Finalised Patient Reported Outcome Measures (PROMs) in England - April 2009 to March 2010, Pre- and post-operative data, Experimental statistics
Publication date: 09:30 August 17, 2011
This is the first annual refresh publication of post-operatives scores from the Patient Reported Outcome Measures (PROMs) programme. This publication builds upon the published pre-operative data and considers the change in patients' self-reported health status for the four common elective surgical procedures in the PROMs programme: groin hernia surgery, hip replacement, knee replacement and varicose vein surgery. Analysis covers the period from April 2009 to the end of March 2010 and includes pre-operative questionnaires that all English providers treating NHS patients have been asked to collect from patients who wish to participate and post-operative questionnaires returned by patients following their surgery. Not all patients undergoing the relevant operations returned questionnaires for a variety of reasons.
In the period from April 2009 to March 20101:
- There were 239,683 eligible2 hospital episodes and 158,342 pre-operative questionnaires returned - a headline participation rate of 66.1%3.
- Of the 151,874 post-operative questionnaire sent out, 121,439 have been returned - a return rate of 80.0%.
- 95.7% of hip replacement respondents and 91.4% of knee replacement respondents recorded joint related improvements following their operation as measured by their response to a series of questions about their condition (Oxford Hip and Knee Scores).
- 83.4% of varicose vein respondents recorded varicose vein related improvements following their operation as measured by their response to a series of questions about their condition (Aberdeen Varicose Vein Questionnaire score).
- 87.2% of hip replacement respondents and 77.6% of knee replacement respondents recorded an increase in their general health following their operation, based on a combination of five key criteria concerning their general health (EQ-5D Index score), compared to 52.4% for varicose veins and 49.3% for groin hernias.
- 61.4% of hip replacement respondents and 50.2% of knee replacement recorded an increase in their EQ-VAS score (current state of the patients general health marked on a visual analogue scale) compared to 40.4% for varicose veins and 38.2% for groin hernias.
- During the HES annual refresh a number of independent sector providers deleted a number of HES records as part of a data upload. This has affected the number of PROMs eligible episodes and thus resulted in an increased participation rate and decreased linkage rate when compared to publications prior to the deletion.
- An 'eligible episode' is an episode in HES in the period in question, clinically coded with relevant hip, knee, varicose vein or groin hernia OPCS procedure codes which make it suitable for inclusion into PROMs.
- Data from the Patient Outcomes in Surgery (POIS) audit questionnaires are now included within the PROMs data set. As such an increase has been seen in the participation rate when compared to previous months.
|Date Range:||01 April 2009 to 31 March 2010|