CJRR / PROMs

Arthroplasty (CAS)

Canadian Institute for Health Information (CIHI)

CIHI is an independent, not-for-profit organization that provides essential information on Canada’s health system and the health of Canadians. CIHI manages the Canadian Joint Replacement Registry and provides information including hip and knee replacement statistics, Patient-Reported Outcome Measures (PROMs), wait times, and prosthesis information.

Canadian Joint Replacement Registry (CJRR)

In 2001, CIHI in collaboration with the Canadian Orthopaedic Association (COA) launched CJRR, which collects patient, surgical and prosthesis (implant) information on hip and knee replacement surgeries performed in Canada. The CJRR is managed by CIHI and guided by its Advisory Committee, which is made up of orthopedic surgeons, representatives from provincial ministries of health, the COA, the Canadian Orthopaedic Nurses Association, and the Arthritis Society of Canada. The CJRR Advisory Committee is chaired by Dr. Eric Bohm and co-chaired by Dr. Michael Dunbar. Click on the topics below to learn more.

The CJRR minimum data set aligns with the standard set by the International Society of Arthroplasty Registers.

CJRR data is based on surgery date and collected by fiscal year (April 1 to March 31).

  • Most recent year full year available: fiscal year 2019-2020
  • Next release: fiscal year 2020–2021 (August 2021)
  • Historical series: fiscal years 2001–2002 to 2018-2019

Data is available for custom data requests on a cost recovery basis, for more information visit Make a data request.

Complete the Access Data Inquiry Form. CIHI will assess your request and contact you.

Annual Reports

Annual statistics on hip and knee replacement surgeries performed in Canada based on CJRR and CIHI’s hospitalization and ambulatory care databases.

CJRR Annual Reports from 2002 to 2016 are available by request. Email us at cjrr@cihi.ca

Special Reports

COA

  • Effect of fixation on revision risk of hemiarthroplasty for acute hip fracture in Canada, 2020
  • Revision risk curves from the Canadian Joint Replacement Registry, 2019
  • Characterizing revision surgeries for hip and knee arthroplasty in Canada, 2018

ISAR

  • Impact of prosthetic joint infection among early hip and knee revisions in Canada, 2020
  • Effect of fixation on revision risk for hemiarthroplasty for acute hip fractures in Canada, 2019
  • Characterizing Revision Surgeries for Hip and Knee Replacement in Canada, 2018

For more information on conferences and presentations, please contact cjrr@cihi.ca

  • Chair: Dr. Eric Bohm, Manitoba
  • Co-chair: Dr. Michael Dunbar, Nova Scotia
  • Dr. Joe Amirault, New Brunswick
  • Dr. Keegan Au, Newfoundland and Labrador
  • Ms. Joanne Di Nardo & Ms. Kelly Gorman (shared), Arthritis Society
  • Ms. Sandra Feltham, British Columbia
  • Ms. Lisa Grandy, Nova Scotia
  • Dr. Olga Huk, Quebec
  • Dr. Paul Kim, Ontario
  • Dr. Ian Lutz, Saskatchewan
  • Dr. Bassam Masri, British Columbia
  • Ms. Katherine Mullin, Canadian Orthopaedic Nurses Association
  • Mr. Erik Prout, Ontario Ministry of Health
  • Dr. Bheeshma Ravi, Ontario
  • Ms. Jill Robert, Alberta
  • Dr. Emil Schemitsch, Ontario
  • Dr. James Waddell, Ontario
  • Dr. Jason Werle, Alberta
  • Dr. Gavin Wood, Ontario

Patient-Reported Outcomes Measures (PROMs)

PROMs are used to assess a patient’s health status at a particular point in time and can provide insight on the effectiveness of care from the patient’s perspective. In 2015, CIHI’s PROMs Program began to support the development, advancement, and use of PROMs data collection standards and reporting in priority topics. The current focus is on hip and knee replacement surgeries.

CIHI has published the Patient-Reported Outcome Measures Data Collection Manual: Hip and Knee Arthroplasty, 2019. This manual outlines national data collection guidelines and recommendations for

  • PROMs instruments: EQ-5D-5L, the Oxford Hip Score (OHS), and the Oxford Knee Score (OKS)
  • 2 survey collection time points: pre-surgery and 1 year post-surgery
  • Minimum data set: additional information to collect with a PROMs tool

CIHI’s CJRR Advisory Committee and PROMs Hip and Knee Replacements Working Group endorse these standards. CIHI is facilitating the uptake of these national PROMs standards to enable pan-Canadian PROMs comparative reporting.

CIHI has obtained licences to use the OHS, OKS and EQ-5D-5L and is permitted to sub-licence these instruments to Canadian hospitals and providers for use in routine care (i.e., not for research or commercial purposes). For more information contact proms@cihi.ca.

CIHI and the OECD co-chair the international Working Group on Patient-Reported Indicators for Hip and Knee Replacement Surgery. The national standards align with the international data collection standards developed by this Working Group developed the international data collection standards.

The international data collection standards are endorsed by: International Society of Arthroplasty Registries, World Confederation for Physical Therapy, International Society of Orthopaedic Centers, National Joint Registry, and European Federation of National Associations of Orthopaedics and Traumatology.

Inaugural results from 10 hip and knee PROMs from 8 countries, including Canada, are featured in the OECD’s Health at a Glance 2019. Results from OECD’s Health at a Glance 2021 will be available November 2021.

Reporting Highlights


Number of hip and knee replacements, 2014-2019

Cumulative percentage revision for primary total hip replacement, by bearing surface (primary diagnosis of osteoarthritis), 2012–2013 to 2019–2020


Top reasons for hip and knee revisions, 2019-2020

 

We want to hear from you!

If you have any feedback for this page or have any questions about the CJRR or CIHI’s PROMs program contact us at cjrr@cihi.ca.

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