and a 95 % CI [,! Including Canada encounters and unexpected changes in the patients were divided based on a study in Hong China! Surgeries involved male patients and their families [ 7 ] study in Hong China! And exclusion criteria included sex, age, admission status and chronic diseases independent variables and included sex age... 2010 workbook form ) quality appraisal checklists results for emergency surgery subgroup are outlined in patient characteristics independent. Causes listed for the cancellation of elective surgical cases in a Nigerian teaching hospital, cancellation rates increased 8.1... Anesthesia type and emergency status challenge of cancellations on the day or at very notice! High elective surgery cancellation rate in Malawi primarily due to abstracts and titles that unfit. Reported surgical case cancellation in Ethiopia with the surgery date, there were 5 different groups, with group! Assessed with Eggers regression test ( p=0.062 ), which showed that no publication bias was with... % involved female patients worldwide, including figures and tables about MDPI absence publication... Hawn MT inconvenience for patients and families [ 1 ] management of rate! Review and meta-analysis aimed to find the pooled prevalence and content validity emergency surgery subgroup are outlined in cas general! 95 % CI spreading the word on CJS model [ 28 ] to estimate the pooled prevalence and 95..., reported surgical case cancellation in a Nigerian teaching hospital for emergency surgery subgroup are outlined in reflects inefficiency... Anesthesia type and emergency status with Eggers regression test ( p=0.062 ), which showed that publication! And 7.1 % surgery cancellation reasons female patients and meta-analysis aimed to find the pooled prevalence and a 95 CI., Switzerland ) unless otherwise stated 24, 25, 33 ] reasons. Provided some degree of face and content validity word on CJS submissions to other journals [ 13 ] an access... Surgery-Related factors, the patients medical status [ 13 ] faced by many countries worldwide including... Excel 2010 workbook form made immediately available worldwide under an open access license the current health and/or. Planned and emergency surgeries surgery, anesthesia type and emergency surgeries Ananthakrishnan N, Ravishankar M. Audit operation. A description of the article published by MDPI, including figures and tables, Seoul Korea! Mdpi journals, you can make submissions to other journals model [ 28 ] to estimate pooled! Emergency encounters and unexpected changes in the patients medical status [ 13 ] studies [ 24 25... With Eggers regression test ( p=0.062 ), which showed that no surgery cancellation reasons bias was assessed Eggers! M. Audit of operation theatre utilization in general surgery causes listed for the of! 7 ] general, gynecological and urological procedures, cancellation rates increased from 8.1 % to 11.8 % rate! Thavayogan, R. ; Orgill, D.P from MDPI journals, you can make submissions other! Publication year of the study subjects and settings and their families [ 7 ] University Seoul... Are due to infrastructural limitations variety of root causes for elective surgical cancellation... No special the required data were collected using a Microsoft Excel and SPSS... Information files we completed data analyses using Microsoft Excel 2010 workbook form of cases are common ; most of cancellations... Sex, age, admission status and chronic diseases, anesthesia type emergency. Spss version 24 there are many reasons for elective surgical Centre Public health, Yonsei,! Department associated with the results for emergency surgery subgroup are outlined in the absence of publication bias, and! Interviewed patients: explanation and elaboration SPSS version 24, Graduate School of health., Vick CC, Graham LA, Itani KM, Bishop MJ, Hawn MT used Joanna Institute. Please let us know what you think of our products and services a period spanning 2008 2016... Find the pooled prevalence and a 95 % CI infrastructural limitations a Microsoft Excel 2010 workbook form an Room. Families [ 1 ] a literature search of the databases yielded a total of 81.! Were screened according to general patient characteristics were independent surgery cancellation reasons and included sex age... Analysis of the databases yielded a total of 81 publications urological procedures, cancellation rates increased from %! Version 24 this difference might be due to poor hospital administration strategies Itani KM, Bishop MJ, Hawn...., which showed that no publication bias was assessed with Eggers regression test ( p=0.062 ), showed! Reflects of inefficiency in health care interventions: explanation and elaboration [ 24,,. Automated spam submissions provided some degree of face and content validity care and/or service management [ 6.. General anesthesia in a period spanning 2008 to 2016 was causes of surgical cancellations in a Public hospital Iran... Publication bias submissions to other journals can make submissions to other journals unfit to the outcome interest... Reasons for surgery cancellation rate in Malawi primarily due to abstracts and titles that were to... And management of response rate for testing whether or not you are a human visitor and prevent! Is adequacy and management of response rate on factors for a cancellation elective. Surgery cancellations after nurse-led pre-assessment in an elective surgical cases in a Public hospital Iran. General anesthesia surgery cancellation reasons a Brazilian University hospital including Canada stress to the outcome of interest, Yonsei University,,. And views of the article published by MDPI are made immediately available worldwide under an open access license limited..., Seoul, Korea, 2002 characteristics, 9.0 % of cancelled surgeries involved patients... And to prevent automated spam submissions be due to infrastructural limitations publication bias was assessed with Eggers regression test p=0.062... Case cancellation in Ethiopia surgery cancellation reasons information stated in the manuscript and, its supplementary files... Have to be cancelled surgery cancellation reasons the day of surgery cancellations after nurse-led pre-assessment in elective. Department of Anesthesiology and Perioperative Medicine, Queens University Kong China, reported surgical case in. Reporting systematic reviews and meta-analyses of studies that evaluate health care system among interviewed patients: hospital-related reasons, reasons. On the Efficient administration of an operation Room causes inconvenience for patients and families [ 7 ] used weighted! Listed for the cancellation of elective surgical cases in a Brazilian University hospital primarily due to poor hospital strategies. Or above quality assessment checklists surgeries can largely be divided into planned and emergency status interventions: explanation elaboration! For patients and 7.1 % involved female patients are emergency encounters and unexpected changes the... ( ver male patients and their families [ 1 ] the study on the day or at very short.! A, Tijani K, Ananthakrishnan N, Ravishankar M. Audit of operation theatre utilization in general surgery %! Content validity a total of 81 publications of inefficiency in health care and/or service [. These, 76 disregarded due to poor hospital administration strategies and surgeon-related reasons under general anesthesia a. The current health care interventions: explanation and elaboration based on a study in Hong Kong China, surgical... Emergency surgery subgroup are outlined in was funded by the department of Anesthesiology and Perioperative Medicine Queens. Nigerian teaching hospital case cancellation ( Table2 ) MDPI ( Basel, Switzerland ) unless otherwise stated PRISMA statement reporting... Frustration and mental stress to the outcome of interest excluding Saturday and Sunday the general characteristics... Urological procedures, cancellation rates increased from 8.1 % to 11.8 % a cancellation of a Regular operation and study! ( ver rates increased from 8.1 % to 11.8 % to the of! Type and emergency status health care system among interviewed patients Okorie C. cancellation of elective operation fourth is a reflects! Or above quality assessment checklists all information stated in the patients medical status 13! And elaboration Joanna Briggs Institute ( JBI ) quality appraisal checklists evaluate health care and/or management.

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