Abstract
Objectives
To determine the baseline risk factors for elective ophthalmic surgery cancellations and characterise the reasons for cancellation.
Methods
This is a retrospective, non-randomised study performed at a large tertiary ophthalmic centre. It included a consecutive sample of patients above the age of 18 who had an ophthalmic surgery scheduled at Cole Eye Institute, Cleveland Clinic, OH between January 2012 and December 2019. An automated search pull identified 75,908 scheduled surgeries (63,987 completed and 11,921 cancelled surgeries). Statistical analysis was performed using R (version 3.5.1). Main outcome measures were baseline factors that impact risk for surgery cancellation and reasons for surgery cancellation.
Results
Analysis was performed on 69,963 scheduled surgeries (57.37% Female, 42.63% Male; Mean age of 62.72 years; 59,959 completed and 10,004 cancelled surgeries). Of the 2384 cancelled surgeries with reasons provided, the most common causes of cancellation were patient refusal (38.42%), patient health condition (18.79%), and rescheduling of surgery (15.27%). Female sex, black race, patient age less than 50 years, non-cataract surgeries, regional mean household income greater than $82,900, Medicare insurance, and geographical distance of less than 10 miles from home to the surgery site were each associated with a significantly increased risk of surgery cancellation (pā<ā0.01).
Conclusions
This study successfully identified several baseline factors predicting elective ophthalmic surgery cancellation. The clinical insights gained from these lines of enquiry may be used to construct models that not only identify patients at greater risk for cancellation but also highlight which interventions have greatest efficacy in preventing ophthalmic surgery cancellations.
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Data availability
The data that support the findings of this study are available on request from the corresponding author KET. The data are not publicly available due to them containing information that could compromise patient privacy/consent.
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Acknowledgements
RPS reports personal fees from Genentech/Roche, personal fees from Alcon/Novartis, grants from Apellis and Graybug, personal fees from Zeiss, personal fees from Bausch + Lomb, personal fees from Regeneron Pharmaceuticals, Inc and personal fees from Gyroscope and Asceplix. KET reports personal fees from Genentech/Roche, research fees from Zeiss and research grants from Regenxbio. All other authors report no disclosures. The authors report no funding sources related to this research. This work has not been presented at any meetings.
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ARB was responsible for conducting the analysis, extracting and analysing data, interpreting results, writing the report, updating reference lists and creating the data tables. RK was responsible for designing the study protocol, interpreting results, writing the report, and updating reference lists. CCSV was responsible for interpreting results, writing the report, and providing feedback on the report. AK was responsible for designing the study protocol and extracting the data. RPS and KET were responsible for designing the study protocol and providing feedback on the report.
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Bheemidi, A.R., Kailar, R., Valentim, C.C.S. et al. Baseline factors and reason for cancellation of elective ophthalmic surgery. Eye 37, 2788ā2794 (2023). https://doi.org/10.1038/s41433-023-02421-2
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DOI: https://doi.org/10.1038/s41433-023-02421-2