Demographic characteristics and diseases associated with surgery between fiscal years 2011 and 2016 in Canada (except Quebec), according to concomitant procedures
| Characteristic | Procedure; no. (%) of patients* | ||||
|---|---|---|---|---|---|
| Hysterectomy n = 178 128 | Tubal sterilization n = 140 400 | ||||
| Alone n = 76 848 | With OS n = 47 672 | With BSO n = 53 608 | Tubal ligation n = 121 583 | OS n = 18 817 | |
| Fiscal year | |||||
| 2011 | 16 953 (22.1) | 4769 (10.0) | 9192 (17.1) | 22 948 (18.9) | 1602 (8.5) |
| 2012 | 14 433 (18.8) | 6429 (13.5) | 8785 (16.4) | 21 957 (18.1) | 2210 (11.7) |
| 2013 | 13 268 (17.3) | 7578 (15.9) | 8728 (16.3) | 21 270 (17.5) | 2788 (14.8) |
| 2014 | 11 954 (15.6) | 9073 (19.0) | 8891 (16.6) | 19 791 (16.3) | 3324 (17.7) |
| 2015 | 10 420 (13.6) | 9428 (19.8) | 8951 (16.7) | 18 438 (15.2) | 4061 (21.6) |
| 2016 | 9820 (12.8) | 10 395 (21.8) | 9061 (16.9) | 17 179 (14.1) | 4832 (25.7) |
| Age, yr, mean ± SD | 49.1 ± 12.8 | 43.3 ± 7.1 | 52.8 ± 10.6 | 34.4 ± 5.6 | 36.8 ± 6.6 |
| Age group, yr | |||||
| 15–24 | 196 (0.3) | 109 (0.2) | 271 (0.5) | 4681 (3.9) | 305 (1.6) |
| 25–34 | 6457 (8.4) | 4602 (9.7) | 1469 (2.7) | 56 346 (46.3) | 6795 (36.1) |
| 35–44 | 26 923 (35.0) | 22 722 (47.7) | 8385 (15.6) | 56 514 (46.5) | 9670 (51.4) |
| 45–54 | 22 051 (28.7) | 18 256 (38.3) | 23 720 (44.2) | 4031 (3.3) | 1824 (9.7) |
| 55–64 | 8968 (11.7) | 1367 (2.9) | 11 976 (22.3) | ‡ | ‡ |
| ≥ 65 | 12 253 (15.9) | 616 (1.3) | 7787 (14.5) | ‡ | ‡ |
| Region of residence | |||||
| Urban | 57 613 (75.0) | 38 113 (79.9) | 42 860 (80.0) | 91 035 (74.9) | 15 604 (82.9) |
| Rural | 4372 (5.7) | 2071 (4.3) | 2647 (4.9) | 5676 (4.7) | 550 (2.9) |
| Rural-remote | 7062 (9.2) | 3393 (7.1) | 4016 (7.5) | 10 444 (8.6) | 1078 (5.7) |
| Rural-very remote | 7414 (9.6) | 3811 (8.0) | 3821 (7.1) | 13 740 (11.3) | 1469 (7.8) |
| Unknown | 387 (0.5) | 284 (0.6) | 264 (0.5) | 688 (0.6) | 116 (0.6) |
| Income quintile | |||||
| Q1 (lowest) | 13 582 (17.7) | 8233 (17.3) | 9271 (17.3) | 28 362 (23.3) | 3997 (21.2) |
| Q2 | 15 320 (19.9) | 9072 (19.0) | 10 163 (19.0) | 25 393 (20.9) | 3822 (20.3) |
| Q3 | 16 016 (20.8) | 10 035 (21.1) | 10 974 (20.5) | 24 891 (20.5) | 3957 (21.0) |
| Q4 | 16 722 (21.8) | 10 581 (22.2) | 11 486 (21.4) | 23 601 (19.4) | 3858 (20.5) |
| Q5 (highest) | 14 446 (18.8) | 9166 (19.2) | 11 195 (20.9) | 17 935 (14.8) | 2955 (15.7) |
| Unknown | 762 (1.0) | 585 (1.2) | 519 (1.0) | 1401 (1.2) | 228 (1.2) |
