{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T07:38:00Z","timestamp":1793345880509,"version":"4.5.0"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T00:00:00Z","timestamp":1623110400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/www.nationalarchives.gov.uk\/doc\/open-government-licence\/version\/3\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Elective surgery cancellation is considered a fundamental problem in health care services\u2014it causes considerable disruption to patient flow, further eroding often already stretched operating capacity, and consequentially reduces both hospital performance and patient satisfaction. This research presents a systematic review (SR) of the reasons for surgery cancellation among different hospitals and countries. By highlighting these causes, we identify how to reduce cancellations, thereby improving the use of surgical capacity and resources and creating a more predicable patient flow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An SR was performed on elective surgery cancellation in compliance with the Preferred Reporting Items for Systematic Review and Meta-Analysis and by assessing the methodological quality of SR with Measurement Tool to Assess Systematic Reviews guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There are different reasons for surgery cancellation that vary between hospitals. This SR demonstrates that hospital-related causes (e.g. unavailable operation room time, inappropriate scheduling policy and lack of beds) are the primary reason for surgery cancellation, followed by work-up related causes (e.g. medically unfit and changes in the treatment plan) and patient-related causes (e.g. absence of a patient and patient refusal).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review demonstrates that the main causes for surgery cancellation can be controlled by hospital managers, who can aim to improve areas such as patient flow and capacity management. Ultimately, this will improve the quality of healthcare delivered by hospitals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/intqhc\/mzab092","type":"journal-article","created":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T07:21:35Z","timestamp":1623050495000},"source":"Crossref","is-referenced-by-count":74,"title":["Evaluating factors associated with the cancellation and delay of elective surgical procedures: a systematic review"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2032-1800","authenticated-orcid":false,"given":"Mona","family":"Koushan","sequence":"first","affiliation":[{"name":"Department of Management, Otago Business School, and Centre for Health Systems and Technology, University of Otago, 60 Clyde Street, Dunedin PO Box 56, Dunedin 9054, New Zealand"},{"name":"Department of Management, Otago Business School, University of Otago, PO Box 56, Dunedin 9054, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3385-6561","authenticated-orcid":false,"given":"Lincoln C","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Management, Otago Business School, and Centre for Health Systems and Technology, University of Otago, 60 Clyde Street, Dunedin PO Box 56, Dunedin 9054, New Zealand"},{"name":"Department of Management, Otago Business School, University of Otago, PO Box 56, Dunedin 9054, New Zealand"},{"name":"School of Management, Curtin Business School, Curtin University, kent street, Perth, Bentley 6102, Western Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Greatbanks","sequence":"additional","affiliation":[{"name":"Department of Management, Otago Business School, and Centre for Health Systems and Technology, University of Otago, 60 Clyde Street, Dunedin PO Box 56, Dunedin 9054, New Zealand"},{"name":"Department of Management, Otago Business School, University of Otago, PO Box 56, Dunedin 9054, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,6,26]]},"reference":[{"key":"2021070721520574700_R1","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.cie.2018.10.014","article-title":"Multi-period and multi-resource operating room scheduling under uncertainty: a case study","volume":"1","author":"Vali-Siar","year":"2018","journal-title":"Comput Ind Eng"},{"key":"2021070721520574700_R2","first-page":"4","article-title":"Cancellation of operations on the day of intended surgery at a major Australian referral hospital","volume":"182","author":"Schofield","year":"2005","journal-title":"J Recomm Serv"},{"key":"2021070721520574700_R3","first-page":"66","article-title":"Reasons for cancellation of elective surgery in a 500-bed teaching hospital: a prospective study","volume":"67","author":"Kim","year":"2014","journal-title":"J Anesthesiol"},{"key":"2021070721520574700_R4","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1111\/j.1445-2197.2009.05019.x","article-title":"Case cancellations on the day of surgery: an investigation in an Australian paediatric hospital","volume":"79","author":"Haana","year":"2008","journal-title":"ANZ J Surg"},{"key":"2021070721520574700_R5","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.jsha.2011.10.006","article-title":"Reasons for cancellation of elective cardiac surgery at Prince Sultan Cardiac Centre, Saudi Arabia","volume":"24","author":"Sultan","year":"2012","journal-title":"J Saudi Heart Assoc"},{"key":"2021070721520574700_R6","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1177\/112067211002000113","article-title":"Why is cataract surgery canceled? 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