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Publication

Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2012 to February 2013

This is part of

Official statistics
Publication date:
Geographic coverage:
England
Geographical granularity:
Country, Strategic Health Authorities, Primary Care Organisations, Hospital Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups
Date range:
01 Apr 2012 to 28 Feb 2013

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 contains provisional results for 2012-13 (hospital episode started / pre-operative questionnaire completed between 1 April 2012 and 28 February 2013). Provisional results for 2011-12 are also published - find out more. Provisional headline figures are updated monthly with full data updates quarterly, in February, May, August and November.

PROMs Special Topics

Extended analyses of the latest finalised data are published three times a year. The latest special topic: Complications after surgery, was published on 9th May 2013.

Key facts

For the coverage period 1 April 2012 to 28 February 2013.

Chart 1 - Improvement rate (unadjusted scores) by procedure and measure


Participation and Coverage

  • There were 216,402 PROMs-eligible procedures carried out in hospitals1 and 150,209 pre-operative questionnaires returned so far, a headline participation rate of 69.4 per cent (69.9 per cent for 2010-11).
  • For the 150,209 pre-operative questionnaires returned, 75,460 post-operative questionnaires were sent out2, of which 41,644 have been returned so far - a return rate of 55.2 per cent3 (81.0 per cent for 2010-11).

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:

  • 49.8 per cent of groin hernia respondents (50.5 per cent for 2010-11)
  • 87.4 per cent of hip replacement respondents (86.7 per cent for 2010-11)
  • 79.5 per cent of knee replacement respondents (77.9 per cent for 2010-11)
  • 53.0 per cent of varicose vein respondents (51.6 per cent for 2010-11)

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:

  • 38.1 per cent of groin hernia respondents (39.1 per cent for 2010-11)
  • 63.4 per cent of hip replacement respondents (61.4 per cent for 2010-11)
  • 54.9 per cent of knee replacement respondents (50.8 per cent for 2010-11)
  • 41.6 per cent of varicose vein respondents (39.8 per cent for 2010-11)

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.]
  • 95.4 per cent of hip replacement respondents (95.8 per cent for 2010-11) ['Oxford Hip Score']
  • 92.3 per cent of knee replacement respondents (91.4 per cent for 2010-11) ['Oxford Knee Score']
  • 83.1 per cent of varicose vein respondents (82.5 per cent for 2010-11) ['Aberdeen Varicose Vein Questionnaire']

Methodology Change

Figures produced for this and subsequent publications may differ slightly from previous figures in part because of a change in methodology.


 

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 into PROMs. Note that 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 48 of the 216,402 procedures.
  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 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.

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    Last edited: 11 April 2018 5:10 pm