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ne in 10 Canadians is affected by osteoarthritis (OA), a degenerative disorder affecting the joints, ligaments, tendons, bones and other components of the musculoskeletal system (Arthritis Society 2008; Badley and Glazier 2004). Hip and knee replacement procedures are undertaken as a treatment when patients are experiencing severe pain and limited mobility, usually associated with arthritis or another disorder. Over a period of a decade, beginning 1994–1995, Canadians increasingly accessed healthcare services for joint replacement. During this time, an increase of 87% was observed in hospitalizations for hip and knee replacements (CIHI 2006). The age standardized rate almost doubled for knee replacement surgery over the 10-year period from 50.1 in 1994–1995 to 90.8 in 2004–2005 (CIHI 2006). For hip replacement surgery, the age standardized rate increased by one fifth (CIHI 2006). Some of this growth may be attributed to an increase in life expectancy as well as an increasing prevalence of arthritis, which is anticipated as the population ages (Perruccio 2004). Jo in t r ep l a c ement procedures are one of the five priority areas identified by the federal government for increased efforts towards access to care for Canadians. The increasing number of procedures being performed motivated the implementation of a study to gain better understanding about the profile of joint replacement patients. As part of our objective we sought to characterize elective joint replacement surgical rates in Canada and their demographic makeup and their post-surgical outcomes (complications leading to joint replacement revisions).

CHSRF Knowledge Transfer: Healthy Healthcare Workplaces: Improving the Health and Work Environments of Professionals