Registry Round-up: A Look Back at a Very Good Year

Dec 12, 2018 1:16:38 PM

The American Academy of Orthopaedic Surgeons (AAOS) RegistryInsights provides users with an overview of their submitted procedures and of the registry as a whole. From the homepage, users can navigate to the American Joint Replacement Registry (AJRR) and new Shoulder & Elbow Registry, the musculoskeletal tumor pilot, and other offerings as they become available.


This article was originally published in the December 2018 issue of AAOS Now, the AAOS' monthly news magazine.

It’s been a year of milestones and trailblazing accomplishments for the AAOS Registry Program. In its 2018 Annual Report, having completed its reintegration within AAOS, the AJRR tallied 1,186,955 procedures from 1,067 institutions from 2012 to 2017, establishing the AJRR as the largest orthopaedic registry by annual procedure count.

"Registries are tools to help the medical profession collect data, report, and benchmark to define patient-centered quality care to identify potential procedural or implant problems before they become widespread public health issues," said AAOS President David A. Halsey, MD. "Other national joint replacement registries such as the Swedish Hip Arthroplasty Register have proven that monitoring survivorship can reduce revision rates. That translates into reducing direct medical costs and, more importantly, improving patient care and quality of life."

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Topics: Registry Participation

Guest Blog: A Patient Perspective on Joint Replacement Surgery

Dec 5, 2018 12:00:00 PM

What to Expect - And Helpful Advice

Guest Blogger:
Richard F. Seiden, Esq.

In this article, the AAOS Registry Program’s Public Advisory Board (PAB) member Richard Seiden shares his personal experience as a joint replacement surgery patient (he’s had hip replacements, knee replacements, and shoulder replacements). Mr. Seiden offers patients with joint issues helpful advice to better prepare for dealing with pre-, day-of-, and post-surgical needs. This article is not a substitute for physician recommendations.

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Topics: Patient Education

Effective July 1, 2019: AJRR Chosen as Sole Pathway to Meet Advanced THKR Certification Registry Requirement

Nov 15, 2018 3:45:40 PM

Since The Joint Commission and the American Academy of Orthopaedic Surgeons (AAOS) announced their Advanced Total Hip and Total Knee Replacement (THKR) collaboration in September, The Joint Commission has announced it will implement a new requirement for hospitals, critical access hospitals, and ambulatory surgery centers (ASCs). The new requirement appears in the program-specific eligibility criteria, as well as Performance Measurement (DSPM) Standard DSPM.4, Element of Performance (EP) 2b in the Comprehensive Certification Manual for Disease-Specific Care. This blog addresses an update to The Joint Commission requirements.

Upon publication of the new requirement, hospitals and ASCs began asking which registries would be sufficient to fulfill it. Based on questions from organizations about registries that meet the new THKR certification requirements, The Joint Commission researched registry options and convened discussions with the AAOS and other stakeholders.

Based on information collected, The Joint Commission has revised the program-specific requirement and DSPM.4, EP 2b to require that THKR-certified organizations participate in the American Joint Replacement Registry (AJRR). This requirement revision is designed to improve the safety and quality of services for patients electing to undergo total joint arthroplasty by selecting a robust and well established national registry to provide benchmarked performance data that can drive care processes improvements.

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Topics: Quality Initiatives

American Joint Replacement Registry Releases 2018 Annual Report

Nov 1, 2018 3:14:40 PM

New Data, New Initiatives, and New Collaborations

The American Joint Replacement Registry (AJRR), part of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program, releases its 2018 AJRR Annual Report on hip and knee arthroplasty data today at the American Association of Hip and Knee Surgeons (AAHKS) 2018 Annual Meeting. The Annual Report is also available for download. AJRR is the largest orthopaedic registry in the world based on annual procedures submitted. Analysis of the latest Registry data yields new insight into U.S. hip and knee arthroplasty practice. This is the fifth annual report that AJRR has released.

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Topics: Registry Findings

Milestone: Academy Launches Shoulder & Elbow Registry

Oct 24, 2018 12:40:25 PM

This article was originally published in the October 2018 issue of AAOS Now, the American Academy of Orthopaedic Surgeons' (AAOS) monthly news magazine.


First Module Will Cover Shoulder Replacement

October is a milestone month for the Academy’s Registry Program, as it launches the Shoulder & Elbow Registry (SER). Building on the success of the American Joint Replacement Registry (AJRR)—the trailblazer data depository and resource for U.S. knee and hip arthroplasty that last year was reintegrated under the AAOS umbrella—SER will be previewed at the American Shoulder and Elbow Surgeons (ASES) meeting Oct. 11–14 and make its formal debut at the Academy’s Fall Meeting Oct. 25–27.

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Topics: Shoulder and Elbow

See You at the 2018 AAHKS Annual Meeting!

Oct 17, 2018 3:10:05 PM

Pick Up Your Copy of the New AJRR Annual Report on November 2

The American Association of Hip and Knee Surgeons (AAHKS) 2018 Annual Meeting promises an outstanding program. The American Joint Replacement Registry (AJRR) is looking forward to attending and seeing you in Dallas, Texas, on November 1 – 4, 2018.

