Global prevalence and reasons for case cancellation on the intended day of surgery: A systematic review and Meta-Analysis
| Autor: | Solomon Yimer Minaye, Semagn Mekonnen Abate, Yigrem Ali Chekole, Bivash Basu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Cancellation Health care provider business.industry prevalence MEDLINE Operation room determinants global Article Surgery Test (assessment) surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Meta-analysis Health care cost medicine Forest plot 030211 gastroenterology & hepatology Observational study business |
| Zdroj: | International Journal of Surgery Open |
| ISSN: | 2405-8572 |
| Popis: | Background Cancellation of operation on the intended day of surgery affects the efficiency of Operation Room which incurs a significant financial loss for the patient, hospital, and health care cost of a country at large. This systematic and Meta-Analysis was intended to provide evidence on the global prevalence and determinants of case cancellation on the intended day of surgery. Methods Methods: A comprehensive search was conducted in PubMed/Medline; Science direct and LILACS from January 2010 to May 2020 without language restriction. The Heterogeneity among the included studies was checked with forest plot, χ2 test, I2 test, and the p-values. All observational studies reporting prevalence and determinants were included. Results A total of 1207 articles were identified from different databases with an initial search. Fort-eight articles were selected for evaluation after the successive screening. Thirty-three Articles with 306,635 participants were included. The Meta-Analysis revealed that the global prevalence of case cancellation on the intended day of surgery was 18% (95% CI: 16 to 20). The Meta-Analysis also showed that lack of operation theatre facility accounted for the major reason for cancellation followed by no attendant and change in medical condition. Conclusion The meta-analysis revealed that the prevalence of case cancellation was very high in low and middle-income countries and the majorities were avoidable which entails rigorous activities on operation theatre facilities, preoperative evaluation and preparation, patient and health care provider communications. Registration This Systematic Review and Meta-Analysis was registered in a research registry (researchregistry5746) available at https://www.researchregistry.com/browse-the-registry#home/ Highlights • The Meta-Analysis revealed that the global prevalence of case cancelation was very high. • The prevalence of case cancelation was the highest among low and middle-income countries. • The major reason for case cancelation was inadequate operation theatre facility. • Case cancelation was more prevalent among orthopedic surgical patients. |
| Databáze: | OpenAIRE |
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