A meta-analysis of ambulatory surgery cancellation rates_West China Medical Journal

Authors：

LIU Qian , ZHANG Han , GU Yufei ,  HUANG Mingjun

1. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

HUANG Mingjun, Email: hmj123123@126.com

Keywords：

Ambulatory surgery; cancellation rate; meta-analysis

DOI：

10.7507/1002-0179.202312077

Video：

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Objective To understand the current situation of ambulatory surgery cancellation rates and the reasons for cancellation. Methods China National Knowledge Infrastructure, Wanfang data, VIP database, Embase, Web of Science, PubMed and Cochrane Library were systematically searched for literature reporting cancellation of ambulatory surgery and published between January 1st, 2000 and September 1st, 2023. Data extraction and meta-analysis were conducted after literature screening, and subgroup analyses were conducted based on the type of the ward, reasons for cancellation, and study sites. Results A total of 19 studies were included, with a total of 270528 cases of ambulatory surgeries, among which 12250 cases were cancelled. The ambulatory surgery cancellation rate was 5.8% [95% confidence interval (CI) (4.5%, 7.1%)]. Subgroup analyses showed that the cancellation rates of general wards, pediatric wards, and ophthalmic wards were 4.0% [95%CI (2.9%, 5.1%)], 9.9% [95%CI (5.2%, 14.5%)], and 8.1% [95%CI (2.7%, 13.4%)], respectively, and the difference in the cancellation rate among different types of wards was statistically significant (P=0.02); there was a significant difference in the surgery cancellation rate among different reasons for cancellation (P<0.01), the highest cancellation rate of surgery was due to disease factors, which was 2.5% [95%CI (1.2%, 3.9%)]; there was no statistically significant difference in the cancellation rate among different study sites (P=0.43). Conclusions The issue of cancellation of ambulatory surgery is prominent in clinical practice. Optimized management is therefore suggested in urgent.

Citation： LIU Qian, ZHANG Han, GU Yufei, HUANG Mingjun. A meta-analysis of ambulatory surgery cancellation rates. West China Medical Journal, 2024, 39(2): 222-228. doi: 10.7507/1002-0179.202312077 Copy

