Paediatric anaesthesia & critical care

A systematic review of efforts to predict day of surgery cancellation

Eur J AnaesthesiolPublished Systematic review with narrative synthesis

Authors' conclusion

Models to predict DOSC identified in this review demonstrated moderate discrimination ability but there was significant heterogeneity between studies and reports of calibration were limited.

Study context

Population
Studies developing, validating or updating a model to predict day of surgery cancellation (DOSC) in elective adult and paediatric surgery
Participants
759,337 participants · 6 studies
Outcome
Discrimination of DOSC prediction models (best AUC per study)
Methodological detailsSynthesis Without Meta-Analysis, SWiM framework, PROBAST risk of bias assessment
  • Synthesis Without Meta-Analysis
  • SWiM framework
  • PROBAST risk of bias assessment

Pooled result

As reported in the abstract

Best AUC, development datasets

0.75 to 0.92

Best AUC, validation datasets

0.70 to 0.74

Further pooled results

Cancellations among included procedures

Cancellations
47 609

Calibration

One study: better calibration at census tract level of spatial regression models with local survey data vs individual-prediction-aggregation models

Original publication

A systematic review of efforts to predict day of surgery cancellation. Eur J Anaesthesiol. Published 25 February 2026. doi:10.1097/eja.0000000000002370

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