FORCE-TJR exceeded the original goals of the AHRQ award (2010-2015). This report summarizes the major research and registry accomplishments that serve patients, surgeons, hospitals, insurers, implant manufacturers, and policy leaders. The Bibliography includes more than 30 publications (with dozens more in the queue), and over 100 presentations at scientific meetings across the globe. In the past year, FORCE-TJR received five (5) federal research awards to continue our innovative comparative effectiveness research. The work will continue as we collect longitudinal outcomes on the 25,000 research participants for the next 20 years!