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Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2012 to March 2013, February 2014 release

Publication date: 09:30 February 13, 2014

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, PROMS video tutorials (link below) was published on 13th February 2014.


Key Facts

* NEW * See our series of introductory PROMs videos

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

Screenshot

For the coverage period 1 April 2012 to 31 March 2013.

Chart 1

Participation and Coverage

  • There were 241,435 PROMs-eligible procedures carried out in hospitals1 and 180,766 pre-operative questionnaires returned so far, a headline participation rate of 74.9 per cent (74.7 per cent for 2011-12).

  • For the 180,766 pre-operative questionnaires returned, 170,011 post-operative questionnaires were sent out2, of which 119,186 have been returned so far - a return rate of 70.1 per cent3 (79.6 per cent for 2011-12).

  • 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:

    • 49.3 per cent of groin hernia respondents (49.9 per cent for 2011-12)

    • 88.0 per cent of hip replacement respondents (87.3 per cent for 2011-12)

    • 79.9 per cent of knee replacement respondents (78.4 per cent for 2011-12)

    • 2.6 per cent of varicose vein respondents (53.2 per cent for 2011-12)

    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:

    • 37.4 per cent of groin hernia respondents (38.9 per cent for 2011-12)

    • 64.4 per cent of hip replacement respondents (63.6 per cent for 2011-12)

    • 54.7 per cent of knee replacement respondents (53.8 per cent for 2011-12)

    • 41.1 per cent of varicose vein respondents (42.0 per cent for 2011-12)

    Methodology Change

    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.]

    • 95.9 per cent of hip replacement respondents (95.7 per cent for 2011-12) ['Oxford Hip Score']

    • 92.4 per cent of knee replacement respondents (91.6 per cent for 2011-12) ['Oxford Knee Score']

    • 83.0 per cent of varicose vein respondents (83.1 per cent for 2011-12) ['Aberdeen Varicose Vein Questionnaire']


    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 in PROMs. 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 48 of the 241,435 procedures.
    2. 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.
    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, NHS Trusts, Hospital 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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