The objective of this study was to describe the W/O of all ATP tournaments between 1973 and 2019. Despite previous epidemiological studies about non-completed ATP matches due to medical reasons have also included W/O in their analysis, this is the first study that analyse specifically the W/O and the factors that may cause or influence them.
The W/O IP was 4.2 per 1000 matches. Although there are no previous studies addressing this specific aspect, it is noteworthy to consider that the relatively low incidence of W/O in professional competitions might be influenced by various factors. Unlike in amateur or lower-level competitions, where a player's W/O may have minimal consequences, W/O in professional tennis tournaments can significantly impact a player's performance, both economically and in terms of ranking points. These potential consequences could contribute to players making greater efforts to compete despite injuries or other challenges, thereby reducing the incidence of W/O observed in our study. Future research could explore these aspects further to provide a more comprehensive understanding of the dynamics surrounding W/O in professional tennis.
Previous studies analysed together W/O and retirements, under the term “medical retirement”. For example, Neri-Fuchs et al. [19] reported an IP of 3.800 (95%CI: 3.799–3.801) per 100 exposures in ATP and WTA matches and Jayanthi et al. [20] reported an incidence rate of 15.6 per 1000 matches in the youth tournaments in the United States Tennis Association (USTA). Concerning retirements, Breznik et al. [11] reported a frequency of 2.57% of retirements in ATP tournaments and Hartwell et al. [21] an incidence rate of 2.59 per 1000 matches (95%CI: 1.68–3.5) in the 2013 USTA Pro Circuit. As important note to clarify, retirements and W/O are two different situations on a tennis match, and despite usually being caused by similar reasons (i.e., injury or illness), they have different consequences. In the present study, retirements happened in 2.12% of the total matches, while W/O happened in 0.42%. Those differences can be explained by the consequences related to each category; in W/O, the player that retires before the beginning of the match gets the economical and the ranking compensations related to the development of the tournament so far, before the scheduled game. By the other hand, after a retirement, the player not only gets the economical and ranking classification until the moment of the game, but also gets the economical and ranking classification of that match [8]. As a practical example, if the Greek player Stefano Tsitsipas had retired before the 2023 ATP Finals match against Holger Rune, he would have received 162.750 dollars. Instead, by the only fact of just presenting himself on court and playing the first game gave him the right of an economic compensation of 244.125 dollars (a difference of 81.375 dollars) [22]. Furthermore, it is notable that W/O are relatively rare in the first round of tournaments, as players who fail to appear for their initial match are typically replaced by lucky losers (LL) – players who lost in the final round of the qualifying stage and are available to compete on the day of the first round of the main draw. Consequently, the points and prize money allocated to players in the first round are instead awarded to those in the second round, while players who W/O in the first round are replaced by other competitors and do not receive any points or prize money. Injuries related with W/O were mainly reported in the lower limbs (47.7%), followed by trunk (31.03%) and upper limbs (19.7%). These findings are consistent with previous investigations in tennis players, were the most injured areas were the lower limbs (IP: 1.59; 95%CI: 0.87–2.30), upper limbs (IP: 0.84; 95%CI: 0.32–1.35) and trunk (IP: 0.75; 95%CI: 0.26–1.24) [21].
In the present study, the risk of a W/O was higher in 3-set matches comparing with 5-set matches. If we consider that best-of-5-set matches are played at Grand Slams tournaments in which a higher amount of economical rewards and ranking points are earned, could explain the willingness of the players to participate in these kinds of matches, despite not being in optimal physical conditions. Regarding playing surfaces, carpet courts had a greater proportion of W/O, with an IP of 6.29 (95%CI: 5.17–7.57) per 1000 matches, followed by hard courts 4.48 (95%CI: 4.00-4.99). Additionally, investigations focused on retirements have highlighted that injuries are more prevalent on slower surfaces such as clay courts. This observation may be attributed to the longer effective playing time on slow surfaces (14.5% vs. 12.9%) and the extended duration of points (5.6 vs. 7.1 s), with clay courts typically exhibiting longer rally times compared to hard courts [23]. Despite these associations (between injury rates and surface types) it is important to note that W/O are determined before the match begins, thus potentially limiting the influence of surface type on physical demands during the game. Some studies have explored the relationship between injury occurrence and playing surfaces in tennis. For instance, research indicates that male tennis players have a significantly higher risk of injury compared to their female counterparts, with a reported fourfold increase in injury likelihood (95% CI: 1.57–18.65) [21].
Another factor related with W/O is the tournament round, the final rounds got a 2.32 (95%CI: 1.75–3.07) chance of having a W/O, comparing with classification matches. That fact could be related with the match congestion, as reported with Jayanthi et al. [20], stating that the medical related retirements had a incidence rate of 6.3 per 1000 match exposures on the first four matches of a tournament and 16.7 after the fourth match.
Finally, reported W/O are increasing over last years, concurring with other studies like Néri et al [19], were the retirements increased after 2000 or Okhlom et al. [13], who reported an increase of injury proportion among tennis player from 50–65% between 2003 and 2012. Tennis has evolved during the years from a technical-tactical game to a completely tough sport with high-intensity periods of performance in which players must be prepared to withstand constant force exertions. Hence, any possible factor that could impact negatively on the player’s physical capacities or not feeling at optimal conditions, he/she might take the decision to not present to play. Such is the case of Naomi Osaka who did not present in the round of 64 at Roland Garros (2021) due to mental health problems [24]. Also, in 2009 an international consensus to define and register injuries and diseases in tennis athletes was published, being another possible reason for the change of tendency in retirements and W/O due to medical reasons [25, 26].
Limitations
The present study is the first to analyse W/O in professional tennis. Therefore, the results cannot be directly compared with existing literature. During the years of analysis, there have been changes in ATP rules, potentially influencing the frequency and nature of W/O. Regarding the registration of W/O in ATP tournaments, there are a lack of data before 2001, causing potential difficulties on the global analysis.