Background: Unexpected cancelation of scheduled total joint arthroplasty (TJA) procedures creates patient distress and disruption for the clinical team. The purpose of this study is to identify the etiology and fate of cancelations for scheduled TJAs. Methods: A consecutive series of 11,670 patients at a single institution from 2013 to 2017 was reviewed in March 2020. All patients who were scheduled for a primary total hip arthroplasty or total knee arthroplasty and subsequently canceled were identified. The etiology of cancelation and time to rescheduling were recorded. Results: Of the 505 (4.3%) canceled patients, 209 (42%) were due to medical reasons. Three hundred ninety-one patients (77%) eventually underwent their procedure at a mean delay of 165 days (19-1908). Only 53 (25%) patients canceled for a medical reason underwent further diagnostic or therapeutic intervention for their medical condition. When compared to patient-driven cancelations, those canceled for medical reasons had a higher mean Charlson Comorbidity Index (0.82 vs 0.39, P <.001), were canceled closer to the scheduled surgery date (8.55 vs 18.1 days, P <.001), and were more likely to eventually undergo surgery (86% vs 73%, P = .004). Conclusion: Canceled elective TJA surgeries are most often due to a medical concern, however only a minority of these patients undergo intervention for that medical condition. To minimize the risk of cancelation, healthcare providers may consider early referral of medically complex patients to the patient's primary care physician. After cancelation, patients should have a clearly defined path to return to the operative schedule to prevent further delays. (C) 2020 Elsevier Inc. All rights reserved.
机构:
Sankt Johannes gGmbH, Gemeinschaftskrankenhaus Sankt Elisabeth, Zentrum Orthopadie Unfallchirurg & Sportmed, Bonner Talweg 4-6, D-53113 Bonn, GermanySankt Johannes gGmbH, Gemeinschaftskrankenhaus Sankt Elisabeth, Zentrum Orthopadie Unfallchirurg & Sportmed, Bonner Talweg 4-6, D-53113 Bonn, Germany
Haas, Holger
Weber, Christian D.
论文数: 0引用数: 0
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机构:
Sankt Johannes gGmbH, Gemeinschaftskrankenhaus Sankt Elisabeth, Zentrum Orthopadie Unfallchirurg & Sportmed, Bonner Talweg 4-6, D-53113 Bonn, GermanySankt Johannes gGmbH, Gemeinschaftskrankenhaus Sankt Elisabeth, Zentrum Orthopadie Unfallchirurg & Sportmed, Bonner Talweg 4-6, D-53113 Bonn, Germany
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Grau, Luis
Orozco, Fabio R.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Orozco, Fabio R.
Duque, Andres E.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Duque, Andres E.
Post, Zachary D.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Post, Zachary D.
Ponzio, Danielle Y.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Ponzio, Danielle Y.
Ong, Alvin C.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
机构:
Penn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Kamath, Atul F.
Ong, Kevin L.
论文数: 0引用数: 0
h-index: 0
机构:
Exponent Inc, Philadelphia, PA USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Ong, Kevin L.
Lau, Edmund
论文数: 0引用数: 0
h-index: 0
机构:
Exponent Inc, Menlo Pk, CA USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Lau, Edmund
Chan, Vanessa
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies, San Francisco, CA 94143 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Chan, Vanessa
Vail, Thomas P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Vail, Thomas P.
Rubash, Harry E.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Rubash, Harry E.
Berry, Daniel J.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Dept Orthopaed Surg, Rochester, MN USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Berry, Daniel J.
Bozic, Kevin J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies, San Francisco, CA 94143 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
Menendez, Mariano E.
Memtsoudis, Stavros G.
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Anesthesiol, New York, NY 10021 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
Memtsoudis, Stavros G.
Opperer, Marion
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
Opperer, Marion
Boettner, Friedrich
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
Boettner, Friedrich
Della Valle, Alejandro Gonzalez
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
机构:
Kaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Prentice, Heather A.
Chan, Priscilla H.
论文数: 0引用数: 0
h-index: 0
机构:
Kaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Chan, Priscilla H.
Dillon, Mark T.
论文数: 0引用数: 0
h-index: 0
机构:
Permanente Med Grp Inc, Dept Orthopaed Surg, Sacramento, CA USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Dillon, Mark T.
Reddy, Nithin C.
