We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Assessing the Rates and Reasons of Elective Surgical Cancellations on the Day of Surgery: A Multicentre Study from Urban Indian Hospitals.
- Authors
Sarang, Bhakti; Bhandoria, Geetu; Patil, Priti; Gadgil, Anita; Bains, Lovenish; Khajanchi, Monty; Kizhakke Veetil, Deepa; Dutta, Rohini; Shah, Priyansh; Bhandarkar, Prashant; Kaman, Lileswar; Ghosh, Dhruva; Mandrelle, Kavita; Kumar, Ashwani; Bahadur, Akshay; Krishna, Sunil; Gautam, Kamal Kishore; Dev, Ya; Aggarwal, Manisha; Thivalapill, Neil
- Abstract
Background: Cancellations of elective surgeries on the day of surgery (DOS) can lead to added financial burden and wastage of resources for healthcare facilities; as well as social and emotional problems to patients. These cancellations act as barriers to delivering efficient surgical services. Optimal utilisation of the available resources is necessary for resource-constrained low-and-middle-income countries (LMIC). This study investigates the rate and causes of cancellations of elective surgeries on the DOS in various surgical departments across ten hospitals in India. Methods: A research consortium 'IndSurg' led by World Health Organisation Collaboration Centre (WHOCC) for Research in Surgical Care Delivery in LMICs, India conducted this multicentre retrospective cross-sectional study to analyse the cancellations of elective/planned surgical operations on DOS across urban secondary and tertiary level hospitals. We audited surgical records of a pre-decided period of six weeks for cancellations, documented relevant demographic information and reasons for cancellations. Results: We analysed records from the participating hospitals, with an overall cancellation rate of 9.7% (508/5231) on the DOS for elective surgical operations. Of these, 74% were avoidable cancellations. A majority (30%) of these 508 cancellations were attributed to insufficient resources, 28% due to patient's refusal or failure to show-up, and 22% due to change in patient's medical status. Conclusion: We saw a preponderance of avoidable reasons for elective surgery cancellations. A multidisciplinary approach with adequate preoperative patient counselling, timely communication between the patients and caregivers, adequate preoperative anaesthetic assessment, and planning by the surgical team may help reduce the cancellation rate.
- Subjects
INDIA; ELECTIVE surgery; WORLD Health Organization; URBAN hospitals; HEALTH facilities; OPERATIVE surgery; URBAN studies
- Publication
World Journal of Surgery, 2022, Vol 46, Issue 2, p382
- ISSN
0364-2313
- Publication type
Article
- DOI
10.1007/s00268-021-06364-1