The National Joint Registry (NJR) collects information about hip, knee, ankle, elbow and shoulder joint replacement operations (arthroplasty) from all participating hospitals in England, Wales, Northern Ireland, the Isle of Man and the States of Guernsey. As the largest data collection of its kind in the world, the NJR has been described in UK Parliament as a global exemplar of an implantable medical devices registry.

Contents

• Prepared by
• Introduction
• NJR Reports online
• 1. Chairman’s Foreword
  Chairman, National Joint Registry Steering Committee (NJRSC): Laurel Powers-Freeling.
• 2. Executive summary
  Professor Mike Reed, Chairman, Editorial Board and Mr Tim Wilton, NJR Medical Director.
• 3. Outcomes after joint replacement 2003 to 2020
  • 3.1. Summary of data sources, linkage and methodology
  • 3.2. Outcomes after hip replacement
  • 3.3. Outcomes after knee replacement
  • 3.4. Outcomes after ankle replacement
  • 3.5. Outcomes after elbow replacement
  • 3.6. Outcomes after shoulder replacement
  • 3.7. In-depth studies
• 4. Implant and unit-level activity and outcomes
  • 4.1. Implant performance
  • 4.2. Clinical activity
  • 4.3. Outlier units for 90-day mortality and revision rates for the period 2011 to 2021
  • 4.4. Better than expected performance
• The effects of the COVID-19 pandemic on joint replacement surgery volumes and waiting lists
  • The COVID-19 induced joint replacement deficit in England, Wales and Northern Ireland
    Adrian Sayers, Kevin Deere, Erik Lenguerrand, Setor K Kunutsor, Jonathan L Rees, Andy Judge, Yoav Ben-Shlomo, Celia L Gregson, Emma M Clark, Mike Reed, Timothy Wilton, Derek J Pegg, Jeremy M Wilkinson, Andrew Price, Michael R Whitehouse, and Ashley W. Blom.
    • Summary
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Declaration of interests
    • Contributors
    • References
  • The effects of the COVID-19 pandemic on joint replacement surgery: The patient perspective
    Robin Brittain.
    • The resulting impact on patients
• Glossary
• Appendix 1. NJR Steering Committee Membership and Declarations of interest April 2020 to March 2021
• Appendix 2. NJR Committees: Composition and attendance April 2020 to March 2021
• Appendix 3. NJR Steering Committee and Sub-committees Terms of Reference
• Appendix 4. List of papers, publications, and research requests using NJR data to March 2021
• Unit-level activity and outcomes