Evidence map›Paper›PMID 33666393›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2021

Cancellation of elective surgery: rates, reasons and effect on patient satisfaction.

Wan Xian Koh, Rachel Phelan, Wilma M Hopman, Dale Engen

Open access · diamondAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  10. COVID-19 on Elective Surgery Outcomes in a Brazilian Tertiary Hospital: A Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2025
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  11. Article
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  14. Preoperative Diabetes Management for Patients Undergoing Elective Surgeries at a Veterans Affairs Medical Center.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
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  20. 2023 Canadian Pediatric Anesthesia Society Statement on fasting for elective pediatric anesthesia.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Wan Xian KohFrom the Faculty of Medicine, University of British Columbia, Vancouver, BC (Koh); the Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Ont. (Phelan, Engen); and the Kingston General Health Research Institute, and Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman).
Rachel PhelanFrom the Faculty of Medicine, University of British Columbia, Vancouver, BC (Koh); the Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Ont. (Phelan, Engen); and the Kingston General Health Research Institute, and Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman).
Wilma M HopmanFrom the Faculty of Medicine, University of British Columbia, Vancouver, BC (Koh); the Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Ont. (Phelan, Engen); and the Kingston General Health Research Institute, and Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman).
Dale EngenFrom the Faculty of Medicine, University of British Columbia, Vancouver, BC (Koh); the Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Ont. (Phelan, Engen); and the Kingston General Health Research Institute, and Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman).
Queen's University · CAQueens University · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The cancellation of elective surgeries is a major problem that increases wait times, exacerbates costs and can negatively affect patients, both psychologically and physically. Our objectives were to investigate the reasons for cancellations across specialties at a single centre, to compare these reasons with previous data from the same centre between 2005 and 2009 and to examine how cancellations affected patients' lives and views of the medical system in cases when the cancellations were potentially preventable. Methods: Cancellation records of all elective surgeries scheduled between June 1, 2012, and Jan. 31, 2016, at a medium-sized, tertiary care, academic centre were retrospectively reviewed. We evaluated the rates and reasons for cancellation and interviewed a subset of patients whose surgery was cancelled for a potentially preventable reason (i.e., operating room running late, bed shortage, emergency case took place of scheduled surgery). Results: Across 11 surgical specialties, 2933 of 20 881 surgeries (14.0%) were cancelled and of these, 2448 (83.5%) were for administrative or structural reasons. Compared with the data collected previously for general, gynecological and urological procedures, cancellation rates increased from 8.1% to 11.8%. Although patients reported inconvenience, they were generally satisfied with the availability and the quality of the health care they received. Conclusion: Consistent with the previous study, our data suggest that most cancellations occur because of administrative or structural processes that are potentially preventable. Targeting these processes may help to reduce cancellations for elective surgeries and thereby improve economic efficiency and patient outcomes.

Indexed as

Patient SatisfactionAdultAgedElective Surgical ProceduresFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID33666393
PMCPMC8064262
OpenAlexW3135610373

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.