Designing a cost-driven mechanism to reduce cancellation of elective surgeries

Hajiaghapour, Kamand; Sepehri, Mohammad Mehdi; Khasha, Roghaye

doi:10.1016/j.pcorm.2020.100085

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The subgroup analysis also showed that the prevalence of cancellation was the highest in Sub-Saharan African region [ 5 , 15 , 25 , 35 , 56 , 63 ] 34% (95% confidence interval (CI): 26 to 42) followed by Latin America [ 14 , 43 , 47 , 51 , 53 , 59 , 66 ] 13% (95% confidence interval (CI): 8 to 19) were Burkina Faso and Ethiopia accounted for more than fifty percent from African region [ 5 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…Studies figured out many reasons for cancellation of operation on the intended day of surgery which themed in two broader categories as patient-related factors such as a change in medical condition, no show-up, no attendance, refuse to give informed consent and facility-related factors such as lack of a bed, operation time, equipment, inadequate workup, staff unavailability, and others [ 2 , 3 , 5 , 6 , 10 , 17 , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] ].…”

Section: Introductionmentioning

confidence: 99%

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Global prevalence and reasons for case cancellation on the intended day of surgery: A systematic review and meta-analysis

Abate

Chekole

Minaye

et al. 2020

International Journal of Surgery Open

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Background Cancellation of operation on the intended day of surgery affects the efficiency of Operation Room which incurs a significant financial loss for the patient, hospital, and health care cost of a country at large. This systematic and Meta-Analysis was intended to provide evidence on the global prevalence and determinants of case cancellation on the intended day of surgery. Methods A comprehensive search was conducted in PubMed/Medline; Science direct and LILACS from January 2010 to May 2020 without language restriction. The Heterogeneity among the included studies was checked with forest plot, χ2 test, I2 test, and the p-values. All observational studies reporting prevalence and determinants were included. Results A total of 1207 articles were identified from different databases with an initial search. Fort-eight articles were selected for evaluation after the successive screening. Thirty-three Articles with 306,635 participants were included. The Meta-Analysis revealed that the global prevalence of case cancellation on the intended day of surgery was 18% (95% CI: 16 to 20). The Meta-Analysis also showed that lack of operation theatre facility accounted for the major reason for cancellation followed by no attendant and change in medical condition. Conclusion The meta-analysis revealed that the prevalence of case cancellation was very high in low and middle-income countries and the majorities were avoidable which entails rigorous activities on operation theatre facilities, preoperative evaluation and preparation, patient and health care provider communications. Registration This Systematic Review and Meta-Analysis was registered in a research registry ( researchregistry5746 ) available at https://www.researchregistry.com/browse-the-registry#home/

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