{"id":5200,"date":"2019-02-28T12:44:18","date_gmt":"2019-02-28T12:44:18","guid":{"rendered":"http:\/\/www.library.sath.nhs.uk\/research\/?p=5200"},"modified":"2021-03-03T16:15:20","modified_gmt":"2021-03-03T16:15:20","slug":"cancelled-operations-a-7-day-cohort-study-of-planned-adult-inpatient-surgery-in-245-uk-national-health-service-hospitals-2018","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2019\/02\/28\/cancelled-operations-a-7-day-cohort-study-of-planned-adult-inpatient-surgery-in-245-uk-national-health-service-hospitals-2018\/","title":{"rendered":"Cancelled operations: a 7-day cohort study of planned adult inpatient surgery in 245 UK National Health Service hospitals (2018)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nJournal article<\/p>\n<p><strong>Author(s):<\/strong><br \/>\nWong, D.J.N.; Harris, S.K.; Moonesinghe, S.R<\/p>\n<p>Collaborators at Shrewsbury and Telford Hospital NHS Trust:<br \/>\n*Jane Wright, *Paul Jones, *Riquella Abbott, *Lisa Bacon, *Christopher Godden, *David Howe, *Angela Loughlin, *Helen Moore, *Samuel Passey, *Rebekah Rodgers<\/p>\n<p><strong>Citation:<\/strong><br \/>\nBJA: The British Journal of Anaesthesia; Oct 2018; vol. 121 (no. 4); p. 730-738<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nBackground: Cancellation of planned surgery impacts substantially on patients and health systems. This study describes the incidence and reasons for cancellation of inpatient surgery in the UK NHS. Methods: We conducted a prospective observational cohort study over 7 consecutive days in March 2017 in 245 NHS hospitals. Occurrences and reasons for previous surgical cancellations were recorded. Using multilevel logistic regression, we identified patient- and hospital-level factors associated with cancellation due to inadequate bed capacity.Results: We analysed data from 14 936 patients undergoing planned surgery. A total of 1499 patients (10.0%) reported previous cancellation for the same procedure; contemporaneous hospital census data indicated that 13.9% patients attending inpatient operations were cancelled on the day of surgery. Non-clinical reasons, predominantly inadequate bed capacity, accounted for a large proportion of previous cancellations. Independent risk factors for cancellation due to inadequate bed capacity included requirement for postoperative critical care [odds ratio (OR)=2.92; 95% confidence interval (CI), 2.12-4.02; P&lt;0.001] and the presence of an emergency department in the treating hospital (OR=4.18; 95% CI, 2.22-7.89; P&lt;0.001). Patients undergoing cancer surgery (OR=0.32; 95% CI, 0.22-0.46; P&lt;0.001), obstetric procedures (OR=0.17; 95% CI, 0.08-0.32; P&lt;0.001), and expedited surgery (OR=0.39; 95% CI, 0.27-0.56; P&lt;0.001) were less likely to be cancelled.Conclusions: A significant proportion of patients presenting for surgery have experienced a previous cancellation for the same procedure. Cancer surgery is relatively protected, but bed capacity, including postoperative critical care requirements, are significant risk factors for previous cancellations.<\/p>\n<p><strong>Altmetrics<\/strong><\/p>\n<div class=\"altmetric-embed\" data-badge-details=\"right\" data-badge-type=\"medium-donut\" data-pmid=\"30236235\" data-hide-no-mentions=\"true\"><\/div>\n<p><script type='text\/javascript' src='https:\/\/d1bxh8uas1mnw7.cloudfront.net\/assets\/embed.js'><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Journal article Author(s): Wong, D.J.N.; Harris, S.K.; Moonesinghe, S.R Collaborators at Shrewsbury and Telford Hospital NHS Trust: *Jane Wright, *Paul Jones, *Riquella Abbott, *Lisa Bacon, *Christopher Godden, *David Howe, *Angela Loughlin, *Helen Moore, *Samuel Passey, *Rebekah Rodgers<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2019\/02\/28\/cancelled-operations-a-7-day-cohort-study-of-planned-adult-inpatient-surgery-in-245-uk-national-health-service-hospitals-2018\/\">Read more <span class=\"screen-reader-text\">Cancelled operations: a 7-day cohort study of planned adult inpatient surgery in 245 UK National Health Service hospitals (2018)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[768,823,228],"class_list":["post-5200","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-768","tag-cancellations","tag-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5200","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=5200"}],"version-history":[{"count":3,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5200\/revisions"}],"predecessor-version":[{"id":5557,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5200\/revisions\/5557"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=5200"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=5200"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=5200"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}