Ethical dilemmas when elective surgery is cancelled

[NEWS, 22 June 2011] Planned operations are sometimes cancelled when the health care system is overwhelmed by emergency cases. Hospitals lose money and efficiency decreases, and patients who have prepared have their surgery cancelled. In an article in the scientific journal Clinical Ethics, researchers at Uppsala University, Karolinska Institutet and the Karolinska University Hospital claim that this has ethical, psychological and medical consequences. When the first snow falls, Swedish emergency rooms are filled with patients with fractured hips and legs. To deal with these emergency cases, hospitals often have to cancel elective surgery. In an explorative pilot study, the researchers in Stockholm and Uppsala have shown that cancellations of planned elective surgeries lead to medical and psychological problems for the patients, which in turn can be regarded as an ethical dilemma to the health care system. The study is based on the hypothesis that cancellations are followed by poorer clinical results, mainly on psychological grounds.