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Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2014 to January 2015
Official statistics- Publication Date:
- 11 Jun 2015
- 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 2014 to 31 Jan 2015
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.
Extended analyses of the latest finalised data are published three times a year as 'special topics'. The latest Quality of Life Dimension was published on 14 May 2015.
Highlights
For the coverage period 1 April 2014 to 31 January 2015.
Participation and Coverage
- There have been 218,436 PROMs-eligible procedures carried out in hospitals1 and 165,981 pre-operative questionnaires returned so far, a headline participation rate of 76.0 per cent (75.5 per cent for 2012-13).
- For the 165,981 pre-operative questionnaires returned, 106,494 post-operative questionnaires were sent out2, of which 64,885 have been returned so far - a return rate of 60.9 per cent3 (73.3 per cent for 2012-13).
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:
- 50.6 per cent of groin hernia respondents (49.4 per cent for 2012-13)
- 88.8 per cent of hip replacement respondents (87.9 per cent for 2012-13)
- 80.9 per cent of knee replacement respondents (79.7 per cent for 2012-13)
- 53.0 per cent of varicose vein respondents (52.7 per cent for 2012-13)
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:
- 37.9 per cent of groin hernia respondents (37.4 per cent for 2012-13)
- 65.1 per cent of hip replacement respondents (64.2 per cent for 2012-13)
- 55.6 per cent of knee replacement respondents (54.6 per cent for 2012-13)
- 39.6 per cent of varicose vein respondents (41.2 per cent for 2012-13)
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.]
- 96.6 per cent of hip replacement respondents (95.8 per cent for 2012-13) ['Oxford Hip Score']
- 93.6 per cent of knee replacement respondents (92.3 per cent for 2012-13) ['Oxford Knee Score']
- 82.7 per cent of varicose vein respondents (82.9 per cent for 2012-13) ['Aberdeen Varicose Vein Questionnaire']
Footnotes
- 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 42 of the 218,436 procedures.
- Not every pre-operative questionnaire will have a post-operative questionnaire sent out, for various reasons including the cancellation of an operation or the death of the patient.
- This will be an underestimate of the true rate due to the time delay in returning post-operative questionnaires.