This is the latest publication of provisional post-operatives scores from the Patient Reported Outcome Measures (PROMs) programme for the period April 2011 to August 2011. This publication 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 2011 to August 2011 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.
Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2011 to August 2011, Pre- and post-operative data, Experimental statisticsOfficial statistics
- Publication Date:
- 12 Jan 2012
- Geographic Coverage:
- Geographical Granularity:
- Date Range:
- 01 Apr 2010 to 31 Aug 2011
In the period from April 2011 to August 2011:
There were 98,192 eligible1 hospital episodes and 69,433 pre-operative questionnaires returned - a headline participation rate of 70.7 per cent, which is an increase of 4.6 percentage points compared to 2009-10.
Of the 23,965 post-operative questionnaire sent out, 11,156 have been returned - a return rate of 46.6 per cent2,3.
97.3 per cent of hip replacement respondents and 92.8 per cent 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). These values were 95.7 per cent and 91.4 per cent respectively in the finalised data for 2009-10.
83.4 per cent 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). This value was 83.4 per cent in the finalised data for 2009-10. 4
89.3 per cent of hip replacement respondents and 81.6 per cent 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 51.7 per cent for groin hernias and 51.5 per cent for varicose veins. These values were 87.2 per cent, 77.6 per cent, 49.3 per cent and 52.4 per cent respectively in the finalised data for 2009-10.
65.7 per cent of hip replacement respondents and 56.7 per cent 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 40.6 per cent for varicose veins and 40.3 per cent for groin hernias. These values were 61.4 per cent, 50.2 per cent, 40.4 per cent and 38.2 per cent respectively in the finalised data for 2009-10.
1. 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.
2. Not every pre-operative questionnaire will have a post-operative questionnaire sent out. This may be for a number of reasons including the cancellation of an operative or the death of the patient.
3. This will be an underestimate of the true rate due to the time delay in returning the post-operative questionnaire.
4. Due to the length of time before post-operative questionnaires are sent out for hip and knee replacements, no unadjusted scores are currently available.