What question did this study set out to answer?

To determine the incidence and primary drivers of same-day cancellations for elective operations across urban secondary and tertiary healthcare centers.

November 16, 2021World Journal of SurgeryOpen Access

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

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Why the study?

Elective surgery cancellations on the day of surgery cause financial burdens, resource wastage, and patient distress, impeding efficient surgical care delivery in resource-constrained settings.

What are the rates and reasons for elective surgical cancellations on the day of surgery in urban Indian hospitals?

Population

5231 elective surgical operations across ten urban secondary and tertiary level hospitals in India

Design

Multicentre retrospective cross-sectional study

Authors

BSBhakti SarangOperation PAR GBGeetu Prakash BhandoriaEastern Command Hospital PPPriti PatilGeorge Institute for Global Health

Discussion

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Implication

Supports quality improvement in Indian elective surgery; leaves open effectiveness of targeted interventions.

Key Points

To determine the incidence and primary drivers of same-day cancellations for elective operations across urban secondary and tertiary healthcare centers.
Conducted a multicentre retrospective cross-sectional audit across 10 urban secondary and tertiary hospitals in India through the IndSurg research consortium.
Audited hospital surgical logs over a predefined six-week observation period, evaluating planned elective operations (N=5,231) and documenting reasons for cancellation.
Identified an overall day-of-surgery cancellation rate of 9.7% (508/5,231) for scheduled elective operations, with 74% categorized as avoidable.
Attributed cancellations primarily to insufficient hospital resources (30%), patient refusal or failure to arrive (28%), and unexpected changes in medical status (22%).

Structured PICO

What are the rates and reasons for elective surgical cancellations on the day of surgery in urban Indian hospitals?

Population

5,231 scheduled elective surgical operations across ten urban secondary and tertiary level hospitals in India

Outcome

Rate and causes of cancellations of elective surgeries on the day of surgery

A significant proportion of elective surgery cancellations on the day of surgery in Indian hospitals are avoidable, highlighting the need for better resource planning and patient communication.

Cite This Study

Sarang et al. (2021) studied this question.

synapsesocial.com/papers/6a7d4e0da7839e36ac1cd433 https://doi.org/10.1007/s00268-021-06364-1

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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

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider