ArticlePatient safety in surgery2014
Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases.
Article in Patient safety in surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- All-cause cancellation of primary total shoulder arthroplasty at a single institution: prevalence, reasons and risk factors.JSES reviews, reports, and techniques · 2026Article
- Building an initial programme theory to explain how and why on-the-day surgery cancellations occur and how they might be reduced.BMC health services research · 2025Article
- Prevalence, causes, and staff perception of same-day elective surgery cancellation at a university hospital: a mixed study.The Journal of the Egyptian Public Health Association · 2025Article
- Patient characteristics associated with elective shoulder surgery cancellation: focus on socioeconomic factors.Frontiers in public health · 2025Article
- COVID-19 Disruption Of Knee Arthroscopies.The Iowa orthopaedic journal · 2025Article
- Article
- Incidence and Risk Factors for Patient-related Short-term Cancellation of Elective Arthroscopic Surgery: A Case-matched Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- The impact of cancellations in waiting times analysis: evidence from scheduled surgeries in the Portuguese NHS.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Understanding Pediatric Surgery Cancellation: Geospatial Analysis.Journal of medical Internet research · 2021Article
- Cancellation of elective surgery: rates, reasons and effect on patient satisfaction.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- Impacts of elective surgical cancellations and postponements in Canada.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Article
- Magnitude and causes of cancelation for elective surgical procedures in Debre Tabor General hospital: A cross-sectional study.SAGE open medicine · 2021Article
- Predicting Elective Orthopaedic Sports Medicine Surgical Cancellations Based on Patient Demographics.Arthroscopy, sports medicine, and rehabilitation · 2020Article
- An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey.PloS one · 2020Article
- Patient-related reasons for late surgery cancellations in a plastic and reconstructive surgery department.JPRAS open · 2018Article
- Incidence and root causes of delays in emergency orthopaedic procedures: a single-centre experience of 36,017 consecutive cases over seven years.Patient safety in surgery · 2018Article
- Contributing factors of elective surgical case cancellation: a retrospective cross-sectional study at a single-site hospital.BMC surgery · 2017Article
- Reasons for operation cancellations at a teaching hospital: prioritizing areas of improvement.Annals of surgical treatment and research · 2017Article
- How do population, general practice and hospital factors influence ambulatory care sensitive admissions: a cross sectional study.BMC family practice · 2017Article
- Opportunities for primary care to reduce hospital admissions: a cross-sectional study of geographical variation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of the Swedish public health-care system is to provide care on equal terms for all citizens. In this, as in most other systems where taxes and/or insurances pay for most of the care, normal market forces are set aside at least in part. At times, this has, for example, resulted in long waiting lists, particularly in terms of elective orthopaedic surgery, with several negative consequences, such as cancellations of planned surgery.
methodsThe main purpose of this retrospective observational single center study was to evaluate and describe the number and reasons for cancellations in elective orthopaedic surgery. Studied were all the elective patients scheduled for joint replacement, arthroscopy and foot & ankle surgery, January 1, 2007 to December 31, 2011, whose procedure was cancelled at least once.
resultsOf all 17,625 patients scheduled for elective surgery 6,911 (39%) received at least one, some several cancellations. The most common reason for cancelling a planned surgery was different patient-related factors 3,293 (33%). Cancellations due to treatment guarantee legislation reached 2,885 (29%) and 1,181 (12%) of the cancellations were related to incomplete pre-operative preparation of the patients. Organisational reasons were the cause of approximately 869 (9%) of the cancellations.
conclusionsIn this study of patients waiting for elective orthopaedic surgery 6,911(39%) had their surgical procedure cancelled at least once, some several times. It appears that it should be possible to eliminate many of these cancellations, while others are unavoidable or caused by factors outside the responsibility of the individual clinic or even hospital. One possible way of influencing the high rate of cancellations might be to change the view of the patients and involve them in the overall planning of the care process.
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