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Publication, Part of

Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2011 to February 2012, Pre- and post-operative data

Official statistics
Publication Date:
Geographic Coverage:
England
Geographical Granularity:
Country, Strategic Health Authorities, Hospital Trusts, Primary Care Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups, NHS Trusts, Primary Care Organisations, County, Care Trusts, Hospital and Community Health Services
Date Range:
01 Apr 2011 to 29 Feb 2012

Summary

 

This is the latest publication of provisional post-operatives scores from the Patient Reported Outcome Measures (PROMs) programme for the period April 2011 to February 2012. This publication considers the change in patients' self-reported health status for the four common elective surgical procedures in the PROMs programme: groin hernia surgery, hip replacement, knee replacement and varicose vein surgery. Analysis covers the period from April 2011 to February 2012 and includes pre-operative questionnaires that all English providers treating NHS patients have been asked to collect from patients who wish to participate and post-operative questionnaires returned by patients following their surgery. Not all patients undergoing the relevant operations returned questionnaires for a variety of reasons.

 

Highlights

In the period from April 2011 to February 2012:

  • There were 223,534 eligible1 hospital episodes and 163,040 pre-operative questionnaires returned - a headline participation rate of 72.9 per cent, which is an increase of 6.9 percentage points compared to 2009-10.
  • Of the 108,925 post-operative questionnaire sent out, 76,272 have been returned - a return rate of 70.0 per cent.2,3
  • 96.0 per cent of hip replacement respondents and 91.7 per cent of knee replacement respondents recorded joint related improvements following their operation as measured by their response to a series of questions about their condition (Oxford Hip and Knee Scores). These values were 95.7 per cent and 91.4 per cent respectively in the finalised data for 2009-10.
  • 83.6 per cent of varicose vein respondents recorded varicose vein related improvements following their operation as measured by their response to a series of questions about their condition (Aberdeen Varicose Vein Questionnaire score). This value was 83.4 per cent in the finalised data for 2009-10.
  • 87.4 per cent of hip replacement respondents and 78.9 per cent of knee replacement respondents recorded an increase in their general health following their operation, based on a combination of five key criteria concerning their general health (EQ-5D Index score), compared to 53.5 per cent for varicose veins and 50.4 per cent for groin hernias. These values were 87.2 per cent, 77.6 per cent, 52.4 per cent and 49.3 per cent respectively in the finalised data for 2009-10.
  • 63.1 per cent of hip replacement respondents and 53.7 per cent of knee replacement recorded an increase in their EQ-VAS score (current state of the patients general health marked on a visual analogue scale) compared to 41.9 per cent for varicose veins and 39.0 per cent for groin hernias. These values were 61.4 per cent, 50.2 per cent, 40.4 per cent and 38.2 per cent respectively in the finalised data for 2009-10.

Footnotes

1. An 'eligible episode' is an episode in HES in the period in question, clinically coded with relevant hip, knee, varicose vein or groin hernia OPCS procedure codes which make it suitable for inclusion into PROMs.

2. Not every pre-operative questionnaire will have a post-operative questionnaire sent out. This may be for a number of reasons including the cancellation of an operative or the death of the patient.

3. This will be an underestimate of the true rate due to the time delay in returning the post-operative questionnaire.

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Last edited: 24 January 2022 11:18 am