Root causes of elective surgical case cancellation in Ethiopia: a systematic review and meta-analysis
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RESEARCH
Open Access
Root causes of elective surgical case cancellation in Ethiopia: a systematic review and meta-analysis Yeneabat Birhanu1*, Aklilu Endalamaw2 and Aynalem Adu1
Abstract 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. Keywords: Cancellation, Elective surgery, Ethiopia
Background Elective surgical case cancellation refers to a scheduled surgical procedure that not performed on a given day [1]. It has been a long-standing problem for healthcare organizations across the world [2]. Many patients could not receive elective surgery as per the schedule upon the waiting list [3]. Most hospitals invest resources to support operating suites. However, there is a concern of unanticipated * Correspondence: [email protected] 1 Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Full list of author information is available at the end of the article
cancellation of scheduled surgery [4]. In developing countries, cancellation of elective surgical operation is a common phenomenon [5]. Planned surgery cancellation is a well-recognized reflects of inefficiency in health care and/or service management [6]. It contributes to frustration and mental stress to the patients and their families [7]. It also increases the waiting of patients [8], surges the economic burden due to extended hospital stays [9, 10], and increases the risk of in-hospital death [11]. There are many reasons for the cancellation of elective surgical cases but they might d
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