1.	戴燕, 馬洪升. 日間手術護理. 北京: 人民衛生出版社, 2023: 1.
2.	嵇武, 劉亞萍, 戴瑋. 我國日間手術開展現狀與前景展望. 中國實用外科雜志, 2020, 40(2): 199-202.
3.	劉常清, 任宏飛, 李繼平, 等. 日間手術管理模式與發展現狀. 護理研究, 2016, 30(28): 3466-3469.
4.	孫輝, 王凱, 朱宏, 等. 2016-2022 年我國日間手術術式變化及對日間手術規范化發展的思考. 中國醫院, 2022, 26(8): 10-13.
5.	Viftrup A, Dreyer P, Nikolajsen L, et al. Surgery cancellation: a scoping review of patients’ experiences. J Clin Nurs, 2021, 30(3/4): 357-371.
6.	Koh WX, Phelan R, Hopman WM, et al. Cancellation of elective surgery: rates, reasons and effect on patient satisfaction. Can J Surg, 2021, 64(2): E155-E161.
7.	Appavu ST, Al-Shekaili SM, Al-Sharif AM, et al. The burden of surgical cancellations and no-shows: quality management study from a large regional hospital in Oman. Sultan Qaboos Univ Med J, 2016, 16(3): e298-e302.
8.	Henderson BA, Naveiras M, Butler N, et al. Incidence and causes of ocular surgery cancellations in an ambulatory surgical center. J Cataract Refract Surg, 2006, 32(1): 95-102.
9.	Sarang B, Bhandoria G, Patil P, et al. Assessing the rates and reasons of elective surgical cancellations on the day of surgery: a multicentre study from urban Indian hospitals. World J Surg, 2022, 46(2): 382-390.
10.	Munn Z, Moola S, Lisy K, et al. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Int J Evid Based Healthc, 2015, 13(3): 147-153.
11.	Guillén JM, Bernadó AJ, Solanas JA, et al. Cancellation in CMA: incidence and causes. Cir Esp, 2012, 90(7): 429-433.
12.	Pohlman GD, Staulcup SJ, Masterson RM, et al. Contributing factors for cancellations of outpatient pediatric urology procedures: single center experience. J Urol, 2012, 188(4 Suppl): 1634-1638.
13.	張一敏, 戴燕, 馬洪升, 等. 日間手術臨時取消原因分析及對策. 華西醫學, 2014, 29(10): 1943-1945.
14.	袁華娣, 洪萍花, 蔣立群, 等. 擇期日間手術當日取消手術的原因分析及對策. 護理與康復, 2015, 14(10): 965-967.
15.	Cousin B, Anne LJ, Béatrice B, et al. Retrospective one-year analysis cancellations in pediatric ambulatory surgery. Anesth Reanim, 2016, 2: 96-102.
16.	殷宇, 戴燕. 日間手術病房預約處爽約原因分析及對策. 華西醫學, 2016, 31(4): 624-625.
17.	何瓊, 張靜, 周維強, 等. 湖南省某院日間手術實施現狀分析. 中國病案, 2017, 18(2): 56-59.
18.	Smith BB, Smith MM, Hyder JA, et al. Same-day cancellation in ambulatory surgery: a retrospective review at a large academic tertiary referral center. J Ambul Care Manage, 2018, 41(2): 118-127.
19.	楊陳, 張學兵, 敖偉, 等. 兒童日間手術當日手術取消的原因分析及對策. 護理學雜志, 2018, 33(6): 74-76.
20.	李詩涵, 劉芳, 杜姣姣, 等. 日間手術患者當日取消手術原因分析及改進建議. 中國衛生質量管理, 2019, 26(4): 45-47.
21.	梅娟. 日間手術當日手術取消的原因分析及對策. 健康必讀, 2019, 1(3): 194-195.
22.	李汶蔓, 安靚琪, 王彥霽, 等. 四川省某院眼科日間住院患者情況分析. 中國病案, 2019, 20(12): 59-61.
23.	朱紅梅, 陸靜, 劉航, 等. 探討小兒日間手術當日取消原因分析及對策. 中國農村衛生, 2019, 11(8): 58, 60.
24.	王穎. 福建省某醫院日間手術開展現狀分析. 中國衛生標準管理, 2021, 12(8): 19-21.
25.	柳小卉, 柳存勖, 劉亞萍, 等. 日間手術當日取消的原因分析及對策. 東南國防醫藥, 2021, 23(3): 320-323.
26.	Alves EC, Oliveira J, Ginestal M, et al. Cancellation on the day of surgery in an ambulatory setting due to patient factors: a preliminary study. Acta Med Port, 2021, 34(10): 708-709.
27.	房碧玉, 唐樂, 孫娟玲, 等. 眼科日間手術患者手術取消原因及對策. 臨床醫學研究與實踐, 2021, 6(2): 23-25.
28.	劉茜, 黃明君, 馬洪升, 等. 日間手術取消原因分析及對策. 華西醫學, 2022, 37(9): 1352-1357.
29.	奚春花, 施東婧, 李蕓慧, 等. 非白內障眼科日間手術當日取消率及原因分析. 中華醫學雜志, 2022, 102(21): 1608-1613.
30.	Macario A. Are your hospital operating rooms “efficient”? A scoring system with eight performance indicators. Anesthesiology, 2006, 105(2): 237-240.
31.	Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellations on the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 13(16): 259.
32.	王煜, 劉洋, 戴燕, 等. 以患者需求為導向構建圍術期管理移動醫療手機應用軟件. 護士進修雜志, 2020, 35(14): 1261-1265.
33.	Hovlid E, Bukve O, Haug K, et al. A new pathway for elective surgery to reduce cancellation rates. BMC Health Serv Res, 2012, 11(12): 154.
34.	Ming Teh AH, Turner BS, Tan SB, et al. Effectiveness of an advanced practice nurse-led preoperative telephone assessment. J Nurs Care Qual, 2016, 31(2): 191-196.
35.	陸曄峰, 林靖怡, 馮佳琪, 等. 日間手術護理管理的研究進展. 護理研究, 2018, 32(10): 1499-1503.
36.	傅文靜, 李曉玲. 日間手術臨時取消的現狀及其干預的研究進展. 廣西醫學, 2020, 42(18): 2429-2432, 2462.

