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Finalised Patient Reported Outcome Measures (PROMs) in England - April 2013 to March 2014

Publication date: 09:30 August 13, 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 Dimensions, was published on 14 May 2015.

Update 25/08/2015:
The CCG level analysis has been updated since initial publication to correct for revised organisational boundaries. This primarily affects Newcastle and Gateshead CCG, which was missing from the originally published data, although the data for approximately 15% of other CCGs have also changed slightly due to some GP practices mapping to different organisations. National and provider level data remain are unaffected.


Key Facts

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

Screenshot  

For the coverage period 1 April 2013 to 31 March 2014.

Chart 1

Participation and Coverage

  • There have been 255,775 PROMs-eligible procedures carried out in hospitals1 and 195,010 pre-operative questionnaires returned, a headline participation rate of 76.2 per cent (75.5 per cent for 2012-13).
  • For the 195,010 pre-operative questionnaires returned, 189,788 post-operative questionnaires were sent out2, of which 139,774 have been returned - a return rate of 73.6 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:

  • 49.7 per cent of groin hernia respondents (49.4 per cent for 2012-13)
  • 87.9 per cent of hip replacement respondents (87.9 per cent for 2012-13)
  • 80.3 per cent of knee replacement respondents (79.7 per cent for 2012-13)
  • 51.8 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:

  • 37.3 per cent of groin hernia respondents (37.4 per cent for 2012-13)
  • 64.2 per cent of hip replacement respondents (64.2 per cent for 2012-13)
  • 54.6 per cent of knee replacement respondents (54.6 per cent for 2012-13)
  • 39.9 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.]
  • 96.0 per cent of hip replacement respondents (95.8 per cent for 2012-13) ['Oxford Hip Score']
  • 93.0 per cent of knee replacement respondents (92.3 per cent for 2012-13) ['Oxford Knee Score']
  • 82.9 per cent of varicose vein respondents (82.9 per cent for 2012-13) ['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 57 of the 255,775 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.

Coverage

Date Range: 01 April 2013 to 31 March 2014
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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