Safety, quality & education

Association between race, ethnicity, and surgical case cancellations: A retrospective study in a cohort of patients undergoing oncological surgeries

J Clin AnesthPublished Retrospective cohort study

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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