Pediatric anesthesia & critical care

Neighborhood Opportunity and Delays After Day-of-Surgery Cancellations: A Hidden Driver of Pediatric Surgical Inequity

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

Neighborhood opportunity was not strongly associated with overall procedure completion within 12 months but was associated with differences in the timing of completion and patterns of repeat cancelation. Children from lower-opportunity neighborhoods were more likely to experience repeat cancelations and delayed early completion.

Study context

Population
Children (<18 years) with a day-of-surgery cancelation at a tertiary pediatric hospital, Jan 2017–Jun 2024index DOSC
Participants
7,015 children
Exposure
Child Opportunity Index 3.0 national quintiles
Outcome
Procedure completion (completed/not completed)
Follow-up
12 months of the original scheduled date
Methodological detailssingle tertiary paediatric hospital, time-to-event analysis
  • Single tertiary paediatric hospital
  • Time-to-event analysis

Main finding

As reported in the abstract

Procedure completion · 12 months
Completion differed across neighborhood opportunity (log-rank)
P = .02

Observational data: associations, not effects.

Secondary outcomes

OutcomeaRR (95% CI)
Repeat cancelationLow vs Very high · modified Poisson regression1.40 (1.03–1.92)
Repeat cancelationVery low vs Very high · modified Poisson regression1.51 (1.10–2.07)
Repeat cancelation — Repeat cancelations overall
8.2% (565/6896)

Original publication

Neighborhood Opportunity and Delays After Day-of-Surgery Cancellations: A Hidden Driver of Pediatric Surgical Inequity. Anesth Analg. Published 1 July 2026. doi:10.1213/ane.0000000000008170

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