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Finalised Patient Reported Outcome Measures (PROMs) in England - April 2011 to March 2012

05:36 December 22, 2014 - 09:30 October 15, 2013
Publication date: October 15, 2013
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Summary

Patients undergoing elective inpatient surgery for four common elective procedures (hip and knee replacement, varicose vein surgery and groin hernia surgery) funded by the English NHS are asked to complete questionnaires before and after their operations to assess improvement in health as perceived by the patients themselves.

PROMs Special Topics

Extended analyses of the latest finalised data are published three times a year. The latest special topic, Complications after surgery (link below), was published on 9th May 2013.

Key facts

For the coverage period 1 April 2011 to 31 March 2012.

Click this screenshot to see average casemix-adjusted health gains and statistical outliers by hospital providers:

Screenshot 

Chart 1 - Improvement rate (unadjusted scores) by procedure and measure

Chart 1

Participation and Coverage

  • There were 247,699 PROMs-eligible procedures carried out in hospitals1 and 185,034 pre-operative questionnaires return, a headline participation rate of 74.7 per cent (69.9 per cent for 2010-11).
  • For the 185,034 pre-operative questionnaires returned, 175,378 post-operative questionnaires were sent out2, of which 139,537 were returned - a return rate of 79.6 per cent (81.0 per cent for 2010-11).

Unadjusted Scores

Comparing pre- and post-operative 'EQ-5D Index' scores (a combination of five key criteria concerning patients' self-reported general health), an increase in general health was recorded for:

  • 49.9 per cent of groin hernia respondents (50.5 per cent for 2010-11)
  • 87.3 per cent of hip replacement respondents (86.7 per cent for 2010-11)
  • 78.4 per cent of knee replacement respondents (77.9 per cent for 2010-11)
  • 53.2 per cent of varicose vein respondents (51.6 per cent for 2010-11)

Comparing pre- and post-operative 'EQ VAS' values (the current state of the patient's self-reported general health), an increase in general health was recorded for:

  • 38.9 per cent of groin hernia respondents (39.1 per cent for 2010-11)
  • 63.6 per cent of hip replacement respondents (61.4 per cent for 2010-11)
  • 53.8 per cent of knee replacement respondents (50.8 per cent for 2010-11)
  • 42.0 per cent of varicose vein respondents (39.8 per cent for 2010-11)

Comparing pre- and post-operative responses to condition-specific questions, improvements in patients' conditions were recorded for:

  • [There is no condition-specific scoring for groin hernia patients.]
  • 95.7 per cent of hip replacement respondents (95.8 per cent for 2010-11) ['Oxford Hip Score']
  • 91.6 per cent of knee replacement respondents (91.4 per cent for 2010-11) ['Oxford Knee Score']
  • 83.1 per cent of varicose vein respondents (82.5 per cent for 2010-11) ['Aberdeen Varicose Vein Questionnaire']

Methodology Change

Figures produced for this and subsequent publications may differ slightly from previous figures in part because of a change in methodology.

Erratum note, 07 January 2014:

The first edition of this report, published on 15 October 2013, contained some wrong percentages in Table 2 on page 24, although the numbers in the table are believed to all be correct. The document has been re-published with correct percentages in the table. We apologise for any inconvenience.


 

Footnotes

  1. An 'eligible procedure' is counted for each episode in HES in the period in question which has been clinically coded with relevant hip, knee, varicose vein or groin hernia OPCS procedure codes which make it suitable for inclusion into PROMs. Note that some patients may have undergone more than one PROMs procedure in a single eligible episode, hence there will be more procedures than episodes: this is the case for 56 of the 247,699 procedures.
  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 operation or the death of the patient.

Resources

Coverage

Date Range: April 01, 2011 to March 31, 2012
Geographical coverage:
England
Geographical granularity:
Strategic Health Authorities
Hospital Trusts
Country
Independent Sector Health Care Providers
Primary Care Trusts
Clinical Commissioning Groups

Related links

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