Key result
The pooled prevalence of elective surgical case cancellation in Ethiopia was 21.41%, with administration-related issues being the most common root cause at 34.50%.
Why the study?
Cancellation of elective surgical operations causes emotional trauma, and in Ethiopia, the reported prevalence and root causes vary across settings.
Meta-Analysis (n=5,591)
More than one-fifth of elective surgeries in Ethiopia are canceled, most commonly due to preventable administrative issues, highlighting a need for improved healthcare planning.
High cancellation rate (~21%) driven by administrative factors; leaves open targeted system improvements pending prospective trials.
Background: Cancellation of elective surgical operation recognized as a major cause of emotional trauma to patients as well as their families. In Ethiopia, prevalence and root causes for elective surgical case cancellation varies from time to time in different settings. This systematic review and meta-analysis aimed to find the pooled prevalence and root causes for elective surgical case cancellation in Ethiopia. Methods: The databases for the search were Web of Science, PubMed, and Google Scholar. The last literature search was performed on February 8, 2020. To assess publication bias Egger's regression analysis was applied. The pooled estimation was estimated using random-effects model meta-analysis. Subgroup analysis was also done based on the root causes of surgical case cancellation. Results: This meta-analysis included a total of 5 studies with 5591 study participants. The pooled prevalence of elective surgical case cancellation was 21.41% (95% CI: 12.75 to 30.06%).Administration-related reason (34.50%) was the most common identified root cause, followed by surgeon (25.29%), medical (13.90%), and patient-related reasons (13.34%). Conclusion: The prevalence of elective surgical case cancellation was considerable. The most common root cause for elective surgical case cancellation was administration-related reasons, followed by the surgeon, medical and patient-related reasons. The causes for the surgical cancellations are potentially preventable. Thus, efforts should be made to prevent unnecessary cancellations through careful planning.
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Yohanes et al. (2020) conducted a meta-analysis in Elective surgical case cancellation (n=5,591). Elective surgical case cancellation was evaluated on Pooled prevalence of elective surgical case cancellation (95% CI 12.75 to 30.06). The pooled prevalence of elective surgical case cancellation in Ethiopia was 21.41%, with administration-related issues being the most common root cause at 34.50%.
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