1. 戴燕, 馬洪升. 日間手術護理. 北京: 人民衛生出版社, 2023: 1.
2. 嵇武, 劉亞萍, 戴瑋. 我國日間手術開展現狀與前景展望. 中國實用外科雜志, 2020, 40(2): 199-202.
3. 劉常清, 任宏飛, 李繼平, 等. 日間手術管理模式與發展現狀. 護理研究, 2016, 30(28): 3466-3469.
4. 孫輝, 王凱, 朱宏, 等. 2016-2022 年我國日間手術術式變化及對日間手術規范化發展的思考. 中國醫院, 2022, 26(8): 10-13.
5. Viftrup A, Dreyer P, Nikolajsen L, et al. Surgery cancellation: a scoping review of patients’ experiences. J Clin Nurs, 2021, 30(3/4): 357-371.
6. Koh WX, Phelan R, Hopman WM, et al. Cancellation of elective surgery: rates, reasons and effect on patient satisfaction. Can J Surg, 2021, 64(2): E155-E161.
7. Appavu ST, Al-Shekaili SM, Al-Sharif AM, et al. The burden of surgical cancellations and no-shows: quality management study from a large regional hospital in Oman. Sultan Qaboos Univ Med J, 2016, 16(3): e298-e302.
8. Henderson BA, Naveiras M, Butler N, et al. Incidence and causes of ocular surgery cancellations in an ambulatory surgical center. J Cataract Refract Surg, 2006, 32(1): 95-102.
9. Sarang B, Bhandoria G, Patil P, et al. Assessing the rates and reasons of elective surgical cancellations on the day of surgery: a multicentre study from urban Indian hospitals. World J Surg, 2022, 46(2): 382-390.
10. Munn Z, Moola S, Lisy K, et al. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Int J Evid Based Healthc, 2015, 13(3): 147-153.
11. Guillén JM, Bernadó AJ, Solanas JA, et al. Cancellation in CMA: incidence and causes. Cir Esp, 2012, 90(7): 429-433.
12. Pohlman GD, Staulcup SJ, Masterson RM, et al. Contributing factors for cancellations of outpatient pediatric urology procedures: single center experience. J Urol, 2012, 188(4 Suppl): 1634-1638.
13. 張一敏, 戴燕, 馬洪升, 等. 日間手術臨時取消原因分析及對策. 華西醫學, 2014, 29(10): 1943-1945.
14. 袁華娣, 洪萍花, 蔣立群, 等. 擇期日間手術當日取消手術的原因分析及對策. 護理與康復, 2015, 14(10): 965-967.
15. Cousin B, Anne LJ, Béatrice B, et al. Retrospective one-year analysis cancellations in pediatric ambulatory surgery. Anesth Reanim, 2016, 2: 96-102.
16. 殷宇, 戴燕. 日間手術病房預約處爽約原因分析及對策. 華西醫學, 2016, 31(4): 624-625.
17. 何瓊, 張靜, 周維強, 等. 湖南省某院日間手術實施現狀分析. 中國病案, 2017, 18(2): 56-59.
18. Smith BB, Smith MM, Hyder JA, et al. Same-day cancellation in ambulatory surgery: a retrospective review at a large academic tertiary referral center. J Ambul Care Manage, 2018, 41(2): 118-127.
19. 楊陳, 張學兵, 敖偉, 等. 兒童日間手術當日手術取消的原因分析及對策. 護理學雜志, 2018, 33(6): 74-76.
20. 李詩涵, 劉芳, 杜姣姣, 等. 日間手術患者當日取消手術原因分析及改進建議. 中國衛生質量管理, 2019, 26(4): 45-47.
21. 梅娟. 日間手術當日手術取消的原因分析及對策. 健康必讀, 2019, 1(3): 194-195.
22. 李汶蔓, 安靚琪, 王彥霽, 等. 四川省某院眼科日間住院患者情況分析. 中國病案, 2019, 20(12): 59-61.
23. 朱紅梅, 陸靜, 劉航, 等. 探討小兒日間手術當日取消原因分析及對策. 中國農村衛生, 2019, 11(8): 58, 60.
24. 王穎. 福建省某醫院日間手術開展現狀分析. 中國衛生標準管理, 2021, 12(8): 19-21.
25. 柳小卉, 柳存勖, 劉亞萍, 等. 日間手術當日取消的原因分析及對策. 東南國防醫藥, 2021, 23(3): 320-323.
26. Alves EC, Oliveira J, Ginestal M, et al. Cancellation on the day of surgery in an ambulatory setting due to patient factors: a preliminary study. Acta Med Port, 2021, 34(10): 708-709.
27. 房碧玉, 唐樂, 孫娟玲, 等. 眼科日間手術患者手術取消原因及對策. 臨床醫學研究與實踐, 2021, 6(2): 23-25.
28. 劉茜, 黃明君, 馬洪升, 等. 日間手術取消原因分析及對策. 華西醫學, 2022, 37(9): 1352-1357.
29. 奚春花, 施東婧, 李蕓慧, 等. 非白內障眼科日間手術當日取消率及原因分析. 中華醫學雜志, 2022, 102(21): 1608-1613.
30. Macario A. Are your hospital operating rooms “efficient”? A scoring system with eight performance indicators. Anesthesiology, 2006, 105(2): 237-240.
31. Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellations on the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 13(16): 259.
32. 王煜, 劉洋, 戴燕, 等. 以患者需求為導向構建圍術期管理移動醫療手機應用軟件. 護士進修雜志, 2020, 35(14): 1261-1265.
33. Hovlid E, Bukve O, Haug K, et al. A new pathway for elective surgery to reduce cancellation rates. BMC Health Serv Res, 2012, 11(12): 154.
34. Ming Teh AH, Turner BS, Tan SB, et al. Effectiveness of an advanced practice nurse-led preoperative telephone assessment. J Nurs Care Qual, 2016, 31(2): 191-196.
35. 陸曄峰, 林靖怡, 馮佳琪, 等. 日間手術護理管理的研究進展. 護理研究, 2018, 32(10): 1499-1503.
36. 傅文靜, 李曉玲. 日間手術臨時取消的現狀及其干預的研究進展. 廣西醫學, 2020, 42(18): 2429-2432, 2462.

West China Medical Journal

A meta-analysis of ambulatory surgery cancellation rates

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