CAS – CJRR / PROMs - Association Canadienne d'Orthopédie

Subspecialties | Canadian Arthroplasty Society (CAS)

CJRR / PROMs

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.

Data elements

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

Data availability

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

Most recent full year available: fiscal year 2024-2025
Next release: fiscal year 2025–2026
Historical series: fiscal years 2001–2002 to 2023-2024

Requesting data

Researchers, decision-makers and health managers can request specific CJRR data through a custom data request. Visit CIHI’s data request page for more information

CJRR Reports

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 2020 are available by request. Please contact cjrr@cihi.ca

Special Reports

CJRR Advisory Committee Members

Chair: Dr. Eric Bohm, Manitoba
Co-chair: Dr. Jason Werle, Alberta
Ms. Kelly Gorman, Arthritis Society Canada
Mr. John Maruyama, Canadian Orthopaedic Nurses Association
Dr. Bassam Masri, British Columbia
Ms. Jill Robert, Alberta Health Services
Dr. Ian Lutz, Saskatchewan
Ms. Susan Rich, Ontario, Patient Partner
Dr. James Waddell, Ontario Ministry of Health
Dr. Paul Kim, Ontario
Dr. Bheeshma Ravi, Ontario
Dr. Emil Schemitsch, Ontario
Dr. Gavin Wood, Ontario
Dr. Etienne Belzile, Quebec
Dr. Olga Huk, Quebec
Dr. Michael Dunbar, Nova Scotia
Dr. Paul Kelly, Prince Edward Island
Dr. Keegan Au, Newfoundland and Labrador

Patient Advisory Group

In early 2023, CIHI formed the Joint Replacement Patient Advisory Group (PAG) to ensure that patient perspectives are meaningfully integrated into CJRR’s work. This includes having PAG members’ representation on the CJRR Advisory Committee. In 2024, CJRR collaborated with the PAG to co-design hip and knee patient information pages.

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, patient partners, representatives from provincial ministries of health, the COA, the Canadian Orthopaedic Nurses Association, and Arthritis Society Canada. The CJRR Advisory Committee is chaired by Dr. Eric Bohm and co-chaired by Dr. Jason Werle. Click on the topics below to learn more.

CJRR Annual Report

Reporting highlights:

Read the 2026 CJRR Annual Report

PROMs National Standards

CIHI has published the Patient-Reported Outcome Measures Data Collection Manual: Hip and Knee Arthroplasty, 2021. 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 Canadian Joint Replacement Registry (CJRR) Advisory Committee and PROMs Hip and Knee Replacements Working Group have endorsed 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.

PROMs International Standards

As part of the OECD’s Patient-Reported Indicator Surveys (PaRIS) initiative, CIHI is a member of 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.

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.

OECD Health at a Glance Report

The latest comparable data and trends on hip and knee PROMs from OECD countries, including Canada, are featured in OECD’s Health at a Glance 2025.

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.

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 please contact cjrr@cihi.ca.