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Related Concept Videos

Psychosurgery01:30

Psychosurgery

53
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
53

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Neurosurgical Operative Cancellations in Canada: A Multicentre Retrospective Cohort Study.

Mark A MacLean1, Amit R Persad2, Nicole R Coote2

  • 1Division of Neurosurgery, Dalhousie University, Halifax, NS, Canada.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|May 17, 2024
PubMed
Summary

Neurosurgical cancellations are frequent, primarily due to operational or resource issues. Elective, outpatient, and spine surgeries are most often cancelled, indicating a need for improved efficiency.

Keywords:
Health services researchneurosurgeryquality of carespinal surgery

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Area of Science:

  • Neurosurgery
  • Healthcare Management
  • Quality Improvement

Background:

  • Operative cancellations in neurosurgery negatively impact patient outcomes and healthcare resources.
  • Understanding the scope and reasons for these cancellations is crucial for system optimization.

Purpose of the Study:

  • To characterize the frequency and causes of neurosurgical operative cancellations.
  • To identify specific procedure types and patient demographics associated with higher cancellation rates.

Main Methods:

  • A retrospective cohort study was conducted across five Canadian academic neurosurgery centers.
  • Data from January 1, 2014, to December 31, 2018, included demographics, procedure type, cancellation reason, and acuity.
  • Cancellation rates were analyzed based on various factors and compared between institutions.

Main Results:

  • A total of 7,734 cancellations were recorded, with an overall rate of 18.2%.
  • Elective, outpatient, and spine procedures showed higher cancellation frequencies.
  • The primary reasons for cancellation were operational/resource-related (54.3%), staffing-related (28.5%), and patient-related (17.2%).

Conclusions:

  • Neurosurgical cancellations are a significant issue, predominantly driven by operational and resource constraints.
  • Targeted quality improvement initiatives focusing on these areas can enhance efficiency and patient care.
  • Further research can explore specific interventions to reduce elective surgery cancellations.