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.
Finalised Patient Reported Outcome Measures (PROMs) in England - April 2015 to March 2016Official statistics
- Publication Date:
- 10 Aug 2017
- Geographic Coverage:
- Geographical Granularity:
- Country, Strategic Health Authorities, Hospital Trusts, Primary Care Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups, NHS Trusts, Primary Care Organisations, County, Care Trusts, Hospital and Community Health Services
- Date Range:
- 01 Apr 2015 to 31 Mar 2016
For the coverage period 1 April 2015 to 31 March 2016.
Participation and Coverage
- There have been 264,120 PROMs-eligible procedures carried out in hospitals1 and 198,984 pre-operative questionnaires returned so far, a headline participation rate of 75.3 per cent (75.6 per cent for 2014-15).
- For the 198,984 pre-operative questionnaires returned, 192,875 post-operative questionnaires were sent out2, of which 139,028 have been returned so far - a return rate of 72.1 per cent3 (73.0 per cent for 2014-15).
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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:
- 49.8 per cent of groin hernia respondents (49.9 per cent for 2014-15)
- 88.4 per cent of hip replacement respondents (88.2 per cent for 2014-15)
- 80.7 per cent of knee replacement respondents (80.5 per cent for 2014-15)
- 52.5 per cent of varicose vein respondents (51.9 per cent for 2014-15)
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:
- 37.6 per cent of groin hernia respondents (37.9 per cent for 2014-15)
- 65.6 per cent of hip replacement respondents (65.1 per cent for 2014-15)
- 56.4 per cent of knee replacement respondents (55.3 per cent for 2014-15)
- 41.0 per cent of varicose vein respondents (39.0 per cent for 2014-15)
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.]
- 96.5 per cent of hip replacement respondents (96.4 per cent for 2014-15) ['Oxford Hip Score']
- 93.6 per cent of knee replacement respondents (93.2 per cent for 2014-15) ['Oxford Knee Score']
- 82.1 per cent of varicose vein respondents (82.3 per cent for 2014-15) ['Aberdeen Varicose Vein Questionnaire']
- 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.
- 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.
- This will be an underestimate of the true rate due to the time delay in returning post-operative questionnaires.