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.
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Information on joint replacements
Reports and analyses
Databases and data sources
Participating in CJRR
- CJRR Update, Spring 2015
- CJRR Update, Summer 2014 (PDF)
- CJRR Update, Spring 2013 (PDF)
- CJRR Update, Spring 2012 (PDF)
- Hip and Knee Replacements in Canada: Canadian Joint Replacement Registry 2015 Annual Report
- Hip and Knee Replacements in Canada 2013-2014 Quick Stats (Oct. 2015) XLSX
- Hip and Knee Replacements in Canada 2012–2013 Quick Stats (Dec. 2013) XLSX
- The Effect of Bearing Surface on Early Revisions Following Total Hip Arthroplasty (July 2013)
- Information sheet: The Effect of Implant Materials on the Risk of Having a Repeat Surgery After Total Hip Replacement (July 2013) (PDF)
- Simultaneous Bilateral TKAs Versus Staged Bilateral TKAs: Findings From the Hospital Morbidity Database (July 2011) (PDF)
- Hospitalizations, Early Revisions and Infections Following Joint Replacement Surgery (Mar. 2008)
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 is information about data. It helps users understand and interpret data from a specific source.
Find out more about CJRR data:
If your organization would like to join this important effort, please contact Central Client Services at firstname.lastname@example.org.
Information for all data providers
CJRR Minimum Data Set Manual, 2015–2016 (PDF)
Clarification of CJRR Data Elements and Record Deletion Process (PDF)
Bulletin: Scanning Product Barcodes for the Canadian Joint Replacement Registry (June 2013) (PDF)
Webinar: Using Barcode Scanners to Input Implant and Cement Information into CJRR (July 2013)
Data submission deadlines for 2015-2016 surgical procedures
Deadline for final submission to CJRR
April 1 to June 30, 2015 (Quarter 1)
August 31, 2015
July 1 to September 30, 2015 (Quarter 2)
November 30, 2015
October 1 to December 31, 2015 (Quarter 3)
February 28, 2016
January 1 to March 31, 2016 (Quarter 4)
May 31, 2016*
* Final submission deadlines may vary by province.
Information for electronic file submitters
List of CJRR licensed vendors
Please contact a CIHI vendor support representative at email@example.com 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, 2015–2016 (PDF)
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.
- CJRR Patient Information Sheet and Consent Form, April 2012 (PDF)
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).
- CJRR Hip Replacement Data Collection Form, Pre-MDS (April 2005) (PDF)
- CJRR Knee Replacement Data Collection Form, Pre-MDS (April 2005) (PDF)
- CJRR Hip Replacement Data Collection Form, MDS (April 2016)
- CJRR Knee Replacement Data Collection Form, MDS (April 2016)
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.
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 firstname.lastname@example.org.