The FORCE-TJR consortium enrolled more than 30,000 US TJR patients from diverse socioeconomic, racial-ethnic and geographic backgrounds, 75% of them from community practices, forming a nationally representative cohort of TJR patients that support the establishment of national norms (clinical benchmarks) and risk-adjustment models for TJR.

To create this database, FORCE-TJR developed a national network of more than 230 surgeons practicing in 28 states and diverse settings (e.g., academic vs. community, high vs. low volume, urban vs. rural). FORCE-TJR has worked extensively with clinicians, hospitals, and patients to advance the incorporation of patient-reported outcomes into the clinic to enhance the delivery and outcomes of care. In 2017, the FORCE network was highlighted as exemplary in its implementation of learning health system principles in a National Academy of Medicine publication Platt R et al., 2017 Perspectives – Expert Voices in Health & Health Care.


*FORCE TJR was originally supported by grant P50HS018910 from the Agency for Healthcare Research and Quality (AHRQ) to the University of Massachusetts Department of Orthopedics and Physical Rehabilitation.