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Finalised Patient Reported Outcome Measures (PROMs) in England for Groin Hernia and Varicose Vein Procedures - April 2016 to March 2017

Publication date: 09:30 February 08, 2018

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. This publication is for Finalised Patient Reported Outcome Measures (PROMs) in England for Groin Hernia and Varicose Vein Procedures - April 2016 to March 2017


Key Facts

For the coverage period 1 April 2016 to 31 March 2017.

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Participation and Coverage

  • There have been 101,610 PROMs-eligible groin hernia and varicose vein procedures carried out in hospitals1 ,and 51,421 pre-operative questionnaires returned so far, a headline participation rate of 50.6 per cent (49.4 per cent for 2015-16).
  • For the 51,421 pre-operative questionnaires returned, 50,114 post-operative questionnaires were sent out2, of which 29,760 have been returned so far - a return rate of 59.3 per cent3 (61.6 per cent for 2015-16).

Web Platform Tool

NHS Digital are using Microsoft's Power Bi to create an interactive web platform tools to surface our data. PROMs data can be accessed by clicking the image below. 

PROMs Google Map Tool

Google Mapping Tool

Search for providers by postcode/area and choose the procedure type and measure to view the current and historical average casemix-adjusted health gains and statistical outliers by hospital providers by clicking the image below.

PROMs Google Map Tool


National 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:

  • 50.3 per cent of groin hernia respondents (49.8 per cent for 2015-16)
  • 51.9 per cent of varicose vein respondents (52.5 per cent for 2015-16)

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:

  • 39.0 per cent of groin hernia respondents (37.6 per cent for 2015-16)
  • 40.2 per cent of varicose vein respondents (41.0 per cent for 2015-16)

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.
  • 81.0 per cent of varicose vein respondents (82.1 per cent for 2015-16) ['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 69 of the 264,120 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 2016 to 31 March 2017
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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