Deferral of elective surgeries during the COVID-19 pandemic and its impact on Palestinian patients: a cross-sectional study

Atary, Mousa; Abu-Rmeileh, Niveen M. E.

doi:10.1186/s13031-023-00509-w

Conflict and Health

Table 2 Financial impact on patients with deferred surgery

From: Deferral of elective surgeries during the COVID-19 pandemic and its impact on Palestinian patients: a cross-sectional study

Variable	Item	The direct cost impact on participants (cost of transportation and medications due to surgical deferral)*			Pearson Chi-square	Pearson Chi-square P-value ≤ 0.05 is statistically significant
Variable	Item	Mild (%)	Moderate (%)	Severe (%)	Pearson Chi-square
Age groups	15–30y	50.6	42.2	7.2	42.397	.000
	31–45y	31.9	59.3	8.8
	46–60y	17.4	59.7	22.9
	> 60y	17.2	56.9	25.9
Gender	Female	29.7	54.5	15.8	.348^a	.840
Gender	Male	27.0	56.6	16.3
Hospital of scheduled operation	Centre Hospital	26.1	52.9	21.0	9.159	.057
	North Hospital	25.5	56.7	17.7
	South Hospital	34.5	57.1	8.4
Residence in West Bank	North	23.8	55.6	20.5	5.517	.238
	Centre	30.7	57.9	11.4
	South	31.6	53.4	15.0
Type of operation	Subspeciality**	38.2	53.9	7.9	47.948^a	.000
	Gynecology	39.5	50.0	10.5
	Neurosurgery	3.1	68.8	28.1
	Orthopaedic	27.2	48.5	24.3
	General Surgery	35.2	62.0	2.8
No. of comorbidities	None	35.6	51.4	13.0	19.258	.001
	One	15.3	65.3	19.4
	Two or more	16.4	60.3	23.3
Covid-19 infection regarding the time of scheduled operation	Did not infected	22.4	59.2	18.4	4.686	.321
	Infected at other time than surgery time	29.7	55.7	14.7
	Infected during surgery time	37.0	40.7	22.2
The number of health services other than elective surgery which need by the participants	No services needed	31.3	56.1	12.6	20.255	.009
	One service	24.1	56.6	19.3
	Two services	11.5	50.0	38.5
	Three services	30.0	50.0	20.0
	Four services	0	0	100.0
Absence of work during the pandemic	Go to work all the time	34.9	50.9	14.2	21.480	.002
	1-month absence	31.0	60.3	8.6
	2-months absence	29.3	62.1	8.6
	Three or more months of absence	16.8	56.6	26.5
The physical impact of surgical deferral	Not affected physically	40.7	53.7	5.6	38.712	.000
The physical impact of surgical deferral	Affected physically	18.6	57.0	24.4

Univariate analysis of the financial impact on patients with deferred surgery, Palestine, 2020–2021
^a0 cells (0.0%) have expected count < 5
*Mild impact is < 200 Israeli Shekels, Moderate imapct is 200-500Israeli Shekel, Severe impact is > 500 Israeli Shekels
**Subspeciality surgeries include ENT, Ophthalmology, vascular, and maxillofacial surgeries

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ISSN: 1752-1505

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