Arthroplasty (CAS)

Canadian Institute for Health Information and Patient Reported Outcome Measures

Since 2017, the Canadian Institute for Health Information (CIHI) in partnership with the Organisation for Economic Co-operation and Development (OECD), has led an international working group focused on developing comparable hip and knee replacement PROMs, as part of the OECD Patient-Reported Indicators Surveys (PaRIS) initiative. PROMs are fundamental to understanding whether health care services and procedures make a difference to patients’ health status and quality of life. PROMs provide insight on the effectiveness of care from the patient’s perspective.

For the first time, patient-reported outcome measures (PROMs) are included in the OECD’s 2019 Health at a Glance report. Ten programs from 8 countries contributed hip and knee PROMs data to this report including Canadian data from Alberta and Manitoba. CIHI’s roles included leading and supporting the hip and knee working group, development of comparable PROMs including analyses of pilot data from several countries, preparing final OECD data submission specifications for countries, and supporting PROMs tool crosswalk work to enable reporting different tools on the same scale. CIHI also led the development of international guidelines for collecting hip and knee PROMs to support the future increased availability and comparability of PROMs data in OECD countries. These guidelines were released in December 2019 as a joint OECD-CIHI publication.

The international working group is currently working to expand the number of programs reporting hip and knee PROMs in OECD’s Health at a Glance 2021.

For more information visit www.cihi.ca/proms or contact us at proms@cihi.ca.

The CJRR Reports

The CJRR Annual Report and the CJRR report: Impact of Early Revisions of Hip and Knee Replacement in Canada are now available!

Early Revisions of Hip and Knee Replacements in Canada: A Quality, Productivity and Capacity Issue focuses on hip and knee revision (or repeat) surgeries needed within 2 years of the initial joint replacement. Using the latest available data, this study provides a better understanding of who requires these revision surgeries and why, and quantifies the impacts on our health care systems.

The CJRR Annual Report is now comprised of a Snapshot, Quick Stats, and Revisions Curves document. The Snapshot summarizes the latest annual statistics on hip and knee replacements performed in Canada. The Quick Stats includes data tables with national, provincial and territorial results for 2018-2019. The Revision Curves document presents revision risk curves for hip and knee replacements performed in Canada up to 2018-2019.

Implantable Medical Devices in Canada: Insights Into High-Volume Procedures and Associated Costs provides insights into high-volume implantable medical device (IMD) procedures and associated costs using pan-Canadian hospitalization and day surgery data. It includes volumes and trends over time, patient characteristics, and variations by province and territory, as well as health system costs both overall and by hospital care setting for each of the IMD procedures.

The CJRR Team would like to acknowledge the CJRR Advisory Committee, chaired by Drs. Eric Bohm and Michael Dunbar for their input and guidance in the development of the CJRR reports.