"Identifying Information: Name","Joint Replacement Wait Times"
"Identifying Information: Short/Other Names","Adult Patients Who Received Planned Total Joint Replacement Within Clinically Acceptable Wait Times"
"Identifying Information: Description","The percentage of patients who received planned total joint replacements within 26 weeks (182 days) from the date they were ready to be treated"
"Background, Interpretation and Benchmarks: Rationale","In 2004, Canada’s first ministers agreed to work toward reducing wait times for 5 priority areas: cancer treatment, cardiac care, diagnostic imaging, joint replacement and sight restoration. In 2005, the provincial and territorial governments established benchmarks for common priority procedures, including the 26-week benchmark for hip and knee replacement, based on research and clinical evidence.Waiting for planned surgery is challenging for Canadians. Long wait times can directly impact quality of life and contribute to further health problems. Even though wait times are a top priority for health systems in Canada, long waits for planned, non-emergency surgeries persist — a problem that has been exacerbated by the COVID-19 pandemic.All provinces and territories have implemented wait time reporting and monitoring systems to track patients waiting for surgery. These systems help highlight the impact of health workforce shortages on wait times for adults scheduled to have a joint replacement, which in turn helps drive initiatives to improve wait times and the quality of health care Canadians receive.Quebec is included only in the reporting for Your ºìÁì½í¹Ï±¨ System: In Brief. "
"Background, Interpretation and Benchmarks: Interpretation","Higher proportions are desirable for this indicator."
"Background, Interpretation and Benchmarks: HSP Framework Dimension","Access to comprehensive, high-quality health services"
"Background, Interpretation and Benchmarks: Areas of Need","Getting Better"
"Background, Interpretation and Benchmarks: Targets/Benchmarks","Within 26 weeks (182 days)"
"Available Data Years","2019
 to 2023"
"Available Data Years: Type of Year",Fiscal
"Availability of Results: Geographic Coverage","All provinces"
"Reporting Level/Disaggregation",National
"Result Updates: Indicator Results","Common indicators to improve health care for CanadiansJoint Replacement Wait Times (XLSX)Web Tool:Your ºìÁì½í¹Ï±¨ System: In BriefYour ºìÁì½í¹Ï±¨ System - Joint Replacement Wait Times "
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","December 2024"
"Result Updates: Updates","There might be some provincial exceptions to the standard methodology each year."
"Indicator Calculation: Description","This indicator is calculated based on provincial and national wait times 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.The 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 careCalculation of all-Canada estimates:All-Canada Percentage Meeting BenchmarkThe national percentage meeting benchmark estimate was calculated as follows:National percentage meeting benchmark = Total patients meeting benchmark for each province ÷ Total procedures performed × 100"
"Indicator Calculation: Type of Measurement","Percentage or proportion"
"Denominator: Description:","All cases of planned total joint replacement"
"Denominator: Inclusions:","Age 18 and olderAll total hip/knee replacements (primary and revision); bilateral joint replacements count as a single waitAll priority levels"
"Denominator: Exclusions:","Emergency casesAbandoned proceduresCement spacers and elective partial hip replacementsDays when patient was unavailable"
"Numerator: Description:","Cases of planned total joint replacement who received surgery within 26 weeks (182 days) from the date they were ready to be treated"
"Numerator: Inclusions:","Age 18 and olderAll total hip/knee replacements (primary and revision); bilateral joint replacements count as a single waitAll priority levels"
"Numerator: Exclusions:","Emergency casesAbandoned proceduresCement spacers and elective partial hip replacementsDays when patient was unavailable"
"Method of Adjustment","Not applicable"
"Adjustment Applied",None
"Indicator Calculation: Geographic Assignment","Place of service"
"Data Sources","Provincial Wait Times Registry"
"Data Sources: Other Data Source","Data may come from various sources, depending on province"
"Quality Statement: 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 for the hip and knee replacement indicators: Explore wait times for priority procedures across Canada"
"Quality Statement: Trending Issues","Since 2008, an increasing number of provinces have adapted to the standard methodology to improve the comparability of results. When comparing a particular province throughout years, attention should be given to the exceptions."
"Quality Statement: Comments","This indicator is part of a set of common indicators to measure progress on the priority areas to improve health care announced by federal, provincial and territorial governments in 2023. Additional information is available on the Shared ºìÁì½í¹Ï±¨ Priorities web page. More information is available:Benchmarks for treatment and wait time trending across Canada (crude rates at provincial and national levels, calculated by place of service), starting from 2009, using open-year data from April to SeptemberCJRR: Collects patient-specific information (clinical, surgical and prosthesis) on hip and knee replacement surgeries performed in Canada"
References,"ºìÁì½í¹Ï±¨ Canada. A 10-year plan to strengthen health care. Accessed May 9, 2023.Canadian Institute for ºìÁì½í¹Ï±¨ Information. CJRR annual report: Hip and knee replacements in Canada, 2021–2022. Accessed May 22, 2024.Canadian Institute for ºìÁì½í¹Ï±¨ Information. Taking the pulse: A snapshot of Canadian health care, 2023. Accessed May 22, 2024.Canadian Institute for ºìÁì½í¹Ï±¨ Information. Wait times for priority procedures in Canada, 2024. Accessed May 22, 2024. "