Economic and psychological burden of scheduled surgery cancellation in a sub-Saharan country (Burkina Faso)

  • Robyn Marais Medpharm Publications
  • Martin Lankoandé Yalgado Ouedraogo Hospital
  • Papougnézambo Bonkoungou Yalgado Ouedraogo Hospital
  • Bertille K Ki Pediatric Hospital Charles De Gaulles
  • Armel Flavien R Kaboré Yalgado Ouedraogo Hospital
  • Edgar Ouangré Yalgado Ouedraogo Hospital
  • Yacouba Savadogo Yalgado Ouedraogo Hospital
  • Cheik Thw Bougouma Blaise Compaore Hospital
  • Joachim Sanou Yalgado Ouedraogo Hospital
  • Nazinigouba Ouedraogo Yalgado Ouedraogo Hospital
  • Phillipe Pendeville Saint Luc Hospital
Keywords: Cost, emotional reaction, psychology, surgery cancellation

Abstract

Background: Cancellation of scheduled surgery creates a financial burden for hospitals, caregivers and patients. Cancellation causes emotional stress, which impacts on outcomes. In poor countries where the adequacy of healthcare is limited, the ethical dilemma created by scheduled surgery cancellation is particularly important. Objective: To identify the incidence, cost and emotional impact of elective surgical cancellation in a teaching hospital in Burkino Faso. Methods: A four month, prospective, observational study was undertaken in a teaching hospital (Yalgado Ouedraogo). All surgical patients were eligible. The causes of cancellation, financial cost and patients’ emotional response were assessed. The cost was estimated using a tool adapted for the economic cost of African job types. Results: During the study period, 1 088 cases were scheduled to undergo inpatient surgery. Of these, 239 cases (21.9%) were cancelled. Among the cancelled cases, 237 were cancelled during preparation in the surgical ward and two cases were cancelled in the operation room. A large number of the patients were housewives (n = 87). The highest cancellation rate (35.9%) was found in general surgery. Cancellation was judged avoidable in 214 cases (89.5%). The total cost of surgery cancellation to the hospital was US$ 19 147 (mean value US$ 80 per patient). Patients lost a mean of US$ 62.70, which represented 117.6% of the official average monthly income in Burkina Faso. ENT surgery was the costliest to the hospital (US$ 4 989 ). Cancellation caused a negative emotional reaction in 205 patients (85.7%) and ‘sadness’ was the most frequent (54.8%; n = 131). Cancellation resulted in 163 days of work lost. Conclusion: Based on income, the cost of day of surgery cancellation was high in Burkina Faso. (Full text available online at www.medpharm.tandfonline.com/ojaa) South Afr J Anaesth Analg 2017; DOI: 10.1080/22201181.2017.1379788

Author Biographies

Martin Lankoandé, Yalgado Ouedraogo Hospital
Department of Anaesthesiology and Intensive Care Yalgado Ouedraogo Hospital
Papougnézambo Bonkoungou, Yalgado Ouedraogo Hospital
Department of Anaesthesiology and Intensive Care Yalgado Ouedraogo Hospital
Bertille K Ki, Pediatric Hospital Charles De Gaulles
Department of Anaesthesiology Pediatric Hospital Charles De Gaulles
Armel Flavien R Kaboré, Yalgado Ouedraogo Hospital
Department of Anaesthesiology and Intensive Care Yalgado Ouedraogo Hospital
Edgar Ouangré, Yalgado Ouedraogo Hospital
General and Digestive Surgery Yalgado Ouedraogo Hospital
Yacouba Savadogo, Yalgado Ouedraogo Hospital
General Medicine Yalgado Ouedraogo Hospital
Cheik Thw Bougouma, Blaise Compaore Hospital
Department of Anaesthesiology and Intensive Care Blaise Compaore Hospital
Joachim Sanou, Yalgado Ouedraogo Hospital
Department of Anaesthesiology and Intensive Care Yalgado Ouedraogo Hospital
Nazinigouba Ouedraogo, Yalgado Ouedraogo Hospital
Department of Anaesthesiology and Resuscitation Yalgado Ouedraogo Hospital
Phillipe Pendeville, Saint Luc Hospital
Department of Anaesthesiology Saint Luc Hospital
Published
2018-03-19
Section
Research Articles