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Assessing the Rates and Reasons of Elective Surgical Cancellations on the Day of Surgery: A Multicentre Study from Urban Indian Hospitals.
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; Roy, Nobhojit.
Afiliación
  • Sarang B; WHO Collaborating Centre for Research in Surgical Care Delivery in LMICs, Mumbai, India.
  • Bhandoria G; Department of Surgery, Terna Medical College and Hospital, New Mumbai, India.
  • Patil P; Gynaec-Oncology and Obstetrics, Command Hospital, Kolkata, India.
  • Gadgil A; WHO Collaborating Centre for Research in Surgical Care Delivery in LMICs, Mumbai, India.
  • Bains L; Bhabha Atomic Research Centre (BARC) Hospital, Mumbai, India.
  • Khajanchi M; WHO Collaborating Centre for Research in Surgical Care Delivery in LMICs, Mumbai, India.
  • Kizhakke Veetil D; Department of Surgery, Bhabha Atomic Research Centre (BARC) Hospital, Mumbai, India.
  • Dutta R; WHO Collaborating Centre for Research in Surgical Care Delivery in LMICs, Mumbai, India.
  • Shah P; Department of Surgery, Maulana Azad Medical College, New Delhi, India.
  • Bhandarkar P; WHO Collaborating Centre for Research in Surgical Care Delivery in LMICs, Mumbai, India.
  • Kaman L; Department of Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, India.
  • Ghosh D; Department of Surgery, Manipal Hospital, Delhi, India.
  • Mandrelle K; WHO Collaborating Centre for Research in Surgical Care Delivery in LMICs, Mumbai, India.
  • Kumar A; Christian Medical College and Hospital, Ludhiana, India.
  • Bahadur A; Baroda Medical College, Vadodara, India.
  • Krishna S; WHO Collaborating Centre for Research in Surgical Care Delivery in LMICs, Mumbai, India.
  • Gautam KK; School of Health System Studies, Tata Institute of Social Sciences, Mumbai, India.
  • Dev Y; Department of Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Aggarwal M; Global Surg Research Collaborative, University of Birmingham, Birmingham, UK.
  • Thivalapill N; Department of Paediatric Surgery, Christian Medical College, Ludhiana, India.
  • Roy N; Department of Obstetrics and Gynaecology, Christian Medical College, Ludhiana, India.
World J Surg ; 46(2): 382-390, 2022 02.
Article en En | MEDLINE | ID: mdl-34787712
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quirófanos / Citas y Horarios Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: World J Surg Año: 2022 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quirófanos / Citas y Horarios Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: World J Surg Año: 2022 Tipo del documento: Article País de afiliación: India Pais de publicación: Estados Unidos