Martí Casals1,2,3, Victoria Peña4, Bernat de Pablo3, Rodrigo Ampuero1, Jordi Cortés5, Ernest Baiget1

1National Institute of Physical Education of Catalonia (INEFC), University of Barcelona, Barcelona, Spain
2Sport and Physical Activity Studies Centre (CEEAF), Faculty of Medicine, University of Vic-Central University of Catalonia (UVic-UCC), Barcelona, Spain
3Sport, Exercise, and Human Movement (SEaHM) Research Group, University of Vic—Central University of Catalonia, Vic, Spain
4Doctoral program in Medicine and Biomedical Sciences, University of Vic - Central University of Catalonia (UVic-UCC), Barcelona08500, Spain
5Department of Statistics and Operations Research and Institute for Research and Innovation in Health (IRIS), Universitat Politècnica de Catalunya (BarcelonaTech), Jordi Girona 1-3, 08034, Barcelona, Spain

Epidemiology and Determinants of Walkovers in Professional Men’s Tennis (1973–2019): A Retrospective Cohort Analysis

Monten. J. Sports Sci. Med. 2025, 14(2), Ahead of Print | DOI: 10.26773/mjssm.250909

Abstract

Walkovers (W/O) refer to when a player wins a match due to the absence of his/her opponent. This investigation aimed to describe W/O in Association of Tennis Professional (ATP) tournaments between 1973 and 2019, analysing epidemiological patterns and associated factors. We hypothesized that W/O incidence varied according to tournament type, surface, and match characteristics. A retrospective cohort study was conducted. Factors that might influence W/O were studied by epidemiological measures, including both absolute and relative measures of risk incidence proportion (IP) per 1000 played matches and cumulative incidence ratio (CIR) are provided as association measures. The IP was 4.2 (95%CI: 3.9-4.5). Matches played in Masters tournaments showed the highest risk of W/O (OR: 1.31; 95% CI: 1.07–1.59), while those in Grand Slams had significantly lower odds (OR: 0.53; 95% CI: 0.40–0.68). W/O were less likely in preliminary (OR: 0.51; 95% CI: 0.43–0.61) and qualifying rounds (OR: 0.37; 95% CI: 0.27–0.50) compared to finals. The probability of W/O showed a decreasing trend from 1980 to 2000 (OR: 0.75; 95% CI: 0.67–0.84), followed by an increase by 2020 (OR: 2.13; 95% CI: 1.25–3.64). The primary causes of W/O were attributed to injuries (28.7%), illnesses (7.8%), and personal reasons (2.5%), although the majority of reasons remained unknown (61.0%). These findings reveal structural and contextual factors associated with W/O. Understanding these patterns may help identify health-related and organizational challenges in professional tennis, highlighting the need to improve injury and health data collection and guiding preventive strategies and scheduling policies.

Keywords

athletic injuries, tennis, prevention, health, epidemiology



View full article
(PDF – 690KB)

References

ATP. (2024). ATP Official Rulebook. ATP Tour. https://www.atptour.com/en/corporate/rulebook

Breznik, K., & Batagelj, V. (2012). Retired Matches Among Male Professional Tennis Players. Journal of Sports Science & Medicine, 11(2), 270–278.

Christmass, M. A., Richmond, S. E., Cable, N. T., Arthur, P. G., & Hartmann, P. E. (1998). Exercise intensity and metabolic response in singles tennis. Journal of Sports Sciences, 16(8), 739–747. https://doi.org/10.1080/026404198366371

Dines, J. S., Bedi, A., Williams, P. N., Dodson, C. C., Ellenbecker, T. S., Altchek, D. W., Windler, G., & Dines, D. M. (2015). Tennis Injuries: Epidemiology, Pathophysiology, and Treatment. JAAOS - Journal of the American Academy of Orthopaedic Surgeons, 23(3), 181. https://doi.org/10.5435/JAAOS-D-13-00148

Fernandez-Fernandez, J., Sanz-Rivas, D., & Mendez-Villanueva, A. (2009). A Review of the Activity Profile and Physiological Demands of Tennis Match Play. Strength & Conditioning Journal, 31(4), 15. https://doi.org/10.1519/SSC.0b013e3181ada1cb

Fu, M. C., Ellenbecker, T. S., Renstrom, P. A., Windler, G. S., & Dines, D. M. (2018). Epidemiology of injuries in tennis players. Current Reviews in Musculoskeletal Medicine, 11(1), 1–5. https://doi.org/10.1007/s12178-018-9452-9

Gerdes, S. (2023). FRIEND AT COURT. THE HANDBOOK of TENNIS RULES and REGULATIONS. United States Tennis Association. https://www.usta.com/content/dam/usta/coach-organize/content-fragments/resource-library/assets/pdfs/2023-Friend-at-Court.pdf

Grand Slam Tennis. (2025). Official Grand Slam Rule Book. Grand Slam Tennis.

Hartwell, M. J., Fong, S. M., & Colvin, A. C. (2017). Withdrawals and Retirements in Professional Tennis Players: An Analysis of 2013 United States Tennis Association Pro Circuit Tournaments. Sports Health, 9(2), 154–161. Scopus. https://doi.org/10.1177/1941738116680335

Jayanthi, N. A., O’Boyle, J., & Durazo-Arvizu, R. A. (2009). Risk Factors for Medical Withdrawals in United States Tennis Association Junior National Tennis Tournaments: A Descriptive Epidemiologic Study. Sports Health, 1(3), 231–235. https://doi.org/10.1177/1941738109334274

La tenista Naomi Osaka se retira de Roland Garros en medio de la controversia con los medios sobre su salud mental. (n.d.). BBC News Mundo. Retrieved 14 January 2024, from https://www.bbc.com/mundo/noticias-57310957

Lawn Tennis Association. (2021). LTA COMPETITION REGULATIONS.

