The registry is expanding and establishing a sustainable model for the future, through the FORCE-TJR QI™ network. FORCE-TJR QI™ is accepting members now - join us!

  • FORCE-TJR ANNUAL REPORT 2014 is available! (link)
  • FORCE-TJR article in Hospital Peer Review, September 2014 (read)
  • FORCE-TJR data will serve hospitals (read)
  • FORCE-TJR featured in Boston Globe article!
  • More than 7 million Americans living with new joints (USA TODAY).
  • FORCE-TJR data leads to article in New York Times, Huffington Post and US News and World Report and Modern Healthcare magazine!
  • The first FORCE-TJR article was published in the September 26, 2012 issue of the Journal of the American Association (JAMA)!
  • UMMS Communication article, September 2011.
  • Worcester T&G article, April 2011.
  • UMassMedNow Expert's Corner interviews Dr. Franklin.
  • Rochester Democrat and Chronicle article, November 2010.
  • Our Partners:

  • Baylor College of Medicine,
  • Connecticut Joint Replacement
  • Medical University of South Carolina
  • The University of Rochester Medical Center

    Link to Participating Centers and Latest Numbers

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      • Welcome to FORCE-TJR

        Millions of Americans experience pain from knee and hip arthritis that can become debilitating in advanced stages of the disease. Each year, over 700,000 US adults with advanced arthritis choose knee or hip replacement surgery to relieve pain and improve function and mobility. Although Total Joint Replacement (TJR) surgery offers significant pain relief, the level of physical function and activity after surgery varies widely.

        With the number of TJR surgeries expected to grow significantly in the next 20 years, both for older adults and patients under age 65, it is critical to understand the surgery’s impact on function and quality of life.

        In Fall 2010, the Agency for Healthcare Research and Quality (AHRQ) awarded $12 million to the University of Massachusetts Department of Orthopedics and Physical Rehabilitation to develop and implement FORCE-TJR, a nationwide, comprehensive database of total joint replacement (TJR) surgical and patient-reported outcomes.

        FORCE-TJR research effort will collect data from more than 30,000 TJR patients, develop tools with which to record the patients’ assessment of the success and failure of their surgery, and conduct research to guide both clinical care and health care policy.

        FORCE-TJR QI™
        We have launched our new FORCE-TJR QI™ network. All the FORCE-TJR infrastructure (surveys, comparative reports, protocols) are available to growing numbers of surgeon offices and hospitals to measure pre- and post-TJR patient outcomes and adverse events. These data will serve both the quality and reporting needs of surgeons for PQRS and accountable care, as well as expand FORCE membership. For more information, please visit the 'For Clinicians' link at the top of this page. Thank you!

        FORCE TJR is supported by grant number P50HS018910 from the Agency for Healthcare Research and Quality (AHRQ)
        to the University of Massachusetts Department of Orthopedics and Physical Rehabilitation
        For general questions and information, email
        Copyright 2011, University of Massachusetts Department of Orthopedics and Physical Rehabilitation