The AAHKS Annual Meeting attracts orthopaedic surgeons specializing in hip and knee replacement from around the world, fellows just starting their careers, and orthopaedic surgical team members. Where can you engage with AJRR during your visit? At the podium, in the poster exhibition, and in the Learning Center/Exhibit Hall. Be sure to visit the AJRR exhibit (Table #4) and pick up your copy of the new AJRR 2018 Annual Report.

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Topics: Annual Meetings

AAOS and The Joint Commission Collaborate on THKR Quality Improvement

Oct 10, 2018 1:05:10 PM

On September 26, 2018, the American Academy of Orthopaedic Surgeons (AAOS) announced collaboration with The Joint Commission to incorporate AAOS clinical expertise into standards development and performance measurement requirements for Total Hip and Knee Replacement (THKR) Certification. The Joint Commission established the voluntary advanced certification in 2016 for accredited hospitals, critical access hospitals, and ambulatory surgery centers (ASCs) seeking to elevate the quality, consistency, and safety of their services and patient care.

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Topics: Quality Initiatives

Public Advisory Board Charter Expands From AJRR to AAOS Registry Program

Oct 3, 2018 12:03:40 PM

The mission of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program is to improve orthopaedic care through the collection, analysis, and reporting of actionable data. The Program's vision goes beyond hips and knees to include additional anatomic registries. Beginning with the American Joint Replacement Registry (AJRR), the AAOS Registry Program is managed by AAOS as a multi-stakeholder participation model. Stakeholders include representatives from the orthopaedic surgeon community, device manufacturers, hospitals, private payers, and the public. The AAOS Registry Program will continue AJRR public advisory best practices that help enhance the value of registries by ensuring a public voice in data collection, reporting, and utilization activities.

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Topics: Patient Education

Patient Safety: ISAR and Industry Partner With AAOS to Deliver International Prostheses Library (IPL)

Sep 26, 2018 12:00:00 PM

Homepage for industry and ISAR member registry use.


AJRR Selected to Develop, Manage, and Support IPL Technology Platform

The American Joint Replacement Registry (AJRR), through the American Academy of Orthopaedic Surgeons (AAOS), was selected by the International Society of Arthroplasty Registries (ISAR) to develop, house, and maintain the International Prostheses Library (IPL). ISAR, with assistance from industry and its own registry participants, is creating the IPL to serve as a single source of medical device information for industry partners and ISAR member organizations worldwide. Analysis of this unique assembly of data leads to discovery and mitigation of medical device risks to patients. Findings provide best practice guidance for surgeons and device manufacturers that reduce the patient’s chance of experiencing an adverse event, thereby improving patient safety. AJRR, part of the AAOS Registry Program, is an associate member of ISAR. While ISAR retains ownership of the Library, AJRR’s role was announced at ISAR’s June 2018 Annual Congress.

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Topics: Medical Devices

Guest Blog: ASCA, AJRR, and the Orthopaedic Surgery Market

Aug 30, 2018 11:45:44 AM

August is National Ambulatory Surgery Center (ASC) Month and the American Joint Replacement Registry (AJRR) has invited Alex Taira, Policy Analyst, Ambulatory Surgery Center Association (ASCA), to contribute a guest blog on the evolution and diversity of today’s orthopaedic surgery sites. It has always been the American Academy of Orthopaedic Surgeons’ (AAOS) belief that choosing the appropriate orthopaedic surgery setting is a decision that the patient and the surgeon make together based on a series of factors that lead to the best patient experience and outcome. Today’s patient options include hospitals, hospital-sponsored ASCs, and independent ASCs.

Over 1,000 U.S. hospitals and 68 ASCs participate in AJRR. Based on the number of procedures submitted monthly, AJRR is the largest orthopaedic registry in the world. The AJRR database holds 1.3 million hip and knee arthroplasty procedures from over 8,000 surgeons practicing in one or more types of clinical settings. As more total joint arthroplasties (TJAs) are performed in ASCs, reducing variation and demonstrating quality of care delivered can be accomplished through Registry participation.

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Topics: Registry Participation

A Message for Our Readers

This blog was created by the American Joint Replacement Registry (AJRR), part of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program. The blog is part of our commitment to improve orthopaedic care through the collection, analysis, and reporting of actionable data. Our purpose is to communicate with others in the orthopaedic field who share the same commitment. Watch for weekly news alerts, quick tips, actionable checklists, best practices, and research findings posted to this blog. It will be information you can use each week!

The more interactive you are, the greater the value shared. Visit us at or speak with a Registry Engagement Associate at 847-292-0530.


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AAOS Registry Program Staff Writers

AAOS Registry Program Blog posts are researched and created by Registry Program staff writers: Karen Metropulos, Erik Michalesko, and Lori Boukas. If you would like to contact the writing staff, email us at


This blog shares health care information from a variety of independent expert sources. Some sources offer opinions that may be of interest to other professionals facing similar challenges. Our approach helps ensure diverse, well-rounded presentation of important, often complex health care content. Shared content does not necessarily represent AAOS findings and practices.

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