Joint Replacements

Joint replacements improve the quality of life of those with chronic pain by helping them function more independently. Joint replacement is one of five priority areas targeted for shorter wait times in Canada. The number of hip replacements in Canada increased 11% between 2006–2007 and 2010–2011. The number of knee replacements increased by 15% over the same period.

CIHI developed the Canadian Joint Replacement Registry (CJRR) in 2001. We use CJRR and other data sources to understand aspects of joint replacement such as hospitalizations, patient demographics, clinical issues and wait times.

We welcome your feedback and questions

• Contact us at cjrr@cihi.ca.

Have a data inquiry or research question? Make a custom data request.

Information on joint replacements

 CJRR updates
 Reports and analyses
 Databases and data sources
 Metadata
 Participating in CJRR
 Related content

CJRR updates

• CJRR Update, Spring 2013 (PDF, 573 KB)
• CJRR Update, Spring 2012 (PDF, 488 KB) 

Reports and analyses

• Hip and Knee Replacements in Canada; Canadian Joint Replacement Registry (CJRR) 2013 Annual Report (May. 2013) (PDF, 3,122 KB)
• Hip and Knee Replacements in Canada—2011 Annual Statistics (Clinical Data) (Jan. 2012) (XLSX, 1,233 KB)
• Simultaneous Bilateral TKAs Versus Staged Bilateral TKAs: Findings From the Hospital Morbidity Database (July 2011) (PDF, 680 KB)
• Hip and Knee Replacements in Canada—Canadian Joint Replacement Registry (CJRR) 2008–2009 Annual Report (June 2009)
• Hospitalizations, Early Revisions and Infections Following Joint Replacement Surgery (Mar. 2008)
• Hip Resurfacing Arthroplasty: Findings From the Canadian Joint Replacement Registry (PDF, 294 KB)
• Early Revisions for Hip and Knee Replacements in the Canadian Joint Replacement Registry (CJRR) (May 2006)
• Revisions of Hip and Knee Replacement in Canada (Canadian Joint Replacement Registry, June 2004)

Databases and data sources

Canadian Joint Replacement Registry
The Canadian Joint Replacement Registry (CJRR) was launched in May 2001 as a voluntary registry. Today, it is mandated in several provinces. CJRR contains data from surgeons or facilities in all provinces and territories except Prince Edward Island and Nunavut.

CJRR provides in-depth information on hip and knee replacement procedures in Canada, including prosthesis information. The registry contains patient-level data beyond that in the Hospital Morbidity Database (HMDB) and the Discharge Abstract Database (DAD).

Hospital Morbidity Database
The Hospital Morbidity Database (HMDB) captures administrative, clinical and demographic information about hospital inpatients in Canada.

Discharge Abstract Database
The Discharge Abstract Database (DAD) contains demographic, administrative and clinical data on inpatient hospital discharges.

National Rehabilitation Reporting System
The National Rehabilitation Reporting System (NRS) contains data on adult inpatients at rehabilitation facilities and programs in nine provinces.

Metadata

Metadata is information about data. It helps users understand and interpret data from a specific source.

Find out more about CJRR data:

• Canadian Joint Replacement Registry (CJRR)

Participating in CJRR

If your organization would like to join this important effort, please contact Central Client Services at ccsp@cihi.ca.

Information for all data providers

CJRR Minimum Data Set Manual, 2013–2014 (April 2013) (PDF, 2.5 MB)
CJRR Bulletin: Changes to Validations for Monopolar/Unipolar Hemiarthroplasties

Data submission deadlines for 2012–2013 surgical procedures

Information for electronic file submitters

List of CJRR licensed vendors

Please contact a CIHI vendor support representative at vendors@cihi.ca for any inquiries about becoming a CJRR licensed vendor and obtaining the CJRR Electronic Data Submission Requirements.

Information for web-based data submitters

CJRR Web-Based Data Submission and Reports Tool
The CJRR Web-Based Data Submission and Reports Tool is available for participating surgeons to submit data directly to CJRR through a secure online platform; data can also be updated using the tool. Select from the links below for a demonstration of the tool and training on how to use it.

• Introduction and Overview (Flash Video)
• Entering Patient and Procedure Information (Flash Video)
• Downloading Reports and Own Data (Flash Video)
• CJRR Web-Based Data Submission and Reports Tool, User Manual, MDS Edition (2012) (PDF, 4 MB)

Information for paper submitters

• Important Message for Paper Submitters, August 2012 (PDF, 167 KB)

Forms

MDS data collection forms
Effective April 1, 2012, CJRR has streamlined its data submission requirements to a minimum data set (MDS) aligned with those proposed by the International Society of Arthroplasty Registries (ISAR). The new MDS data collection forms are in use for hip and knee replacements performed on or after April 1, 2012.

• CJRR Hip Replacement Data Collection Form, April 2012 (PDF, 127 KB)
• CJRR Knee Replacement Data Collection Form, April 2012 (PDF, 64 KB)

Consent form

• CJRR Patient Information Sheet and Consent Form, April 2012 (PDF, 23 KB) 

Historical Forms

The pre-MDS CJRR data collection forms were used for surgical procedures performed up to March 31, 2012. These forms are now retired.

• CJRR Hip Replacement Data Collection Form, April 2005 (PDF, 143 KB)
• CJRR Knee Replacement Data Collection Form, April 2005 (PDF, 149 KB)

Advisory groups

In addition to partnering with Canada’s orthopedic surgeons across the country, CIHI is supported by two expert groups:

• The CJRR Advisory Committee, chaired by Dr. Eric Bohm and co-chaired by Dr. Michael Dunbar, provides CIHI with advice on the development and implementation of CJRR.
• The CJRR Research and Development Subcommittee provides the CJRR Advisory Committee with advice on the continued development, maintenance and analytical studies of CJRR.

CPD credits

Orthopedic surgeons who participate in CJRR on a voluntary basis may be eligible for continuing professional development (CPD) credits. For more information, contact us by email at cjrr@cihi.ca.