Wait Times for Hip Replacement (Percentage Meeting Benchmark)

Percentage of patients within a province who received planned total hip replacements within 26 weeks (182 days) from the date they were ready to be treated.
Data updated:
Data availability: to (fiscal years)
Geographic coverage
All provinces
Reporting level
National, Province/Territory, Region
Calculation

This indicator is calculated based on provincial and national wait time data for the first two quarters of the fiscal year (April–September), and includes all procedures that are publicly funded under the provincial health plan.

Percentage within the benchmark is calculated by dividing the number of cases who received care within the benchmark by all cases, multiplied by 100.

Unit of Analysis: Episode of care 

Calculation of all-Canada estimates:

All-Canada Percentage Meeting Benchmark

The national percentage meeting benchmark estimate was calculated as follows:

National percentage meeting benchmark = Total patients meeting benchmark for each province ÷ Total procedures performed × 100

Denominator

Number of adults who received a planned total hip replacement

Numerator

Number of adults who received a planned total hip replacement within 182 days (26 weeks) from the date they were ready to be treated

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Name

Wait Times for Hip Replacement (Percentage Meeting Benchmark)

Short/Other Names

Not applicable

Description

Percentage of patients within a province who received planned total hip replacements within 26 weeks (182 days) from the date they were ready to be treated

Rationale

In 2004, Canada's first ministers agreed to work toward reducing wait times for five priority areas: cancer treatment, cardiac care, diagnostic imaging, joint replacement and sight restoration. CIHI was mandated to collect wait time information and monitor provincial progress in meeting benchmarks.

Many factors affect wait times, for example, availability of resources, efficiency of a particular facility, seasonal effects, volumes, patient choice, patient condition, follow-up care and/or treatment complexity.

This indicator can be used to help understand access to care and to know how provinces are performing in providing access to services.

HSP Framework Dimension

Access to comprehensive, high-quality health services

Areas of Need

Getting Better

Targets/Benchmarks

Within 26 weeks (182 days)

Available Data Years

to

Geographic Coverage

  • All provinces

Reporting Level/Disaggregation

  • National
  • Province/Territory
  • Region

Indicator Results

Explore wait times for priority procedures across Canada

Update Frequency

Every year

Latest Results Update Date

Updates

There may be some provincial exceptions to the standard methodology each year. For details, please see the Trend tab of CIHI’s wait times visualization.

Description

This indicator is calculated based on provincial and national wait time data for the first two quarters of the fiscal year (April–September), and includes all procedures that are publicly funded under the provincial health plan.

Percentage within the benchmark is calculated by dividing the number of cases who received care within the benchmark by all cases, multiplied by 100.

Unit of Analysis: Episode of care 

Calculation of all-Canada estimates:

All-Canada Percentage Meeting Benchmark

The national percentage meeting benchmark estimate was calculated as follows:

National percentage meeting benchmark = Total patients meeting benchmark for each province ÷ Total procedures performed × 100

Type of Measurement

Percentage or proportion

Denominator

Description:

Number of adults who received a planned total hip replacement

Inclusions:

  1. Age 18 and older
  2. 1.VA.53.LA-PN-^ Implantation of internal device, hip joint, open approach (direct lateral, posterolateral, posterior, transgluteal), dual component prosthetic device (femoral with acetabular)
  3. 1.VA.53.LL-PN-^ Implantation of internal device, hip joint, open anterior (muscle sparing) approach (anterolateral, direct anterior), dual component prosthetic device (femoral with acetabular)
  4. All total hip replacements (primary and revision); bilateral joint replacements count as a single wait
  5. All priority levels

Exclusions:

  1. Emergency cases
  2. Cement spacers and elective partial hip replacements
  3. Abandoned procedures
  4. Days when patient was unavailable

Numerator

Description:

Number of adults who received a planned total hip replacement within 182 days (26 weeks) from the date they were ready to be treated

Inclusions:

  1. Age 18 and older
  2. All total hip replacements (primary and revision); bilateral joint replacements count as a single wait
  3. 1.VA.53.LA-PN-^ Implantation of internal device, hip joint, open approach (direct lateral, posterolateral, posterior, transgluteal), dual component prosthetic device (femoral with acetabular)
  4. 1.VA.53.LL-PN-^ Implantation of internal device, hip joint, open anterior (muscle sparing) approach (anterolateral, direct anterior), dual component prosthetic device (femoral with acetabular)
  5. All priority levels

Exclusions:

  1. Emergency cases
  2. Cement spacers and elective partial hip replacements
  3. Abandoned procedures
  4. Days when patient was unavailable

Method of Adjustment

Not applicable

Adjustment Applied

None

Geographic Assignment

Place of service

Data Sources

  • Provincial Wait Times Registry

Data may come from various sources, depending on the province.

Caveats and Limitations

Some provinces may have some exceptions and their methodology may be slightly different than the standard methodology. For details, please see the Trend tab of CIHI’s wait times visualization.

Trending Issues

Since 2008, an increasing number of provinces have adapted to the standard methodology to increase the comparability of results. When comparing data for a particular province over time, attention should be given to the exceptions. For details, please see the Trend tab of CIHI’s wait times visualization.

Comments

In 2023, Saskatchewan began reporting wait times based on a new set of health regions. Data for previous years (from the old health regions) has been mapped to the new health regions.

References

Health Canada. A 10-Year Plan to Strengthen Health Care. Health Canada. Updated September 16, 2004. Accessed June 7, 2013.

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