Waiting List of Surgical Operation in Rural Area and Causes of Cancellation

Abstract

Objective: To find out the number and type of surgical cases on waiting list and pinpoint the percentage and causes of noncompliance in a rural hospital of Pakistan. It is to find out how we can decrease this cancellation. Study Design: Retrospective study. Settings: Foundation Hospital Rajana, District Toba Tek Singh Pakistan. Duration: From 07.06.2014 to 29.05.2016. Methodology: The percentage of cases that presented in the ward at schedule date are noted and tried to find out the causes of noncompliance. Results: 972 cases of surgery were booked for operations in 189 outdoor days out of which 23% were cancelled. Majority of the cases were Hernias followed by G.B diseases. 70.64% of the cancellation was patient’s personal reason and 18.81% of them were due to other reason that can be minimised. Conclusion: Out of 972 cases for operation registered for waiting list 77% complied and 23% were cancelled. The cases cancelled for other medical reasons were 42 out of 223 which could be minimised by proper planning.