| Province or territory | |||||
| British Columbia | 6793 (8.8) | 13 305 (27.9) | 6444 (12.0) | 9021 (7.4) | 10 819 (57.5) |
| Alberta | 11 673 (15.2) | 8640 (18.1) | 8306 (15.5) | 23 387 (19.2) | 2032 (10.8) |
| Saskatchewan | 4856 (6.3) | 2581 (5.4) | 2221 (4.1) | 9179 (7.5) | 548 (2.9) |
| Manitoba | 4571 (5.9) | 1460 (3.1) | 2875 (5.4) | 6869 (5.6) | 187 (1.0) |
| Ontario | 39 775 (51.8) | 16 673 (35.0) | 27 980 (52.2) | 57 638 (47.4) | 4279 (22.7) |
| New Brunswick | 2737 (3.6) | 1728 (3.6) | 1881 (3.5) | 5207 (4.3) | 181 (1.0) |
| Nova Scotia | 3421 (4.5) | 2074 (4.4) | 2178 (4.1) | 4861 (4.0) | 271 (1.4) |
| Prince Edward Island | 642 (0.8) | 225 (0.5) | 352 (0.7) | 897 (0.7) | 27 (0.1) |
| Newfoundland | 2180 (2.8) | 790 (1.7) | 1232 (2.3) | 3896 (3.2) | 138 (0.7) |
| Territories (Yukon, Northwest Territories, Nunavut) | 200 (0.3) | 196 (0.4) | 139 (0.3) | 628 (0.5) | 335 (1.8) |
| Disease (and ICD-10 diagnostic code) associated with surgery† | |||||
| Endometriosis (N80.X) | 15 772 (20.5) | 12 220 (25.6) | 13 204 (24.6) | 2156 (1.8) | 1129 (6.0) |
| Uterine leiomyoma (D25.X) | 26 001 (33.8) | 22 619 (47.4) | 22 855 (42.6) | 1276 (1.0) | 499 (2.7) |
| Benign uterine or ovarian neoplasm (D26.X, D27.X, D28.7) | 1950 (2.5) | 1466 (3.1) | 6935 (12.9) | 452 (0.4) | 377 (2.0) |
| Abnormal bleeding (N92.X, N93.X) | 32 515 (42.3) | 28 368 (59.5) | 14 169 (26.4) | 8671 (7.1) | 2149 (11.4) |
| Pelvic organ prolapse (N81.X) | 28 648 (37.3) | 4317 (9.1) | 7368 (13.7) | 554 (0.5) | 183 (1.0) |
| Pelvic inflammatory disease (N73.X, N74.X) | 3614 (4.7) | 2991 (6.3) | 4248 (7.9) | 2410 (2.0) | 1157 (6.1) |
| Salpingitis and oophoritis (N70.X) | 721 (0.9) | 850 (1.8) | 1144 (2.1) | 240 (0.2) | 982 (5.2) |
| Ovarian dysfunction (E28.X) | 151 (0.2) | 129 (0.3) | 216 (0.4) | 107 (0.1) | 29 (0.2) |
| Sterilization (Z30.2) | 507 (0.7) | 446 (0.9) | 56 (0.1) | 115 854 (95.3) | 15 014 (79.8) |
| Pelvic, perineal and lower abdominal pain (R10.2, R10.3) | 3656 (4.8) | 3637 (7.6) | 2493 (4.7) | 786 (0.6) | 801 (4.3) |
Note: BSO = bilateral salpingo-oophorectomy, ICD-10 = International Statistical Classification of Diseases and Related Health Problems (10th revision), OS = opportunistic salpingectomy, SD = standard deviation.
↵* Except where indicated otherwise.
↵† Each patient could have more than 1 diagnostic code.
↵‡ Suppressed owing to small numbers (< 5) and residual disclosure.