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Research ArticleAccepted Articles
Open Access

Understanding the impact of meeting performance measures on the outcomes of joint replacement in rheumatoid arthritis: a population-based study in British Columbia, Canada

Claire E.H. Barber, Hui Xie, Yufei Zheng, Jessica Widdifield, Cheryl Barnabe, Jason Werle and Diane Lacaille
The Journal of Rheumatology August 2026, jrheum.2026-0352; DOI: https://doi.org/10.3899/jrheum.2026-0352
Claire E.H. Barber
C.E.H. Barber, MD, PhD, FRCPC, Departments of Medicine, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Arthritis Research Canada, Vancouver, Canada.
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Hui Xie
H. Xie, PhD, Arthritis Research Canada, Vancouver, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada; Arthritis Research Canada.
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Yufei Zheng
Y. Zheng, MPH, Arthritis Research Canada, Vancouver, Canada.
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Jessica Widdifield
J. Widdifield, PhD, Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto; ICES; Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Ontario, Canada.
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Cheryl Barnabe
C. Barnabe, MD, MSc, FRCPC, Departments of Medicine, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Arthritis Research Canada, Vancouver, Canada.
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Jason Werle
J. Werle, MD, FRCSC, FAAOS, Department of Surgery, Cumming School of Medicine, University of Calgary, Alberta, Canada.
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Diane Lacaille
D. Lacaille, MD, MHSc, FRCPC, Arthritis Research Canada, Vancouver, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Arthritis Research Canada.
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Article Information

jrheum.2026-0352
DOI 
https://doi.org/10.3899/jrheum.2026-0352
PubMed 
42542377

Published By 
The Journal of Rheumatology
Print ISSN 
0315-162X
Online ISSN 
1499-2752
History 
  • Published online August 1, 2026.

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  • You are currently viewing a Latest version of this article (August 1, 2026 - 04:00).
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Copyright & Usage 
© 2026 The Journal of Rheumatology

Author Information

  1. Claire E.H. Barber,
  2. Hui Xie,
  3. Yufei Zheng,
  4. Jessica Widdifield,
  5. Cheryl Barnabe,
  6. Jason Werle and
  7. Diane Lacaille
  1. C.E.H. Barber, MD, PhD, FRCPC, Departments of Medicine, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Arthritis Research Canada, Vancouver, Canada.
  2. H. Xie, PhD, Arthritis Research Canada, Vancouver, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada; Arthritis Research Canada.
  3. Y. Zheng, MPH, Arthritis Research Canada, Vancouver, Canada.
  4. J. Widdifield, PhD, Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto; ICES; Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Ontario, Canada.
  5. C. Barnabe, MD, MSc, FRCPC, Departments of Medicine, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Arthritis Research Canada, Vancouver, Canada.
  6. J. Werle, MD, FRCSC, FAAOS, Department of Surgery, Cumming School of Medicine, University of Calgary, Alberta, Canada.
  7. D. Lacaille, MD, MHSc, FRCPC, Arthritis Research Canada, Vancouver, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Arthritis Research Canada.
  1. Funding: Funding for this study was provided by a Project Grant from the Canadian Institutes for Health Research (CIHR), PJT169194. Dr Barber holds the Grace Glaum Professorship in Arthritis Research in the McCaig Institute for Bone and Joint Health. Dr Xie holds the Maureen and Milan Ilich/Merck Chair in Statistics for Arthritis and Musculoskeletal Diseases. Dr Widdifield is supported through the Holland Chair in Musculoskeletal Research at Sunnybrook University of Toronto. Dr Barnabe is a Canada Research Chair in Rheumatoid Arthritis and Autoimmune Diseases and the Arthur J.E. Child Chair in Rheumatology Outcomes Research in the McCaig Institute for Bone and Joint Health, University of Calgary. Dr Lacaille holds the Mary Pack Chair in Rheumatology Research from the University of British Columbia and Arthritis Society Canada.
    Contributions: CEHB conceptualization and funding acquisition, methodology, investigation, project administration, writing, original draft writing, review and editing. HX funding acquisition, conceptualization, methodology, supervision, writing, review and editing. YZ methodology, data analysis, visualization, review and editing. JW funding acquisition, conceptualization, methodology, review and editing. CB funding acquisition, conceptualization, methodology, review and editing. JW methodology, review and editing. DL funding acquisition, conceptualization, methodology, supervision, writing, review and editing. Ethics approval for the project was obtained from the University of British Columbia (REB No. H00-80305).
    Conflicts of interest: The authors declare no relevant conflicts of interest for this work.
  1. Corresponding Author: Claire Barber MD PhD FRCPC cehbarbe{at}ucalgary.ca 3280 Hospital Dr NW Calgary, AB T2N 4Z6

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The Journal of Rheumatology: 53 (9)
The Journal of Rheumatology
Vol. 53, Issue 9
1 Sep 2026
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Accepted manuscript
Understanding the impact of meeting performance measures on the outcomes of joint replacement in rheumatoid arthritis: a population-based study in British Columbia, Canada
Claire E.H. Barber, Hui Xie, Yufei Zheng, Jessica Widdifield, Cheryl Barnabe, Jason Werle, Diane Lacaille
The Journal of Rheumatology Aug 2026, jrheum.2026-0352; DOI: 10.3899/jrheum.2026-0352

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Understanding the impact of meeting performance measures on the outcomes of joint replacement in rheumatoid arthritis: a population-based study in British Columbia, Canada
Claire E.H. Barber, Hui Xie, Yufei Zheng, Jessica Widdifield, Cheryl Barnabe, Jason Werle, Diane Lacaille
The Journal of Rheumatology Aug 2026, jrheum.2026-0352; DOI: 10.3899/jrheum.2026-0352
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