Pediatric anesthesia & critical care
Neighborhood Opportunity and Delays After Day-of-Surgery Cancellations: A Hidden Driver of Pediatric Surgical Inequity
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
| Outcome | aRR (95% CI) | |
|---|---|---|
| Repeat cancelationLow vs Very high · modified Poisson regression | 1.40 (1.03–1.92) | |
| Repeat cancelationVery low vs Very high · modified Poisson regression | 1.51 (1.10–2.07) | |
| 0.512Adjusted relative risk (log scale) |
- 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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