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Patient Reported Outcome Measures (PROMs) in England - 2012-13, Special Topic, Quality of Life Dimensions

Publication date: 09:30 May 14, 2015

Summary

This topic of interest is primarily based on 2012-13 finalised data, though data based on previous finalised data years has also been made available where possible. It lets users explore change in the individual dimensions of the EQ-5DTM Index data. It also allows users to examine provider- and commissioner-level relationships between the percentage of patients reporting improvement on individual 'quality of life' dimensions of the EQ-5DTM Index and patients' adjusted average health gain on the EQ-VAS and condition-specific measures.

The quality of life dimensions, drawn from the EQ-5DTM Index, are:

·         mobility;

· ability to self-care;

· ability to carry out usual activities;

· pain / discomfort; and

· anxiety / depression.

 

Each dimension is scored between '1' and '3' with '1' indicating no problems or concerns, and '3' indicating 'extreme' problems or incapacitation (within the dimension). A patient is considered to have improved on a dimension if their post-operative score is lower than their pre-operative score.


Key Facts

 

Groin hernia

· More than four in ten (41.9%) groin hernia patients experienced improvement on the 'Pain / discomfort' dimension with few (6.9%) experiencing deterioration.

· Relatively few patients experienced change on the other dimensions of the EQ-5DTM Index (for example, 84.7% reported the same level of mobility).

           

Hip replacements

· Overall, around three in four (73.7%) hip replacement patients reported reduced pain and discomfort, with those undergoing primary operations being more likely to do so (75.5%) than revision patients (53.3%).

· Large proportions of hip replacement patients reported improved mobility (52.3%), ability to undertake usual activities (59.4%), and ability to self-care (38.4%) with those receiving primary operations reporting higher average gains than those undergoing revisions.

 

Knee replacements

· Six in ten (60.0%) knee replacement patients experienced reduced pain and discomfort, with those undergoing primary operations being more likely to do so (60.7%) than revision operations (47.9%)

· Large proportions of knee replacement patients also reported improved mobility (45.3%) and ability to undertake their usual activities (46.2%), with those receiving primary operations reporting higher average gains than those undergoing revisions.

 

Varicose vein

· Around four in ten (40.6%) of varicose vein patients reported reduced pain and discomfort.


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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