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Fig 1.

PRISMA flowchart of studies included in the final synthesis of the systematic review.

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Fig 2.

An outline of the stages of the ESC-DAG protocol [11], including an example construction of a perioperative DAG.

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Fig 2 Expand

Fig 3.

Stages, purpose, and the steps of DAG construction outlined in the ESC-DAG protocol [11] that the reviewers scored the final papers against.

IG: implied graph (a DAG that acts as a structural template to build the DAG).

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Table 1.

Process followed by the authors to collect the data and score the DAGs in the studies against the ESC-DAG protocol [11].

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Table 1 Expand

Table 2.

Table depicting the year, journal, study objective and publication date relative to the ESC-DAG protocol of the final nineteen studies.

Whether the DAG within the study included a temporal variable is also recorded. A study including temporal variables means this study acknowledged or specified that a certain variable e.g., drug usage was measured at a specific time point in the preoperative pathway.

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Table 3.

Table demonstrating the results from the screening of all nineteen papers when assessed against the ESC-DAG protocol [11].

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Table 3 Expand

Table 4.

Table demonstrating the extent to which different studies dealt with unmeasured variables, if at all.

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Table 4 Expand