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Identifying and Understanding the Non-Clinical Impacts of Delayed or Cancelled Surgery in Order to Inform
Kathryn Jack1, Catrin Evans2, Louise Bramley1
1Surgical Division, Nottingham University Hospitals NHS Trust, Nottinghamshire NG5 1PB, UK.
Summary
Surgical delays due to COVID-19 cause significant social and economic hardship for patients. More research is needed to develop tools for prioritizing patients based on this harm.
Area of Science:
- Health Services Research
- Surgical Outcomes
- Patient Experience
Background:
- The COVID-19 pandemic led to widespread delays in non-urgent elective surgeries.
- Clinical urgency is the primary factor in surgical prioritization, neglecting social and economic impacts.
Purpose of the Study:
- To review evidence on the social and economic harm from delayed surgery.
- To identify patient assessment tools for measuring or predicting this harm.
Main Methods:
- A rapid scoping review following JBI (Joanna Briggs Institute) methodology.
- Searched 10 databases in October 2020, including Medline, EMBASE, and Cochrane.
- Included 21 publications in the final analysis.
Main Results:
- Delayed surgery can cause substantial social, economic, and emotional hardship for patients.
- Harm was categorized into employment, social function, finances, and patient waiting experiences.
- Few validated assessment tools currently exist to measure surgical delay harm.
Conclusions:
- Patients experience significant hardship while waiting for surgery due to pandemic-related delays.
- There is a critical need for research into patient experiences to inform more equitable surgical prioritization.
- Developing assessment tools is essential for a holistic approach to surgical waiting list management.
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