ORIGINAL RESEARCH article
Front. Public Health
Sec. Life-Course Epidemiology and Social Inequalities in Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1620173
This article is part of the Research TopicAffirmative Policies and Actions for Equity in Health Towards Vulnerable GroupsView all 3 articles
Patient Characteristics Associated with Elective Shoulder Surgery Cancellation: Focus on Socioeconomic Factors
Provisionally accepted
- 1Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
- 2Pusan National University, Busan, Republic of Korea
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Purpose: This study aimed to examine the factors associated with the cancellation of elective shoulder surgeries, focusing mainly on socioeconomic aspects, and to explore these associations stratified by rural and urban areas. Methods: A retrospective cross-sectional analysis was conducted using the electronic medical records of 1,001 adult patients scheduled for elective shoulder surgery under general anesthesia at a tertiary hospital in South Korea between April 2018 and December 2024. Surgery cancellation was defined as any procedure recorded as "canceled" before the scheduled surgery date. Sociodemographic, clinical, and surgery-related factors were analyzed using chi-squared tests and multivariate logistic regression models. Stratified analyses were also conducted based on residential area. Results: The overall surgical cancellation rate was 11.5%. Older age (≥ 65 years), severe disease, rural residence, manual labor, and complex surgical procedures were significantly associated with higher odds of cancellation. The multivariate analysis showed that patients aged 65 years or older (adjusted OR = 2.20, p < 0.001), those with severe disease (adjusted OR = 4.29, p = 0.004), manual laborers (adjusted OR = 2.93, p < 0.001), and rural residents (adjusted OR = 1.87, p = 0.006) were at a greater risk of cancellation. Stratified analysis revealed that Medical Aid coverage significantly increased the risk of cancellation in rural areas (adjusted OR = 5.76, p = 0.025). Conclusion: Elective shoulder surgery cancellations are influenced not only by clinical factors but also by socioeconomic and geographical disparities. Patient-centered surgical planning that incorporates individual socioeconomic circumstances is essential for reducing cancellation rates and promoting equitable surgical care.
Keywords: Shoulder surgery, Surgery cancellation, Socioeconomic Factors, elective surgery, healthinequality
Received: 29 Apr 2025; Accepted: 17 Oct 2025.
Copyright: © 2025 Kang, Yoon, Park, Jang, Moon and Choi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Minhyeok Choi, come2mh@gmail.com
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