Abstract
INTRODUCTION: The cancellation of surgery represents a dilemma in establishing relatively adequate cancellation rates according to the factor, because each institution and surgical specialty have different dynamics. Objective: Describe the types of factors present for the cancellation of surgeries in a health institution. Colombia (2017-2018).
 
 METHODOLOGY: Descriptive, retrospective, cross-sectional study. We reviewed (3339) records of scheduled surgeries from January to December 2017. In 2018 they were reviewed (1733) between January and June. A total of (5072) records of a Third Level Health Institution of the Department of Cesar / Colombia were reviewed. The Neuronal Multilayer Perceptron Network model and the Gini coefficient were applied to determine the most important factor and therefore the inequality between them. 
 
 RESULTS: In 2017, there was a surgical cancellation rate of 4% of the total number of scheduled surgeries (3339). For the year 2018, the rate was 3% of the total of scheduled surgeries (1733). The most important factor was due to the patient's adverse conditions. The surgical specialties that had the highest number of cancellations were general surgery followed by orthopedics. 
 
 CONCLUSION: An evaluation of the factors for the cancellation of programmed surgeries with a high coefficient of inequality is described. In addition, the most important factor was related to the patient. Prospective studies by specialty are proposed for the design of solution and monitoring strategies to avoid surgical cancellations.
Highlights
The cancellation of surgery represents a dilemma in establishing relatively adequate cancellation rates according to the factor, because each institution and surgical specialty have different dynamics
The most important factor was related to the patient
Prospective studies by specialty are proposed for the design of solution and monitoring strategies to avoid surgical cancellations
Summary
The cancellation of surgery represents a dilemma in establishing relatively adequate cancellation rates according to the factor, because each institution and surgical specialty have different dynamics. Approximately 230 million major surgical procedures are performed per year according to (Gaviria-García, Lastre-Amell, & Suárez-Villa, 2014; Quesquén & Alfredo, 2018), which requires a significant investment in technology and training of human resources Studies such as the one proposed by (Eugenio Ortiz & Alvarado Rodriguez, 2014), describe that this investment should be around 30.1% of the hospital total budget, since the suspension of a scheduled surgery affects the institution much more financially, without mentioning lawsuits presented by patients and their families due to the negative perception they have from the institution (Barbenza, 2018; Trouiller, Lopard, Mantz, & Farman, 2012; Vayre & Vannineuse, 2003). The factors for surgery cancellation are related to resources mismanaging, such as: insufficient surgery utensils or equipment, lack of sterile clothing, lack of personnel that work in the surgery room, among other causes such as: rescheduling of a programmed procedure for an emergency procedure, greatly affecting the quality of care and well-being of users, increasing costs and the hospitalization time, causing anguish to patients and their caregivers gjhs.ccsenet.org
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