Hip and knee replacements are surgeries aimed at improving the functioning and quality of life of almost 113,000 Canadians annually. Hip and knee replacement is 1 of 5 priority areas targeted for shorter wait times in Canada. The number of hip replacements in Canada increased 20% between 2009–2010 and 2014–2015. The number of knee replacements increased by 20.3% over the same period.

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

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Information on joint replacements

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

CJRR updates

Reports and analyses

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 Ontario, Manitoba and British Columbia. 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 what is collected in the Hospital Morbidity Database (HMDB), the Discharge Abstract Database (DAD) and the National Ambulatory Care Reporting System (NACRS).

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 Ambulatory Care Reporting System

The National Ambulatory Care Reporting System (NACRS) contains demographic, administrative and clinical data for hospital- and community-based ambulatory care (for participating facilities).

National Rehabilitation Reporting System
The National Rehabilitation Reporting System (NRS) contains data on adult inpatients at rehabilitation facilities and programs in 9 provinces.

Metadata

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

Find out more about CJRR data:

Participating in CJRR

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

Information for all data providers

Scanning Product Barcodes for the Canadian Joint Replacement Registry (PDF)
CJRR Minimum Data Set Manual, 2017–2018 (PDF)
Clarification of CJRR Data Elements and Record Deletion Process (PDF)
Webinar: Using Barcode Scanners to Input Implant and Cement Information into CJRR (Jul 2013)

Data submission deadlines for 2016-2017 surgical procedures

Surgery date

Deadline for final submission to CJRR

April 1 to June 30, 2017 (Quarter 1)

August 31, 2017

July 1 to September 30, 2017 (Quarter 2)

November 30, 2017

October 1 to December 31, 2017 (Quarter 3)

February 28, 2018

January 1 to March 31, 2018 (Quarter 4) (Final deadline for all 2017–2018 submissions)

May 31, 2018*

Note
* Final submission deadlines may vary by province.

Information for electronic file submitters

Please contact a CIHI vendor support representative at help@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.

Forms

Consent form

CIHI developed this form as a courtesy to data providers; however, data providers are responsible for determining whether consent is required and ensuring that the consent form used meets the requirements for their jurisdiction.

Historical forms

CJRR paper data submissions have been retired. As of procedures performed on April 1, 2013, CJRR accepts only electronic data submission. These forms are made available for reference use only.

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

Advisory groups

In addition to partnering with Canada’s orthopedic surgeons across the country, CIHI is supported by 2 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 Scientific Working Group, provides methodological advice on CJRR analytical studies 

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.