<div id="summaryView" role="tabpanel" aria-labelledby="tabSummaryView">


<table class="confluenceTable">


<tr><td>Name</td><td>

Hysterectomy Rate

</td></tr>

<tr><td>Short/Other Names</td><td>

Not applicable

</td></tr>


<tr><td>Description</td><td>

This indicator measures the age-standardized rate of hysterectomy provided to patients in acute care hospitals or same-day surgery facilities, per 100,000 women age 18 and older.

For further details, please see the General Methodology Notes (PDF).

</td></tr>

<tr><td>Interpretation</td><td>

Does not apply to this measure (i.e., there is no predefined preference for the measure score)

</td></tr>

<tr><td>HSP Framework Dimension</td><td>

Health System Inputs and Characteristics: Health system resources

</td></tr>

<tr><td>Areas of Need</td><td>

Not applicable

</td></tr>

<tr><td>Geographic Coverage</td><td>

All provinces/territories

</td></tr>


<tr><td>Reporting Level/Disaggregation</td><td>

National, Province/Territory, Region

</td></tr>



<tr><td>Indicator Results</td><td>

http://yourhealthsystem.cihi.ca/epub/?language=en

</td></tr>

</table>

</div>





<div id="fullView" role="tabpanel" aria-labelledby="tabFullView">





<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>

<table id="identifyingInfoRegion">

<tr><td>Name</td><td>

Hysterectomy Rate

</td></tr>

<tr><td>Short/Other Names</td><td>

Not applicable

</td></tr>
</table>



<div role="button" class="expandableTitle" aria-controls="descAndCalRegion">Indicator Description and Calculation</div>

<table id="descAndCalRegion">

<tr><td>Description</td><td>

This indicator measures the age-standardized rate of hysterectomy provided to patients in acute care hospitals or same-day surgery facilities, per 100,000 women age 18 and older.

For further details, please see the General Methodology Notes (PDF).

</td></tr>

<tr><td>Calculation: Description</td><td>

(Total number of discharges for hysterectomy for women age 18 and older ÷ total mid-year female population age 18 and older) × 100,000 (age adjusted)

Unit of Analysis: Single admission

</td></tr>

<tr><td>Calculation: Geographic Assignment</td><td>

Place of residence

</td></tr>

<tr><td>Calculation: Type of Measurement</td><td>

Rate - Per 100,000

</td></tr>

<tr><td>Calculation:  Adjustment Applied</td><td>

Age-adjusted

</td></tr>


<tr><td>Calculation:  Method of Adjustment</td><td>

Direct Standardization
Standard Population:
Canada 2011

</td></tr>

<tr><td>Denominator</td><td>

Description:
Total mid-year female population age 18 and older

</td></tr>

<tr><td>Numerator</td><td>

Description:
Total number of discharges for hysterectomy for women age 18 and older

Inclusions:

  1. Hysterectomy is identified as any of the following procedure codes recorded in any position of the procedure code fields:
    CCP: 80.2–80.6
    CCI: 1.RM.89^, 1.RM.91^ or any of the following codes: 1.RM.87.CA-GX, 1.RM.87.DA-GX, 1.RM.87.LA-GX with extent attribute coded as SU
  2. Age at admission 18 years and older
  3. Sex recorded as female
  4. Admission to an acute care institution or same-day surgery facility (Facility Type Code = 1 or A)

Exclusions:

  1. Newborn, stillbirth or cadaveric donor records (Admission Category Code = N, R or S)
  2. Procedures coded as out of hospital and abandoned after onset (Intervention Status Attribute = A or OOH Indicator Flag = Y)
  3. 2018–2019 data onward: Discharges with medical assistance in dying (MAID) (Discharge Disposition Code = 73)
</td></tr>
</table>



<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>

<table id="backgroundRegion">

<tr><td>Rationale</td><td>

As with other types of surgical procedures, variation in hysterectomy rates can be attributed to numerous factors, including differences in population demographics, physician practice patterns and availability of services. Utilization rates may reflect the level of uncertainty about the appropriate use of this surgical procedure. The right level of utilization is not known.

</td></tr>


<tr><td>Interpretation</td><td>

Does not apply to this measure (i.e., there is no predefined preference for the measure score)

</td></tr>

<tr><td>HSP Framework Dimension</td><td>

Health System Inputs and Characteristics: Health system resources

</td></tr>

<tr><td>Areas of Need</td><td>

Not applicable

</td></tr>

<tr><td>Targets/Benchmarks</td><td>

Benchmarks have not been established for this procedure.

</td></tr>


<tr><td>References</td><td>

Cohen, M. M. and W. Young. "Hysterectomy." In Patterns of Health Care in Ontario, 2nd Ed. Eds. V. Goel et al. Ottawa, Ont.: Canadian Medical Association, 1996: p. 141.

Cumming, D. C. "Hysterectomy Revisited." Journal of Obstetrics and Gynecology Canada 18 (1996): pp. 869-879.

Gimbel, H. "Total and Subtotal Hysterectomy for Benign Uterine Diseases? A Meta-Analysis." Acta Obstetricia et Gynecologica 86 (2007): pp. 133-144.

Lefebvre, G. et al. "SOGC Clinical Practice Guidelines - Hysterectomy." Journal of Obstetrics and Gynecology Canada 109 (2002).

Zekam, N. et al. "Total Versus Subtotal Hysterectomy: A Survey of Gynecologists." Obstetrics and Gynecology 102 (2003): pp. 301-305.

</td></tr>
</table>



<div role="button" class="expandableTitle" aria-controls="availabilityRegion">Availability of Data Sources and Results</div>

<table id="availabilityRegion">

<tr><td>Data Sources</td><td>

DAD, HMDB, NACRS

</td></tr>

<tr><td>Available Data Years</td><td>

Type of Year:
Fiscal
First Available Year:
2010
Last Available Year:
2019

</td></tr>

<tr><td>Geographic Coverage</td><td>

All provinces/territories

</td></tr>


<tr><td>Reporting Level/Disaggregation</td><td>

National, Province/Territory, Region

</td></tr>
</table>



<div role="button" class="expandableTitle" aria-controls="resultRegion">Result Updates</div>

<table id="resultRegion">

<tr><td>Update Frequency</td><td>

Every year

</td></tr>



<tr><td>Indicator Results</td><td>

Web Tool:
Health Indicators e-Publication
URL: http://yourhealthsystem.cihi.ca/epub/?language=en

</td></tr>

<tr><td>Updates</td><td>

Not applicable

</td></tr>
</table>



<div role="button" class="expandableTitle" aria-controls="qualityRegion">Quality Statement</div>

<table id="qualityRegion">

<tr><td>Caveats and Limitations</td><td>

Not applicable

</td></tr>


<tr><td>Trending Issues</td><td>

Not applicable

</td></tr>


<tr><td>Comments</td><td>

Subtotal hysterectomy cannot be uniquely identified in CCI versions 2001 and 2003; subtotal hysterectomies are included in this indicator.

</td></tr>


</table>


</div>