A Statistical Analysis of the Causes of Cancellation of Elective Operation

Yoon, Seung Joo; Choi, Keum Ok; Yoon, Suk Min; Lim, Hae Ja; Lee, Hye Won; Cho, Hun; Chang, Seong Ho

doi:10.4097/kjae.2001.40.2.139

Cited by 5 publications

(9 citation statements)

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“…As shown in previous studies, surgery cancellation rates between different hospitals vary between 5% and 20% [3,4,5,6,7,8]. These results indicate that, while some hospitals manage a low rate of surgery cancellations, there are other hospitals exhibiting a high rate of surgery cancellations.…”

Section: Introductionsupporting

confidence: 66%

“…Previous studies assessing surgery cancellation rates and the factors associated with surgery cancellations in patients with planned surgeries performed simple analyses of the relationship between the cancellation rate and other variables, including sex, age, department performing the surgery, day and month [3,7,13,14]. However, in this study, a comprehensive analysis of the factors associated with surgery cancellations was performed through grouping variables into general, surgical and operation schedule characteristics and including additional variables such as admission status, chronic diseases, anesthesia type, emergency status, pre-operative diagnosis and year and season when the surgery was planned.…”

Section: Discussionmentioning

confidence: 99%

“…One of the major issues arising due to surgeries being cancelled on the day of surgery is that the workforce, surgical tools and space for the planned surgery are unable to be utilized, which results in wasted hospital resources. Furthermore, cancelled surgeries lead to an accumulation of surgeries and reduce the number of patients who could otherwise undergo scheduled surgeries and then be discharged on time, thereby limiting the number of new patient admissions [3]. Finally, cancelled surgeries have psychological and economic effects on both the patients and their families.…”

Section: Introductionmentioning

confidence: 99%

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Reasons for Surgery Cancellation in a General Hospital: A 10-year Study

Cho

Lee

Kim

et al. 2018

IJERPH

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Background: This study researched related causes that make scheduled surgeries canceled not to be conducted and based on the research it is to derive issues in order to reduce surgery cancellation. Methods: We analyzed the association of surgery cancellation with patient characteristics, surgical characteristics and surgery schedule related characteristics, using electronic medical record (EMR) data on surgeries conducted at a university hospital in Korea over 10 years. Additionally, we examined the reasons for surgery cancellation based on patient and hospital characteristics. We used chi-square tests to analyze the distribution of various characteristics according to reasons for surgery cancellation. Multivariate logistic regression analyses were conducted to evaluate the factors associated with surgery cancellation. Results: Among 60,333 cases, surgery cancellation rate was 8.0%. The results of the logistic regression indicated a high probability of surgery cancellation when the patient was too old (odds ratio [OR]: 1.35, 95% confidence interval [CI]: 1.14–1.59), when it was a neurosurgery case (OR: 1.39, 95% CI: 1.21–1.59), when regional anesthesia was used (OR: 1.15, 95% CI: 1.07–1.24) or when it was a planned surgery (OR: 2.45, 95% CI: 2.21–2.73). The surgery cancellation rate was lower when the patient was female (OR: 0.87, 95% CI: 0.82–0.93) or when the surgery was related to Obstetrics & Gynecology (OR: 0.53, 95% CI: 0.46–0.60) or Ophthalmology (OR: 0.66, 95% CI: 0.56–0.79). Among the canceled 4834 cases, the surgery cancellation rate for the reasons of patients was 93.2% and the surgery cancellation rate for the reasons of a hospital was 6.8%. Conclusions: This study found that there are related various causes to cancel operations, including patient characteristics, surgery related characteristics and surgery schedule related characteristics and it means that it would be possible for some reasons to be prevented. Every medical institution should consider the operation cancellation as an important issue and systematic monitoring should be needed.

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Section: Introductionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reasons for Surgery Cancellation in a General Hospital: A 10-year Study

Cho

Lee

Kim

et al. 2018

IJERPH

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“…Previous authors have reported cancellation rates ranging from 1.96% to 20.5% [1,2,3,4,5]. Reasons for cancellations vary from one institution to another, depending on a variety of practice settings.…”

mentioning

confidence: 99%

Reasons for cancellation of elective surgery in a 500-bed teaching hospital: a prospective study

Kim

Lee

2014

Korean J Anesthesiol

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“…Although there is scarce precise evidence regarding the rejection of spinal surgery, given the cancelation of a general elective surgery, there is a high incidence of rejection due to failure of a prior lumbar spine surgery, fear of the surgery itself, inability to undergo general anesthesia because of underlying diseases, and surgery postponement because of a patient’s work commitments. 4 …”

Section: Introductionmentioning

confidence: 99%

Two-year clinical outcomes of radiofrequency focal ablation using a navigable plasma disc decompression device in patients with lumbar disc herniation: efficacy and complications

Kim¹,

Hong²,

Lee³

2018

JPR

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PurposeTo report on the 2-year clinical outcomes of focal ablation using a navigable plasma disc decompression device in patients with lumbar herniated nucleus pulposus (HNP).Patients and methodsThis was a prospective, single-cohort study conducted in a clinical center. A total of 170 patients with lumbar HNP were assessed for pain intensity using the visual analog scale (VAS), for disability level using the Oswestry Disability Questionnaire (ODI), for health-related quality of life using the short form-36 version 2 of the bodily pain scale (SF-36 BP), and for the angles of passive straight leg raise (SLR) test. The herniated portions of the target discs were ablated using a navigable catheter under a well-instructed protocol with informed consent. Outcome data were prospectively collected before the procedure: 1 week after the procedure: and then 1, 3, 6, 12, and 24 months postoperatively. For statistical analysis, repeated-measures analysis of variance was performed.ResultsTwo years after the procedure, the mean VAS decreased from 7.1±1.7 to 2.1±1.9, the mean ODI decreased from 50.9±17.2 to 20.3% ± 14.6%, and the mean SF-36 BP increased from 38.8±8.4 to 45.8±9.4 (P<0.05). On the SLR test, the angular change after 2 years improved considerably from 51.2±17.3 to 85.0±9.3 degrees. There was 90%–100% VAS improvement in 25.9% and 50%–90% VAS improvement in 52.4% of the patients; 1.8% experienced pain aggravation compared with the initial VAS. Two subjects showed short-term foot drop, whereas one subject showed the severe complication of foot drop for more than 6 months. The recurrence rate ranged from 4.7% to 11.5%.ConclusionThese findings suggest that focal ablation of herniated discs using a navigable disc decompression device is worth considering for relieving pain related to lumbar HNP. However, the development of more advanced technologies and methods for safety and efficiency is necessary.

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A Statistical Analysis of the Causes of Cancellation of Elective Operation

Cited by 5 publications

References 0 publications

Reasons for Surgery Cancellation in a General Hospital: A 10-year Study

Reasons for Surgery Cancellation in a General Hospital: A 10-year Study

Reasons for cancellation of elective surgery in a 500-bed teaching hospital: a prospective study

Two-year clinical outcomes of radiofrequency focal ablation using a navigable plasma disc decompression device in patients with lumbar disc herniation: efficacy and complications

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