Same-Day Cancellation in Vascular Surgery: 10-Year Review at a Large Tertiary Care Center

Matzek, Luke J.; Smith, Bruce P.; Mauermann, William J.; Bower, Thomas C.; Smith, Mark M.

doi:10.1016/j.avsg.2019.06.036

Cited by 12 publications

(16 citation statements)

References 20 publications

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“…The results are comparable to various studies [6,[11][12][13]. Matzek et al [14] had reported cancellation rate of 2% of all the vascular surgeries performed at Mayo Clinic, Rochester, Minnesota. In a tertiary hospital in Karachi, Pakistan, the rate of overall surgical case cancellation was 6.8% [13].…”

Section: Discussionsupporting

confidence: 86%

Same day cancellation of elective ENT surgeries in a tertiary referral hospital

Shakya¹,

Gurung²,

Pradhananga³

et al. 2020

Otorhinolaryngol Head Neck Surg

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Objective: Cancellations of elective surgical cases on the scheduled day in a tertiary referral hospital vary from 0.1% to 40% due to varied causes. Such cancellations result in financial loss, waste of resources of a health care facility with equally disappointing loss of time and money of the patients and the caretakers. The current study assesses the magnitude and causes of cancellation of cases on the same day of surgery in ENT department of a tertiary referral hospital and suggests measures to reduce the cancellation rate.

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Section: Discussionsupporting

confidence: 86%

Same day cancellation of elective ENT surgeries in a tertiary referral hospital

Shakya¹,

Gurung²,

Pradhananga³

et al. 2020

Otorhinolaryngol Head Neck Surg

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“…The diverse reasons for elective surgery cancellations range from inadequate preoperative assessment and preparation, patient-related factors, financial or administrative reasons, non-availability of personnel or equipment, lack of operating room time, and emergency surgery disrupting the elective list [ 6 , 10 , 11 ]. However, studies emphasising the rates of elective surgical cancellations and documenting the reasons from India are mainly single-centre studies [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing the Rates and Reasons of Elective Surgical Cancellations on the Day of Surgery: A Multicentre Study from Urban Indian Hospitals

et al. 2021

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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.

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“…As taxas de cancelamento de cirurgias foram superiores para países em desenvolvimento, em comparação aos países desenvolvidos 13,19,21 . Nos países em desenvolvimento, onde os recursos são limitados, a suspensão de cirurgias eletivas, por diferentes razões, constitui um fenômeno comum na maioria dos hospitais 7,12,15,17 .…”

Section: Annals Of Vascular Surgeryunclassified

“…O cancelamento de cirurgias favorece o adiamento no tratamento de um paciente, gera retrabalho para equipe, implica ociosidade e possíveis complicações, em decorrência do prolongamento do tempo de internação 13,18,21 .…”

Section: Annals Of Vascular Surgeryunclassified

“…Os estudos incluíram países com Índice de Desenvolvimento Humano (IDH) em posições variáveis como Inglaterra, Estados Unidos, China, Espanha, Arábia Saudita, México, Índia, Colômbia, Argentina, Brasil, Tanzânia, Paquistão e Etiópia[7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] . Caracterização dos estudos que compuseram a amostra, segundo título, periódico, ano de publicação, país de origem, tipo de estudo e resultados.Indisponibilidade das salas cirúrgicas e instalaçõesinadequadas foram as causas mais comuns de cancelamentos em 53,0% e 28,4% dos casos, respectivamente.…”

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Causas institucionais para cancelamento de cirurgias eletivas

et al. 2020

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Objetivo: Analisar as produções científicas sobre cancelamento de cirurgias eletivas pelas causas institucionais. Método: Revisão integrativada literatura, sistematizada pelo acrônimo Participante, Interesse e Contexto (PICo), de acordo com a estratégia PICo e procedimentos definidos peloPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A busca bibliográfica foi realizada em setembro de 2018 e atualizadaem maio de 2020, nas bases de dados Sistema Online de Busca e Análise de Literatura Médica (MEDLINE)/PubMed, Literatura Latino-Americana e doCaribe em Ciências da Saúde (Lilacs) e Base de Dados em Enfermagem (BDEnf ) da Biblioteca Virtual em Saúde (BVS), Scopus (Elsevier) do Portal dePeriódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) e Biblioteca Eletrônica Científica Online (SciELO). Foram consideradaspublicações de 2008 até 2020, nos idiomas português, inglês e espanhol. Resultados: Foram identificados, na busca bibliográfica, 920 estudos,sendo 263 duplicados, restando 657 para seleção. Ao final, foram incluídos 15 estudos na síntese. Conclusão: As causas institucionais identificadas foramo avanço de horário da cirurgia anterior, gerando a indisponibilidade de salas cirúrgicas, problemas estruturais, falta ou defeitos em equipamentos erecursos humanos insuficientes.

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Same-Day Cancellation in Vascular Surgery: 10-Year Review at a Large Tertiary Care Center

Cited by 12 publications

References 20 publications

Same day cancellation of elective ENT surgeries in a tertiary referral hospital

Same day cancellation of elective ENT surgeries in a tertiary referral hospital

Assessing the Rates and Reasons of Elective Surgical Cancellations on the Day of Surgery: A Multicentre Study from Urban Indian Hospitals

Causas institucionais para cancelamento de cirurgias eletivas

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