论文数: 0引用数: 0
h-index: 0
机构:
Southern Calif Permanente Med Grp, Dept Orthopaed Surg, San Diego, CA USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Reddy, Nithin C.
Navarro, Ronald A.
论文数: 0引用数: 0
h-index: 0
机构:
Southern Calif Permanente Med Grp, Dept Orthopaed Surg, Harbor City, CA USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Navarro, Ronald A.
Paxton, Elizabeth W.
论文数: 0引用数: 0
h-index: 0
机构:
Kaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
机构:
Sankt Johannes gGmbH, Gemeinschaftskrankenhaus Sankt Elisabeth, Zentrum Orthopadie Unfallchirurg & Sportmed, Bonner Talweg 4-6, D-53113 Bonn, GermanySankt Johannes gGmbH, Gemeinschaftskrankenhaus Sankt Elisabeth, Zentrum Orthopadie Unfallchirurg & Sportmed, Bonner Talweg 4-6, D-53113 Bonn, Germany
Haas, Holger
Weber, Christian D.
论文数: 0引用数: 0
h-index: 0
机构:
Sankt Johannes gGmbH, Gemeinschaftskrankenhaus Sankt Elisabeth, Zentrum Orthopadie Unfallchirurg & Sportmed, Bonner Talweg 4-6, D-53113 Bonn, GermanySankt Johannes gGmbH, Gemeinschaftskrankenhaus Sankt Elisabeth, Zentrum Orthopadie Unfallchirurg & Sportmed, Bonner Talweg 4-6, D-53113 Bonn, Germany
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Grau, Luis
Orozco, Fabio R.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Orozco, Fabio R.
Duque, Andres E.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Duque, Andres E.
Post, Zachary D.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Post, Zachary D.
Ponzio, Danielle Y.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
Ponzio, Danielle Y.
Ong, Alvin C.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USAThomas Jefferson Univ, Rothman Orthopaed, Dept Orthopaed Surg, 2500 English Creek Ave,Bldg 1300, Egg Harbor Township, NJ 08234 USA
机构:
Penn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Kamath, Atul F.
Ong, Kevin L.
论文数: 0引用数: 0
h-index: 0
机构:
Exponent Inc, Philadelphia, PA USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Ong, Kevin L.
Lau, Edmund
论文数: 0引用数: 0
h-index: 0
机构:
Exponent Inc, Menlo Pk, CA USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Lau, Edmund
Chan, Vanessa
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies, San Francisco, CA 94143 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Chan, Vanessa
Vail, Thomas P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Vail, Thomas P.
Rubash, Harry E.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Rubash, Harry E.
Berry, Daniel J.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Dept Orthopaed Surg, Rochester, MN USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
Berry, Daniel J.
Bozic, Kevin J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies, San Francisco, CA 94143 USAPenn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19107 USA
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
Menendez, Mariano E.
Memtsoudis, Stavros G.
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Anesthesiol, New York, NY 10021 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
Memtsoudis, Stavros G.
Opperer, Marion
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
Opperer, Marion
Boettner, Friedrich
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
Boettner, Friedrich
Della Valle, Alejandro Gonzalez
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Yawkey Ctr, Boston, MA 02114 USA
机构:
Kaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Prentice, Heather A.
Chan, Priscilla H.
论文数: 0引用数: 0
h-index: 0
机构:
Kaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Chan, Priscilla H.
Dillon, Mark T.
论文数: 0引用数: 0
h-index: 0
机构:
Permanente Med Grp Inc, Dept Orthopaed Surg, Sacramento, CA USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Dillon, Mark T.
Reddy, Nithin C.
论文数: 0引用数: 0
h-index: 0
机构:
Southern Calif Permanente Med Grp, Dept Orthopaed Surg, San Diego, CA USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Reddy, Nithin C.
Navarro, Ronald A.
论文数: 0引用数: 0
h-index: 0
机构:
Southern Calif Permanente Med Grp, Dept Orthopaed Surg, Harbor City, CA USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA
Navarro, Ronald A.
Paxton, Elizabeth W.
论文数: 0引用数: 0
h-index: 0
机构:
Kaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USAKaiser Permanente, Surg Outcomes & Anal, 8954 Rio San Diego Dr,Ste 406, San Diego, CA 92108 USA