Effects of the Multidisciplinary Preoperative Clinic on the Incidence of Elective Surgery Cancellation.
To evaluate effects of the multidisciplinary preoperative clinic (POC) consisting of anesthesiologists, dentists, pharmacists, and nurses on elective surgery cancellation, we retrospectively investigated patients who underwent elective non-cardiac, non-obstetric surgeries between October, 2018 and M...
| Publicado en: | Journal of Medical Systems Vol. 46; no. 12; pp. 1 - 9 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160563229&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160563229 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: Dec2022 vid: 46 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 160563229 160563229 160563229 10.1007/s10916-022-01883-3 160563229 ppf: 1 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effects of the Multidisciplinary Preoperative Clinic on the Incidence of Elective Surgery Cancellation. aug: au: Umeno, Yuki Ishikawa, Seiji Kudoh, Osamu Hayashida, Masakazu affil: Department of Anesthesiology and Pain Medicine, Graduate School of Medicine, Juntendo University, 2-1-1, Hongo, 113-8421, Bunkyo-Ku, Tokyo, Japan sug: subj: Multidisciplinary Care Team Preoperative Care Surgery, Elective Surgery Cancellations Organizational Efficiency Human Retrospective Design Academic Medical Centers Japan Japan Interviews Comorbidity Descriptive Statistics Funding Source ab: To evaluate effects of the multidisciplinary preoperative clinic (POC) consisting of anesthesiologists, dentists, pharmacists, and nurses on elective surgery cancellation, we retrospectively investigated patients who underwent elective non-cardiac, non-obstetric surgeries between October, 2018 and March, 2019 (before the POC establishment: Group 1) and between October, 2019 and March, 2020 (after the POC establishment: Group 2). Among reasons for surgery cancellation allocated into eight categories, three reasons for cancellation (related to consent authorization, medication, and significant comorbidities) were considered preventable. We compared incidences of overall and preventable cancellations of surgeries between 4,198 patients in Group 1 and 4,664 patients in Group 2, who had significantly different clinical backgrounds, including the ASA-PS class. There was no significant difference in the incidence of overall cancellation between Group 1 and Group 2 (4.1% vs. 4.1%, p = 0.96). However, the incidence of preventable cancellation was significantly lower in Group 2 than in Group 1 (0.4% vs. 0.7%, p = 0.045). In addition, the incidence of overall cancellation was significantly lower in 3,741 Group 2 patients visiting the POC than in 5,121 patients not visiting the POC in both Groups (3.2% vs. 4.7%, p < 0.001). Further, in 3,423 pairs of patients with comparable clinical backgrounds created from both Groups using propensity score matching, incidences of overall cancellation (2.2% vs. 3.1%) and preventable cancellation (0.1% vs. 0.6%) were significantly lower in Group 2 than in Group 1 (p = 0.036 and 0.008, respectively). In conclusion, the multidisciplinary POC was effective in reducing elective surgery cancellation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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