Prevalence and factors associated with cancellation and deferment of elective surgical cases at a rural private tertiary hospital in Western Uganda: a cross-sectional study

dc.contributor.authorVahwere, Bienfait Mumbere
dc.contributor.authorSikakulya, Franck K
dc.contributor.authorSsebuufu, Robinson
dc.contributor.authorSoria, Jorge
dc.contributor.authorOkedi, X Francis
dc.contributor.authorAbdullah, Shaban
dc.contributor.authorKyamanywa, Patrick
dc.date.accessioned2022-04-27T15:30:40Z
dc.date.available2022-04-27T15:30:40Z
dc.date.issued2021
dc.description.abstractIntroduction: the cancellation of elective surgery is still a worldwide challenge and this is associated with emotional and economical trauma for the patients and their families as well as a decrease in the efficiency of the operating theatre. This study aimed at determining the prevalence and factors associated with cancellation and deferment of elective surgery in a rural private tertiary teaching hospital in Western Uganda. Methods: a crosssectional study design was conducted. Data was collected from 1st July 2019 to 31st December 2019. Patients scheduled for elective surgery and either cancelled or deferred on the actual day of surgery were included in the study. Statistical analysis was done using STATA version 15. Results: four hundred patients were scheduled for elective surgery during the study period, among which 90 (22.5%) were cancelled and 310 (78.5%) had their surgeries as scheduled. The highest cancellation of elective surgical operations was observed in general surgery department with 81% elective cases cancelled or deferred, followed by orthopedic department 10% and gynecology department 9%. The most common reasons for cancellation were patient-related (39%) and health worker-related (35%) factors. Other factors included administrative (17%) and anesthesia related factors (9%). Cancellation was mainly due to lack of finances which accounted for 23.3% of the patients, inadequate patient preparation (16.6%) and unavailability of surgeons (15.5%). Major elective surgeries were cancelled 1.7 times more than minor electives surgeries [adjusted prevalence ratio 1.7 (95%CI: 1.07-2.73) and p-value: 0.024]. Conclusion: cancellation and deferment of elective surgeries is still of a major concern in this private rural tertiary hospital with most of the reasons easily preventable through proper scheduling of patients, improved communication between surgical teams and with patients; and effective utilization of available resources and man power.en_US
dc.identifier.citationVahwere, B.M., Sikakulya, F.K., Ssebuufu, R., Jorge, S., Okedi, X.F., Abdullah, S. and Kyamanywa, P. (2021). Prevalence and factors associated with cancellation and deferment of elective surgical cases at a rural private tertiary hospital in Western Uganda: a cross-sectional study. The Pan African Medical Journal, 39.en_US
dc.identifier.issn1937-8688
dc.identifier.urihttp://hdl.handle.net/20.500.12280/2986
dc.language.isoenen_US
dc.publisherAfrican Field Epidemiology Network-Afenet , Po Box 12874, Kampala, Uganda, 00000en_US
dc.relation.ispartofseriesThe Pan African Medical Journal;39
dc.subjectElective surgeryen_US
dc.subjectCancellationen_US
dc.subjectDefermenten_US
dc.subjectRural settingen_US
dc.subjectUgandaen_US
dc.titlePrevalence and factors associated with cancellation and deferment of elective surgical cases at a rural private tertiary hospital in Western Uganda: a cross-sectional studyen_US
dc.typeArticleen_US

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