Association between race, ethnicity, and surgical case cancellations: A retrospective study in a cohort of patients undergoing oncological surgeries
Authors' conclusion
Our work suggests that in the context of cancer care, Black or African-American patients have an increased risk of surgical cancellations.
Study context
- Population
- Patients undergoing oncological surgery in a large tertiary cancer center
- Participants
- 109,400 surgical cases
- Exposure
- Self-reported race and ethnicity
- Outcome
- Surgical cancellation before or on the intended surgery date
Methodological detailssingle-centre, multivariable logistic regression, mixed effects model
- Single-centre
- Multivariable logistic regression
- Mixed effects model
Main finding
As reported in the abstract
Each group vs NH-BlackOR
NH-Asian
0.56(99.8 % CI 0.40–0.79)
NH-White
0.64(99.8 % CI 0.53–0.78)
NHPIA
0.57(99.8 % CI 0.22–1.51)
Hispanic or Latino
0.82(99.8 % CI 0.65–1.03)
Other
0.76(95 % CI 0.46–1.26)
Observational data: associations, not effects.
Further findings
Overall cancellation rate
%
- Overall rate of cancellation
- 4.45
- Head and neck service (highest)
- 15.04
- Cancellations due to changes in treatment
- 54.9
Cancellation rate in Black patients
%
- Black patients (highest among all ethnicities)
- 5.4
- Black patients, breast surgical oncology service
- 16.6
Original publication
Association between race, ethnicity, and surgical case cancellations: A retrospective study in a cohort of patients undergoing oncological surgeries. J Clin Anesth. Published 7 July 2025. doi:10. 1016/ j. jclinane. 2025. 111925
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