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Identifying and Understanding the Non-Clinical Impacts of Delayed or Cancelled Surgery in Order to Inform Prioritisation Processes: A Scoping Review

Author

Listed:
  • Kathryn Jack

    (Surgical Division, Nottingham University Hospitals NHS Trust, Nottinghamshire NG5 1PB, UK)

  • Catrin Evans

    (School of Health Sciences, University of Nottingham, Nottinghamshire NG7 2RD, UK)

  • Louise Bramley

    (Surgical Division, Nottingham University Hospitals NHS Trust, Nottinghamshire NG5 1PB, UK)

  • Joanne Cooper

    (Surgical Division, Nottingham University Hospitals NHS Trust, Nottinghamshire NG5 1PB, UK)

  • Tracy Keane

    (Surgical Division, Nottingham University Hospitals NHS Trust, Nottinghamshire NG5 1PB, UK)

  • Marie Cope

    (Surgical Division, Nottingham University Hospitals NHS Trust, Nottinghamshire NG5 1PB, UK)

  • Elizabeth Hendron

    (Surgical Division, Nottingham University Hospitals NHS Trust, Nottinghamshire NG5 1PB, UK)

Abstract

The COVID-19 pandemic has resulted in significant delays to non-urgent elective surgery. Decision making regarding prioritisation for surgery is currently informed primarily by clinical urgency. The ways in which decision making should also consider potential social and economic harm arising from surgical delay are currently unclear. This scoping review aimed to identify evidence related to (i) the nature and prevalence of social and economic harm experienced by patients associated with delayed surgery, and (ii) any patient assessment tools that could measure the extent of, or predict, such social and economic harm. A rapid scoping review was undertaken following JBI methodological guidance. The following databases were searched in October 2020: AMED; BNI; CINAHL; EMBASE; EMCARE; HMIC; Medline; PsychINFO, Cochrane, and the JBI. A total of 21 publications were included. The findings were categorised into five themes: (i) employment, (ii) social function and leisure, (iii) finances, (iv) patients’ experiences of waiting, and (v) assessment tools that could inform decision making. The findings suggest that, for some patients, waiting for surgery can include significant social, economic, and emotional hardship. Few validated assessment tools exist. There is an urgent need for more research on patients’ experiences of surgical delay in order to inform a more holistic process of prioritising people on surgical waiting lists in the COVID-19 pandemic recovery stages.

Suggested Citation

  • Kathryn Jack & Catrin Evans & Louise Bramley & Joanne Cooper & Tracy Keane & Marie Cope & Elizabeth Hendron, 2022. "Identifying and Understanding the Non-Clinical Impacts of Delayed or Cancelled Surgery in Order to Inform Prioritisation Processes: A Scoping Review," IJERPH, MDPI, vol. 19(9), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5542-:d:807713
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    References listed on IDEAS

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    1. Oudhoff, Jurriaan P. & Timmermans, D.R.M. & Knol, D.L. & Bijnen, A.B. & Van der Wal, G., 2007. "Prioritising patients on surgical waiting lists: A conjoint analysis study on the priority judgements of patients, surgeons, occupational physicians, and general practitioners," Social Science & Medicine, Elsevier, vol. 64(9), pages 1863-1875, May.
    2. Johnson, Emma C. & Horwood, Jeremy & Gooberman-Hill, Rachael, 2014. "Conceptualising time before surgery: The experience of patients waiting for hip replacement," Social Science & Medicine, Elsevier, vol. 116(C), pages 126-133.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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