"Identifying Information: Name","Hysterectomy Rate"
"Identifying Information: Short/Other Names","Not applicable"
"Identifying Information: Description","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)."
"Background, Interpretation and Benchmarks: Rationale","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."
"Background, Interpretation and Benchmarks: HSP Framework Dimension","ºìÁì½í¹Ï±¨ system resources"
"Background, Interpretation and Benchmarks: Areas of Need","Not applicable"
"Background, Interpretation and Benchmarks: Targets/Benchmarks","Benchmarks have not been established for this procedure."
"Available Data Years","2010
 to 2023"
"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:ºìÁì½í¹Ï±¨ Indicators e-Publication"
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","December 2024"
"Result Updates: Updates","Not applicable"
"Indicator Calculation: Description","(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"
"Indicator Calculation: Type of Measurement",Rate
"Indicator Calculation: Number or Rate","Per 100,000"
"Denominator: Description:","Total mid-year female population age 18 and older"
"Numerator: Description:","Total number of discharges for hysterectomy for women age 18 and older"
"Numerator: Inclusions:","Hysterectomy is identified as any of the following procedure codes recorded in any position of the procedure code fields:CCP: 80.2–80.6CCI: 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 SUAge at admission 18 years and olderSex recorded as femaleAdmission to an acute care institution or same-day surgery facility (Facility Type Code = 1 or A)"
"Numerator: Exclusions:","Newborn, stillbirth or cadaveric donor records (Admission Category Code = N, R or S)Procedures coded as out of hospital and abandoned after onset (Intervention Status Attribute = A or OOH Indicator Flag = Y)2018–2019 data onward: Discharges with medical assistance in dying (MAID) (Discharge Disposition Code = 73)"
"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","Not applicable"
"Quality Statement: Trending Issues","Not applicable"
"Quality Statement: Comments","Subtotal hysterectomy cannot be uniquely identified in CCI versions 2001 and 2003; subtotal hysterectomies are included in this indicator."
References,"Cohen, M. M. and W. Young. ""Hysterectomy."" In Patterns of ºìÁì½í¹Ï±¨ 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."