"Identifying Information: Name","Hip Replacement Rate"
"Identifying Information: Short/Other Names","Age-Standardized Rate for Hip Replacements"
"Identifying Information: Description","This indicator measures the age-standardized hospitalization rate for hip replacement procedures performed in acute care hospitals or same-day surgery facilities per 100,000 population age 18 and older.

The indicator includes all hip replacement types: total hip replacement, monopolar/bipolar hemiarthroplasty and resurfacing procedures.

For further details, please see the General Methodology Notes (PDF)."
"Background, Interpretation and Benchmarks: Rationale","A hip replacement procedure has the potential to improve functional status, reduce pain and contribute to other gains in health-related quality of life. Over the past two decades, rates of hip replacement procedures have increased substantially. Wide inter-regional variation in joint replacement rates may be attributable to numerous factors, including the availability of services, provider practice patterns and patient preferences."
"Background, Interpretation and Benchmarks: HSP Framework Dimension","Health system resources"
"Background, Interpretation and Benchmarks: Areas of Need","Not applicable"
"Background, Interpretation and Benchmarks: Targets/Benchmarks","Not applicable"
"Available Data Years","2010
 to 2022"
"Available Data Years: Type of Year",Fiscal
"Availability of Results: Geographic Coverage","All provinces/territories"
"Reporting Level/Disaggregation",National
"Result Updates: Indicator Results","Web Tool:
Health Indicators e-Publication"
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","November 2023"
"Result Updates: Updates","Not applicable"
"Indicator Calculation: Description","(Total number of hip replacement hospitalizations for persons age 18 and older ÷ Total mid-year population age 18 and older) × 100,000 (age-adjusted)"
"Indicator Calculation: Type of Measurement",Rate
"Indicator Calculation: Number or Rate","Per 100,000"
"Denominator: Description:","Total mid-year population age 18 and older"
"Numerator: Description:","Total number of discharges or same-day visits for all hip replacement procedures for patients age 18 and older

Unit of analysis: Single admission or same-day visit"
"Numerator: Inclusions:","Hip replacement procedures occurring during inpatient stay or same-day visit CCI: 1.VA.53^^ and 1.SQ.53^^
	
	Note: Rates are based on the total number of discharges or same-day visits for hip replacement procedures in a given year. Therefore, a patient who received a bilateral hip replacement or underwent multiple hip replacement procedures within a single hospital admission or same-day visit would be counted only once.
	Age at admission: 18 and older
	Sex recorded as male or female
	Admission to an acute care institution or day surgery facility (Facility Type Code = 1 or A)"
"Numerator: Exclusions:","Records with cement spacers not coded as revision (intervention codes 1VA53LASLN and 1VA53LLSLN and Intervention Status Attribute does not equal R)
	Hip replacement procedures coded as out of hospital or abandoned after onset (OOH Indicator Flag = Y or Intervention Status Attribute = A)
	Newborn, stillbirth or cadaveric donor records (Admission Category Code = N, R or S)"
"Method of Adjustment","Direct standardization"
"Method of Adjustment: Direct Standardization - Standard Population","Standard Population:

Canada 2011"
"Adjustment Applied",Age-adjusted
"Indicator Calculation: Geographic Assignment","Place of residence"
"Data Sources",DAD
"Quality Statement: Caveats and Limitations","Rates are based on the total number of discharges or same-day visits for hip replacement procedures in a given year. However, it is possible for a patient to undergo more than one hip replacement procedure in a single hospitalization or day surgery visit."
"Quality Statement: Trending Issues","As of 2013–2014, the hip replacement rate published in the Health Indicators e-Publication includes partial hip replacement procedures. Comparability with previous years will be affected.

Beginning with 2016–2017 data, the hip replacement rate published in the Health Indicators e-Publication and CJRR Quick Stats includes hip replacements performed in day surgery settings; comparability with previous years is not affected."
"Quality Statement: Comments","Regional results are available in the Health Indicators e-Publication.
	Provincial results are also available in Quick Stats. Please note the following:
	
		Prior to 2013–2014, results for Yukon, the Northwest Territories and Nunavut were suppressed in the CJRR annual report. However, their numbers are included in Canadian calculations.
		Calculation of a patient's geography in the Health Indicators e-Publication is based on the Postal Code Conversion File (PCCF).
		Beginning with 2015–2016 data, cement spacers are excluded from hip replacement cases when they are not revisions; comparability with previous years should not be affected.
		As of 2016–2017, hip replacements performed in day surgery settings are included in the CJRR annual report."
References,"Not applicable"