Maquirriain, J., & Baglione, R. (2016). Epidemiology of tennis injuries: An eight-year review of Davis Cup retirements. European Journal of Sport Science, 16(2), 266–270. Scopus. https://doi.org/10.1080/17461391.2015.1009493

McCurdie, I., Smith, S., Bell, P. H., & Batt, M. E. (2017). Tennis injury data from the Championships, Wimbledon, from 2003 to 2012. British Journal of Sports Medicine, 51(7), 607–611. https://doi.org/10.1136/bjsports-2015-095552

Moher, D., Hopewell, S., Schulz, K. F., Montori, V., Gøtzsche, P. C., Devereaux, P. J., Elbourne, D., Egger, M., & Altman, D. G. (2010). CONSORT 2010 Explanation and Elaboration: Updated guidelines for reporting parallel group randomised trials. BMJ, 340, c869. https://doi.org/10.1136/bmj.c869

Néri-Fuchs, J.-B., Sedeaud, A., Marc, A., De Larochelambert, Q., Toussaint, J.-F., & Brocherie, F. (2023). Medical withdrawals in elite tennis in reference to playing standards, court surfaces and genders. Journal of Science and Medicine in Sport, 26(6), 296–300. https://doi.org/10.1016/j.jsams.2023.04.002

Okholm Kryger, K., Dor, F., Guillaume, M., Haida, A., Noirez, P., Montalvan, B., & Toussaint, J.-F. (2015). Medical reasons behind player departures from male and female professional tennis competitions. American Journal of Sports Medicine, 43(1), 34–40. Scopus. https://doi.org/10.1177/0363546514552996

Oliver, L., Baiget, E., Cortés, J., Martínez, J., Crespo, M., & Casals, M. (2024). Retirements of professional tennis players in ATP and WTA tour events. European Journal of Sport Science, 24(10), 1526–1536. https://doi.org/10.1002/ejsc.12177

Pluim, B. M. (2014). The evolution and impact of science in tennis: Eight advances for performance and health. British Journal of Sports Medicine, 48 Suppl 1(Suppl 1), i3-5. https://doi.org/10.1136/bjsports-2014-093434

Pluim, B. M., Fuller, C. W., Batt, M. E., Chase, L., Hainline, B., Miller, S., Montalvan, B., Renström, P., Stroia, K. A., Weber, K., Wood, T. O., & Tennis Consensus Group. (2009). Consensus statement on epidemiological studies of medical conditions in tennis, April 2009. Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine, 19(6), 445–450. https://doi.org/10.1097/JSM.0b013e3181be35e5

Pluim, B. M., Jansen, M. G. T., Williamson, S., Berry, C., Camporesi, S., Fagher, K., Heron, N., van Rensburg, D. C. J., Moreno-Pérez, V., Murray, A., O’Connor, S. R., de Oliveira, F. C. L., Reid, M., van Reijen, M., Saueressig, T., Schoonmade, L. J., Thornton, J. S., Webborn, N., & Ardern, C. L. (2023). Physical Demands of Tennis Across the Different Court Surfaces, Performance Levels and Sexes: A Systematic Review with Meta-analysis. Sports Medicine, 53(4), 807–836. https://doi.org/10.1007/s40279-022-01807-8

Skorodumova, А., & Baranov, I. (2019). The differences in energy system demands of competitive male tennis play between fast and slow courts. ITF Coaching & Sport Science Review, 27(79), 11–14. https://doi.org/10.52383/itfcoaching.v27i79.75

Stevenson, M., Sergeant, E., Heuer, C., Nunes, T., Heuer, C., Marshall, J., Sanchez, J., Thornton, R., Reiczigel, J., Robison-Cox, J., Sebastiani, P., Solymos, P., Yoshida, K., Jones, G., Pirikahu, S., Firestone, S., Kyle, R., Popp, J., Jay, M., … Rabiee, A. (2024). epiR: Tools for the Analysis of Epidemiological Data (Version 2.0.70) [Computer software]. https://cran.r-project.org/web/packages/epiR/index.html

Subirana, I., Sanz, H., & Vila, J. (2014). Building Bivariate Tables: The compareGroups Package for R. Journal of Statistical Software, 57, 1–16. https://doi.org/10.18637/jss.v057.i12

Un paseo a cambio de 81.375 dólares: La retirada entre pitos de Tsitsipas destapa un problema para la ATP. (2023, November 14). Relevo. https://www.relevo.com/tenis/atp-finals/6000-euros-minuto-detras-retirada-20231114151721-nt.html

Vandenbroucke, J. P., von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole, C., Schlesselman, J. J., & Egger, M. (2014). Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration. International Journal of Surgery, 12(12), 1500–1524. https://doi.org/10.1016/j.ijsu.2014.07.014

Wickham, H. (2009). ggplot2: Elegant Graphics for Data Analysis. Springer. https://doi.org/10.1007/978-0-387-98141-3