ArticleBMC surgery2017
Contributing factors of elective surgical case cancellation: a retrospective cross-sectional study at a single-site hospital.
Article in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 45 citations in OpenAlex.
- Same-day surgical cancellations in pediatric urology: identifying trends for quality improvement.The Canadian journal of urology · 2026Article
- 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
- Cancellation of Elective Oral and Maxillofacial Surgery, a Tertiary Hospital Experience.Journal of maxillofacial and oral surgery · 2024Article
- Social Determinants of Health in Pediatric Ophthalmology Patients: Availability of Data in the Electronic Health Record and Association With Clinic Attendance.Translational vision science & technology · 2023Article
- Implications of Dual Practice on Cataract Surgery Waiting Time and Rescheduling: The Case of Malaysia.Healthcare (Basel, Switzerland) · 2021Article
- Key Experimental Factors of Machine Learning-Based Identification of Surgery Cancellations.Journal of healthcare engineering · 2021Article
- Global prevalence and reasons for case cancellation on the intended day of surgery: A systematic review and meta-analysis.International journal of surgery open · 2020Review
- An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey.PloS one · 2020Article
- Incidence and causes of cancellations of elective operation on the intended day of surgery at a tertiary referral academic medical center in Ethiopia.Patient safety in surgery · 2018Article
- Is menstruation a valid reason to postpone cardiac surgery?Annals of cardiac anaesthesiaArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCase cancellation (CC) has significant impact on the efficiency of operating room (OR) management, which can be mitigated by taking preventive measures. In this study, using the data of the West China Hospital (WCH), we identified the effect of contributing factors and recommended hospital interventions to facilitate CC prevention.
methodWe conducted a retrospective review of 11,331 elective surgical cases from January 1 to December 31, 2014. CC reasons were grouped into six categories. The methods of descriptive statistics and hypothesis test were used to identify the effect of factors.
resultsCC reasons (746) were divided into six broad categories: workup related (preoperative diagnostic assessment issues or sudden medical condition changes) (25.8%), non-specified reasons (25.8%), coordination issues (15.1%), patient related (13.0%), support system issues (11.8%), and doctor related (8.5%). The types of the most frequently performed operations are identified, as well as their CRs. The cancellation rate (CR) of males was lower than that of females (16.7% to 18.3%). A large difference in the CRs existed among doctors. The CR on Monday was significantly higher than the other four weekdays.
conclusionsWorkup related issues, the types of procedures, the menstrual cycle of females, highly imbalanced CRs among doctors, and tendency of cancellation on Monday are the major identified factors, which account for a significant amount of preventable cancellations. It is suggested that corresponding hospital interventions can reduce CR and improve OR efficiency, including maintaining effective coordination, good communication and well-designed preoperative assessment processes, focusing on the type of procedures which are more time-consuming and complex, paying special attention to the physiology of females during surgery planning, taking measures to reduce CR of top eight doctors, and improving surgery scheduling on Monday.
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