Reasons for cancellation of elective surgery in Ilorin.

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dc.contributor.authorKolawole, Isaac Kayode
dc.contributor.authorBolaji, Benjamin Olusomi
dc.date.accessioned2018-05-23T11:04:41Z
dc.date.available2018-05-23T11:04:41Z
dc.date.issued2002
dc.description.abstractThe rising cost of healthcare and dwindling economic resources necessitate the need to encourage cost-effectiveness in patient care. Cancellation of cases on the scheduled day of surgery leads to inefficient utilization of theatre space, waste of valuable manpower and scarce resources for patients and hospital. Avoidance of unnecessary cancellations of cases may therefore be an important way of ensuring efficient utilization of resources. METHODS: This is a prospective study. Record was taken of all patients whose names appeared on the routine elective surgical operations lists. The names of all those who could not have their surgery done were compiled. The age, sex, diagnosis, specialty of surgery, proposed surgery and reasons for cancellation were collated and analysed. RESULTS: Out of the 1,175 patients scheduled for surgery during the study period, 272 (23.15%) were cancelled for various reasons. The highest incidence of cancellation 130 (11.06%) was recorded in orthopaedic specialty, even though it ranked second to General Surgery in the total number of cases booked. Cardiothoracic unit recorded the lowest incidence of cancellations (1.84%), but it also had the lowest number of cases scheduled for surgery. The commonest cause of cancellations was time constraints (22.59%). Patients absconded from surgery for personal reasons not communicated to the surgeons in 13.60% of cases, while unanticipated logistic problems accounted for another 9.93%. Other causes of cancellations included industrial action embarked upon by members of the hospital community, staff auditing exercise, uncontrolled medical illness and unresolved laboratory abnormalities. CONCLUSION: The incidence of cancellation of cases on the scheduled day of surgery is still high in our hospital. Most of the causes of the cancellations are preventable. In order to enhance cost-effectiveness, efforts should be made to prevent unnecessary cancellations through careful planning and closer interactions between surgeons and patients, and amongst members of the surgical team.en_US
dc.description.sponsorshipSELF SPONSOREDen_US
dc.identifier.citationKolawole I.K. Bolaji B.O.(2002) Reasons for cancellation of elective surgery in Ilorin. Nigerian Journal of Surgical Research, 4(2): 17-20.en_US
dc.identifier.issn1595-1103
dc.identifier.urihttp://hdl.handle.net/123456789/277
dc.language.isoenen_US
dc.publisherThe Surgical Sciences Research Society, Zaria and Association of Surgeons of Nigeria, Zaria, Nigeria.en_US
dc.subjectElective surgery,en_US
dc.subjectcancellation,en_US
dc.subjectcauses,en_US
dc.subjectcost-effectivenessen_US
dc.titleReasons for cancellation of elective surgery in Ilorin.en_US
dc.title.alternativeNigerian Journal of Surgical Researchen_US
dc.typeArticleen_US

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