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Identifying the reasons for elective surgeries in Sulaymaniyah city | ||
| Basrah Journal of Surgery | ||
| Article 6, Volume 32, Issue 1, 2026, Pages 51-66 PDF (1.22 M) | ||
| Document Type: Research Paper | ||
| DOI: 10.33762/basjsurg.2026.168532.1158 | ||
| Authors | ||
| shakhawan hammaamin said* 1; kardo ali abdalla2; Ashkan Abubakr muhammad2; Barham diary sabr3 | ||
| 1Department of Urology and Renal Transplantation, College of Medicine, University of Sulaimani and Sulaimaniya University Hospital, Sulaymaniyah, Iraq | ||
| 2university of sulaimani, college of medicine | ||
| 3college of medicine, university of sulaimani | ||
| Abstract | ||
| Abstract Background: The cancellation of elective surgeries on the intended day is a significant issue, causing resource wastage and patient distress. This study aimed to identify the most common factors for postponing elective surgeries in Sulaymaniyah City and to describe related patient, system, and operative factors. Methods: A prospective, hospital-based, cross-sectional study was conducted on 952 patients scheduled for elective surgeries from November 1, 2023, to February 25, 2025. Data were collected from seven hospitals in Sulaymaniyah City (four public, three private). Parameters recorded included patient demographics, operation date, type and complexity, specialty, hospital sector, and postponement reasons. Results: Out of 952 scheduled cases, 58 surgeries were postponed (6.1% cancellation rate). Medical factors were the primary cause (53.4%), with uncontrolled hypertension being the most frequent reason (36.2%). A significant association was found between surgical specialty and postponement (P=0.001), with General Surgery accounting for the highest proportion (31.0%). Furthermore, operative complexity was a significant predictor (P=0.003). While Minor, Medium, and Major surgeries had low cancellation rates (approx. 5.5–5.8%), Supermajor surgeries exhibited a markedly higher rate of 22.5%. The hospital service sector was not statistically significant (P=0.217). Conclusion: Most cancellations are attributed to preventable medical factors, particularly uncontrolled hypertension. However, surgical complexity is also a critical association, with Supermajor surgeries being disproportionately vulnerable. Early detection through improved preoperative screening and targeted resource planning for complex procedures is essential to minimize delays. | ||
| Keywords | ||
| Elective Surgical Procedures; Operation Cancellation; Uncontrolled Hypertension; supermajor surgeries; Sulaymaniyah city | ||
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