Primary Hip & Knee ArthroplastyCanceled Total Joint Arthroplasty: Who, What, When, and Why?
Section snippets
Methods
This study was approved by, and conducted in accordance with, our Institutional Review Board and no outside funding was received for this study. A consecutive series of 11,670 primary THA and TKA patients at a single institution from January 2013 through March 2017 was reviewed in March and April of 2020. All patients were scheduled to have their TKA or THA completed by one of the 6 surgeons who specialize in TKA and THA procedures. The flowchart can be seen in Figure 1.
All patients who were
Results
Of the 11,670 patients who were scheduled for a primary TKA or THA during the study period, 505 (4.3%) had their surgery canceled at least once. As Table 1 shows, there was a slightly higher percentage of females who had their surgery canceled than males (53% vs 47%, P = .041). Patients who had their TKA canceled had a significantly higher body mass index than those who had their THA canceled (31.1 vs 29.0, P < .001). The mean Charlson Comorbidity Index of all patients was 0.64 (standard
Discussion
Elective procedure cancelations occurring before TJA are an inevitable part of every surgeon’s practice. Patients suffering from end-stage degenerative joint disease have an obvious desire to undergo the procedure but any number of scenarios may result in cancelation. Previous data from orthopedic specialties have found the cancelation rate for elective surgeries to be between 10% and 35% of cases [4,19]. Our analysis of a single academic institution found that about 1 out of every 23 patients
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One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to https://doi.org/10.1016/j.arth.2020.09.006.