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Publication

Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2013 to January 2014

This is part of

Official statistics
Publication date:
Geographic coverage:
England
Geographical granularity:
Country, NHS Trusts, Hospital Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups
Date range:
01 Apr 2013 to 31 Jan 2014

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.

Extended analyses of the latest finalised data are published three times a year as 'special topics'. The latest, EQ-5D™ Index Analysis (link below), was published on 8th May 2014.

Key facts

Changes to our Score Comparison tool from August 2014

Following feedback received from users, we are considering making a small change to our quarterly Score Comparison tool (next scheduled for release with our August 2014 publications) to reduce confusion: we would no longer include the 'Key Facts Chart' tab which shows raw percentages by provider of 'improved' and 'worsened' questionnaire pairs.

We will continue to include all statistically-adjusted figures and visualisations, which allow for statistically valid comparisons, and the unadjusted figures that are included in the 'Select 10' tab; the unadjusted percentages will also be available in the CSV data files should any users require these, although we would continue to caution against drawing any conclusions from comparisons of these unadjusted figures.

If you have any concerns about these proposals, please let us know by reaching out to our Contact Centre at 0845 300 6016 or enquiries@hscic.gov.uk (please include 'PROMs' in the email subject line).

For the coverage period 1 April 2013 to 31 January 2014.

Chart 1

Participation and Coverage

  • There were 206,838 PROMs-eligible procedures carried out in hospitals1 and 155,451 pre-operative questionnaires returned so far, a headline participation rate of 75.2 per cent (74.7 per cent for 2011-12).

  • For the 155,451 pre-operative questionnaires returned, 102,071 post-operative questionnaires were sent out2, of which 61,681 have been returned so far - a return rate of 60.4 per cent3 (79.6 per cent for 2011-12).

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:

  • 50.1 per cent of groin hernia respondents (49.9 per cent for 2011-12)

  • 87.8 per cent of hip replacement respondents (87.3 per cent for 2011-12)

  • 80.7 per cent of knee replacement respondents (78.4 per cent for 2011-12)

  • 52.1 per cent of varicose vein respondents (53.2 per cent for 2011-12)

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:

  • 37.4 per cent of groin hernia respondents (38.9 per cent for 2011-12)

  • 64.3 per cent of hip replacement respondents (63.6 per cent for 2011-12)

  • 54.3 per cent of knee replacement respondents (53.8 per cent for 2011-12)

  • 39.6 per cent of varicose vein respondents (42.0 per cent for 2011-12)

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.

  • 96.2 per cent of hip replacement respondents (95.7 per cent for 2011-12) ['Oxford Hip Score']

  • 93.3 per cent of knee replacement respondents (91.6 per cent for 2011-12) ['Oxford Knee Score']

  • 84.1 per cent of varicose vein respondents (83.1 per cent for 2011-12) ['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 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 46 of the 206,838 procedures.
  2. Not every pre-operative questionnaire will have a post-operative questionnaire sent out, for various reasons 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.

Resources

Related links

Last edited: 11 April 2018 5:10 pm