Aim 1. Establish a national registry of diverse patients of orthopedic surgeons representing all regions of the country and varied hospital and surgeon practice settings (e.g., urban/rural, low and high volume) to ensure that registry analyses and research reflect typical clinical practice thereby providing optimal guidance for patients, clinicians, and national healthcare policymakers. Collect pre-operative and post-operative patient reported outcomes (PROs) for pain and function. Aim 2: Develop new and transformative comparative effectiveness tools useful to both clinical practice and healthcare policy. Aim 3. Broadly disseminate surveillance reports for adverse events, such as implant revision, hip dislocation, knee manipulation, and identify important variation to inform quality improvement priorities.
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Unadjusted and risk-adjusted patient reported pain composite score, measured by the Hip disability and Osteoarthritis Outcome Score/Knee disability and Osteoarthritis Outcome Score (HOOS/KOOS) pain score
Timeframe: Up to 3 months prior to elective TJR surgery
Unadjusted and risk-adjusted patient reported physical function composite score, measured by the Short Form 36 (SF 36) Physical Component sub-score
Timeframe: Up to 3 months prior to elective TJR surgery
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 6 months post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 6 months post elective TJR
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 12 months post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 12 months post elective TJR
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 24 months post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 24 months post elective TJR
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 36 months post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 36 months post elective TJR
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 48 months post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 48 months post elective TJR
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 60 months post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 60 months post elective TJR
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 10 years post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 10 years post elective TJR
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 15 years post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 15 years post elective TJR
Change in unadjusted and risk-adjusted patient reported pain composite score, measured by the HOOS/KOOS pain score
Timeframe: 20 years post elective TJR
Change in unadjusted and risk-adjusted patient reported physical function composite score, measured by the SF 36 Physical Component sub-score
Timeframe: 20 years post elective TJR