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Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2011 to March 2012, Pre- and post-operative data, June 2013 release

Publication date: 09:30 June 13, 2013

Summary

This provisional publication of PROMs data includes eligible HES episodes with an episode start date between 1 April 2011 and 31 March 2012 and pre-operative questionnaires with a completion date between 1 April 2011 and 31 March 2012.

Where a patient did not record the date that they completed the pre-operative questionnaire, the pre-operative questionnaire scan date is used. Any post-operative questionnaires that are linked to an eligible pre-operative questionnaire and have been sent out to patients, returned and scanned prior to processing (middle of May 2013) are included for analysis.

PROMs Special Topics

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


Key Facts

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

Participation and Coverage

  • There were 247,697 PROMs-eligible procedures carried out in hospitals1; 184,818 pre-operative questionnaires returned so far, a headline participation rate of 74.6 per cent (69.9 per cent for 2010-11).
  • For the 184,818 pre-operative questionnaires returned, 175,155 post-operative questionnaires were sent out2, of which 134,768 have been returned so far - a return rate of 76.9 per cent3 (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:

  • 38.8 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)
  • 53.7 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.]
  • 95.8 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.


 

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 247,697 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.
  3. This will be an underestimate of the true rate due to the time delay in returning post-operative questionnaires.

    Coverage

    Date Range: 01 April 2012 to 31 March 2013
    Geographical coverage: England
    Geographical granularity: Country, Strategic Health Authorities, Hospital Trusts, Primary Care Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups

    Have a question? Call us on 0300 303 5678 or contact enquiries@nhsdigital.nhs.uk.

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