Expert Tips for Navigating Last-Minute Surgery Cancellations

Surgery can be a daunting experience, filled with not only medical concerns but also logistical challenges. Many patients invest significant time and effort into preparing for their procedures, which may include arranging childcare, coordinating transportation, and taking time off work. Unfortunately, same-day cancellations are not uncommon, occurring in approximately 2.5% to 20% of cases depending on the procedure, according to Dr. Matthias Eikermann, chair of anesthesiology at Montefiore Einstein and a professor at Albert Einstein College of Medicine.

Cancellations can stem from several factors, including complications during previous surgeries, patient health issues, or even logistical challenges faced by medical teams. For instance, Michael Davis, a resident of South Florida, experienced frustration when his scheduled heart surgery at UHealth was canceled by Dr. Joseph Lamelas after a long wait. The cancellation was attributed to unexpected complications in an earlier operation, leaving Davis without timely follow-up from the hospital regarding rescheduling.

Understanding the Impact of Cancellations

The emotional toll of surgery cancellations can be significant. Karissa Charles, executive director of the nonprofit Heart Valve Voice US, emphasizes the need for patient advocacy. “Patients must mentally prepare for surgery,” she explained, noting the extensive work involved in coordinating pre-surgery appointments and understanding the process. Charles highlighted the importance of ensuring that patients feel comfortable and supported, especially when facing a procedure that may be classified as elective but remains anxiety-inducing.

Healthcare professionals recommend that caregivers take an active role in advocating for patients. They should inquire about backup plans in case of cancellation and ask pertinent questions during delays. “Inquire about the reason for the delay, the next available surgery date, and whether another surgeon is available sooner,” Charles advised. Understanding the surgical schedule can also help; caregivers should know if the surgeon will be performing multiple surgeries concurrently, a practice that can affect the quality of care.

What to Ask Before Surgery

Patient advocates should track any health changes leading up to the surgery, as this information can be vital for rescheduling decisions. The American College of Surgeons provides a comprehensive list of questions that patients or caregivers should consider before the operation. These questions include inquiries about the risks, benefits, and potential complications associated with the surgery, ensuring that insurance coverage applies to all personnel involved, and understanding the surgeon’s success rates with similar procedures.

Cancellations can result from various factors, including pre-existing conditions or newly discovered health issues. Patients sometimes opt out of procedures due to anxiety or logistical challenges, such as lack of transportation or caregiver support. Additionally, healthcare providers may face unexpected emergencies or complications from prior surgeries, similar to what happened in Davis’s case. The availability of specialized surgeons and fatigue among medical staff can also contribute to the frequency of cancellations.

Preparation and proactive communication can help mitigate the impact of surgery cancellations. By understanding the process and asking the right questions, patients and their caregivers can navigate the complexities of surgery with greater confidence.