Pediatric anesthesia & critical care

Association of Neighborhood Opportunity, Race, and Ethnicity with Pediatric Day-of-surgery Cancellations: A Cohort Study

AnesthesiologyPublished Retrospective cohort study

Main finding · Day-of-surgery cancellationResult — go to the resultAdjusted relative risk 2.24 95% CI 2.05–2.44

Authors' conclusion

This study found a strong relationship between pediatric day-of-surgery cancellation and neighborhood opportunity.

Study context

Population
Children younger than 18 yr scheduled for ambulatory surgery at a tertiary pediatric hospital, 2017–2022
Exposure
Very-low- vs very-high-opportunity neighborhoods
Outcome
Day-of-surgery cancellation
Methodological detailssingle-centre, tertiary pediatric hospital
  • Single-centre
  • Tertiary pediatric hospital

Main finding

As reported in the abstract

Adjusted relative risk

2.24

95% CI 2.05–2.44

P < 0.001

By group

Very-low-opportunity vs Very-high-opportunity
adjusted RR 2.24 (95% CI 2.05–2.44); P < 0.001
Overall incidence of day-of-surgery cancellation
3.8%

Observational data: associations, not effects.

Further findings

OutcomeRR (95% CI)P value
Day-of-surgery cancellation, Black vs White children, very-low-opportunity neighborhoods (subgroup)1.48 (1.35–1.63)P < 0.001
Day-of-surgery cancellation, Black vs White children, very-high-opportunity neighborhoods (subgroup)2.17 (1.75–2.69)P < 0.001
  • Day-of-surgery cancellation, Black vs White children, very-low-opportunity neighborhoods (subgroup): statistical evidence of interaction of Child Opportunity Index with race and ethnicity

Original publication

Association of Neighborhood Opportunity, Race, and Ethnicity with Pediatric Day-of-surgery Cancellations: A Cohort Study. Anesthesiology. Published 24 May 2024. doi:10.1097/aln.0000000000005042

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