Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study
Objectives To estimate the prevalence and severity of patient-reported physical and non-physical harm following surgery cancellation.Design Cross-sectional study.Setting A large Danish university hospital.Participants Patients (≥18 years) from various surgical specialities, such as orthopaedic, spin...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-11-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/11/e082807.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846172368374857728 |
|---|---|
| author | Lone Nikolajsen Pia Dreyer Anette Viftrup Sussie Laustsen Maria Levin Pahle |
| author_facet | Lone Nikolajsen Pia Dreyer Anette Viftrup Sussie Laustsen Maria Levin Pahle |
| author_sort | Lone Nikolajsen |
| collection | DOAJ |
| description | Objectives To estimate the prevalence and severity of patient-reported physical and non-physical harm following surgery cancellation.Design Cross-sectional study.Setting A large Danish university hospital.Participants Patients (≥18 years) from various surgical specialities, such as orthopaedic, spinal, abdominal, gynaecological, thoracic, vascular and urological surgery whose surgery was cancelled <2 weeks prior to the scheduled date due to hospital-related causes.OutcomePatient-reported physical and non-physical harm, defined as physical worsening, emotional strain and other consequences, measured using a patient-reported survey.Results We identified 785 patients whose surgery was cancelled from 1 December 2021 to 1 June 2022, of whom 436 (55.5%) responded to the electronic survey. Physical worsening was reported by 42% and emotional strain by 48% of patients. One-third of patients reported an inability to continue daily activities, and 28% reported a need for an increased dose of analgesics. Emotional strain included various negative feelings such as being disappointed (59%) and lonely (31%). Furthermore, 44% of the respondents feared deterioration of their disease and 9% experienced anxiety of dying. The relative risk of emotional strain was higher in females than in males (54% vs 41%, adjusted relative risk (RR)=1.32 (1.08; 1.63)). A waiting period >30 days compared with ≤30 days was associated with a higher risk of physical worsening (25.3% vs 48.9%, adjusted RR=1.93 (1.42; 2.63)).Conclusions Harm, measured as physical worsening and emotional strain, is reported with severity by nearly half of respondents following cancellation. |
| format | Article |
| id | doaj-art-a586773af4a1470f9a26ddbd7255c337 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a586773af4a1470f9a26ddbd7255c3372024-11-10T10:40:07ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2023-082807Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional studyLone Nikolajsen0Pia Dreyer1Anette Viftrup2Sussie Laustsen3Maria Levin Pahle4Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, DenmarkDepartment of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, DenmarkDepartment of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, DenmarkDepartment of cardiology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, DenmarkObjectives To estimate the prevalence and severity of patient-reported physical and non-physical harm following surgery cancellation.Design Cross-sectional study.Setting A large Danish university hospital.Participants Patients (≥18 years) from various surgical specialities, such as orthopaedic, spinal, abdominal, gynaecological, thoracic, vascular and urological surgery whose surgery was cancelled <2 weeks prior to the scheduled date due to hospital-related causes.OutcomePatient-reported physical and non-physical harm, defined as physical worsening, emotional strain and other consequences, measured using a patient-reported survey.Results We identified 785 patients whose surgery was cancelled from 1 December 2021 to 1 June 2022, of whom 436 (55.5%) responded to the electronic survey. Physical worsening was reported by 42% and emotional strain by 48% of patients. One-third of patients reported an inability to continue daily activities, and 28% reported a need for an increased dose of analgesics. Emotional strain included various negative feelings such as being disappointed (59%) and lonely (31%). Furthermore, 44% of the respondents feared deterioration of their disease and 9% experienced anxiety of dying. The relative risk of emotional strain was higher in females than in males (54% vs 41%, adjusted relative risk (RR)=1.32 (1.08; 1.63)). A waiting period >30 days compared with ≤30 days was associated with a higher risk of physical worsening (25.3% vs 48.9%, adjusted RR=1.93 (1.42; 2.63)).Conclusions Harm, measured as physical worsening and emotional strain, is reported with severity by nearly half of respondents following cancellation.https://bmjopen.bmj.com/content/14/11/e082807.full |
| spellingShingle | Lone Nikolajsen Pia Dreyer Anette Viftrup Sussie Laustsen Maria Levin Pahle Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study BMJ Open |
| title | Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study |
| title_full | Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study |
| title_fullStr | Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study |
| title_full_unstemmed | Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study |
| title_short | Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study |
| title_sort | patient reported harm following cancellation of planned surgery at a danish university hospital a cross sectional study |
| url | https://bmjopen.bmj.com/content/14/11/e082807.full |
| work_keys_str_mv | AT lonenikolajsen patientreportedharmfollowingcancellationofplannedsurgeryatadanishuniversityhospitalacrosssectionalstudy AT piadreyer patientreportedharmfollowingcancellationofplannedsurgeryatadanishuniversityhospitalacrosssectionalstudy AT anetteviftrup patientreportedharmfollowingcancellationofplannedsurgeryatadanishuniversityhospitalacrosssectionalstudy AT sussielaustsen patientreportedharmfollowingcancellationofplannedsurgeryatadanishuniversityhospitalacrosssectionalstudy AT marialevinpahle patientreportedharmfollowingcancellationofplannedsurgeryatadanishuniversityhospitalacrosssectionalstudy |