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, 马洪升. 日间手术护理. 北京: 人民卫生出版社, 2023: 1.
2.	嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
3.	刘常清, 任宏飞, 李继平, 等. 日间手术管理模式与发展现状. 护理研究, 2016, 30(28): 3466-3469.
4.	孙辉, 王凯, 朱宏, 等. 2016-2022 年我国日间手术术式变化及对日间手术规范化发展的思考. 中国医院, 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.	张一敏, 戴燕, 马洪升, 等. 日间手术临时取消原因分析及对策. 华西医学, 2014, 29(10): 1943-1945.
14.	袁华娣, 洪萍花, 蒋立群, 等. 择期日间手术当日取消手术的原因分析及对策. 护理与康复, 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. 日间手术病房预约处爽约原因分析及对策. 华西医学, 2016, 31(4): 624-625.
17.	何琼, 张静, 周维强, 等. 湖南省某院日间手术实施现状分析. 中国病案, 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.	杨陈, 张学兵, 敖伟, 等. 儿童日间手术当日手术取消的原因分析及对策. 护理学杂志, 2018, 33(6): 74-76.
20.	李诗涵, 刘芳, 杜姣姣, 等. 日间手术患者当日取消手术原因分析及改进建议. 中国卫生质量管理, 2019, 26(4): 45-47.
21.	梅娟. 日间手术当日手术取消的原因分析及对策. 健康必读, 2019, 1(3): 194-195.
22.	李汶蔓, 安靓琪, 王彦霁, 等. 四川省某院眼科日间住院患者情况分析. 中国病案, 2019, 20(12): 59-61.
23.	朱红梅, 陆静, 刘航, 等. 探讨小儿日间手术当日取消原因分析及对策. 中国农村卫生, 2019, 11(8): 58, 60.
24.	王颖. 福建省某医院日间手术开展现状分析. 中国卫生标准管理, 2021, 12(8): 19-21.
25.	柳小卉, 柳存勖, 刘亚萍, 等. 日间手术当日取消的原因分析及对策. 东南国防医药, 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, 唐乐, 孙娟玲, 等. 眼科日间手术患者手术取消原因及对策. 临床医学研究与实践, 2021, 6(2): 23-25.
28.	刘茜, 黄明君, 马洪升, 等. 日间手术取消原因分析及对策. 华西医学, 2022, 37(9): 1352-1357.
29.	奚春花, 施东婧, 李芸慧, 等. 非白内障眼科日间手术当日取消率及原因分析. 中华医学杂志, 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, 刘洋, 戴燕, 等. 以患者需求为导向构建围术期管理移动医疗手机应用软件. 护士进修杂志, 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.	陆晔峰, 林靖怡, 冯佳琪, 等. 日间手术护理管理的研究进展. 护理研究, 2018, 32(10): 1499-1503.
36.	傅文静, 李晓玲. 日间手术临时取消的现状及其干预的研究进展. 广西医学, 2020, 42(18): 2429-2432, 2462.

1. 戴燕, 马洪升. 日间手术护理. 北京: 人民卫生出版社, 2023: 1.
2. 嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
3. 刘常清, 任宏飞, 李继平, 等. 日间手术管理模式与发展现状. 护理研究, 2016, 30(28): 3466-3469.
4. 孙辉, 王凯, 朱宏, 等. 2016-2022 年我国日间手术术式变化及对日间手术规范化发展的思考. 中国医院, 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. 张一敏, 戴燕, 马洪升, 等. 日间手术临时取消原因分析及对策. 华西医学, 2014, 29(10): 1943-1945.
14. 袁华娣, 洪萍花, 蒋立群, 等. 择期日间手术当日取消手术的原因分析及对策. 护理与康复, 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. 日间手术病房预约处爽约原因分析及对策. 华西医学, 2016, 31(4): 624-625.
17. 何琼, 张静, 周维强, 等. 湖南省某院日间手术实施现状分析. 中国病案, 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. 杨陈, 张学兵, 敖伟, 等. 儿童日间手术当日手术取消的原因分析及对策. 护理学杂志, 2018, 33(6): 74-76.
20. 李诗涵, 刘芳, 杜姣姣, 等. 日间手术患者当日取消手术原因分析及改进建议. 中国卫生质量管理, 2019, 26(4): 45-47.
21. 梅娟. 日间手术当日手术取消的原因分析及对策. 健康必读, 2019, 1(3): 194-195.
22. 李汶蔓, 安靓琪, 王彦霁, 等. 四川省某院眼科日间住院患者情况分析. 中国病案, 2019, 20(12): 59-61.
23. 朱红梅, 陆静, 刘航, 等. 探讨小儿日间手术当日取消原因分析及对策. 中国农村卫生, 2019, 11(8): 58, 60.
24. 王颖. 福建省某医院日间手术开展现状分析. 中国卫生标准管理, 2021, 12(8): 19-21.
25. 柳小卉, 柳存勖, 刘亚萍, 等. 日间手术当日取消的原因分析及对策. 东南国防医药, 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, 唐乐, 孙娟玲, 等. 眼科日间手术患者手术取消原因及对策. 临床医学研究与实践, 2021, 6(2): 23-25.
28. 刘茜, 黄明君, 马洪升, 等. 日间手术取消原因分析及对策. 华西医学, 2022, 37(9): 1352-1357.
29. 奚春花, 施东婧, 李芸慧, 等. 非白内障眼科日间手术当日取消率及原因分析. 中华医学杂志, 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, 刘洋, 戴燕, 等. 以患者需求为导向构建围术期管理移动医疗手机应用软件. 护士进修杂志, 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. 陆晔峰, 林靖怡, 冯佳琪, 等. 日间手术护理管理的研究进展. 护理研究, 2018, 32(10): 1499-1503.
36. 傅文静, 李晓玲. 日间手术临时取消的现状及其干预的研究进展. 广西医学, 2020, 42(18): 2429-2432, 2462.

West China Medical Journal

A meta-analysis of ambulatory surgery cancellation rates

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