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Elective orthopaedic procedure cancellations within 24 hours: Are they a problem?

Marc Bernstein1, Garrett Jebeles1, Tyler Kelly1

  • 1Department of Orthopaedics, The University of Alabama at Birmingham, Birmingham, AL, USA.

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|August 6, 2025
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Summary

Orthopaedic surgery cancellations are frequent, driven by patient factors like transportation and noncompliance. Interventions focusing on patient engagement and preoperative planning can reduce same-day cancellations.

Keywords:
CancellationElective orthopaedic proceduresPatient-relatedSame-daySurgeon-related

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Area of Science:

  • Orthopaedic Surgery
  • Health Care Management

Background:

  • Surgical cancellations represent a persistent challenge in US healthcare.
  • Orthopaedic surgery exhibits notably high cancellation rates.

Purpose of the Study:

  • To investigate the multifaceted reasons behind surgical cancellations.
  • To analyze patient, surgeon, and institutional contributing factors.

Main Methods:

  • Retrospective chart review of elective orthopaedic procedures.
  • Data collected from an academic outpatient hospital (January 2019 - August 2024).

Main Results:

  • Total joint and hand procedures showed the highest cancellation rates.
  • Key cancellation reasons included patient-related issues (clearance, transport, noncompliance), surgeon factors, clerical errors, medical/anesthesia issues, and COVID-19.
  • Patient noncompliance with pre-operative instructions was a significant factor.

Conclusions:

  • Identified opportunities for reducing same-day orthopaedic surgery cancellations.
  • Emphasized the importance of patient engagement and enhanced preoperative planning.
  • Highlighted the need for improved resource coordination and administrative efficiency.