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Digital

Publication, Part of

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

Official statistics
Publication Date:
Geographic Coverage:
England
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 2013 to 30 Sep 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.

Extended analyses of the latest finalised data are published three times a year as 'special topics'. The latest PROMs video tutorials (link below) were published on 13th February 2014.

 

Highlights

* NEW * 

Click this screenshot to see average casemix-adjusted health gains and statistical outliers by hospital providers:

Screenshot  

For the coverage period 1 April 2013 to 30 September 2013.

Chart 1

Participation and Coverage

  • There were 122,571 PROMs-eligible procedures carried out in hospitals1 and 89,157 pre-operative questionnaires returned so far, a headline participation rate of 72.7 per cent (74.7 per cent for 2011-12).

  • For the 89,157 pre-operative questionnaires returned, 37,278 post-operative questionnaires were sent out2, of which 13,690 have been returned so far - a return rate of 36.7 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:

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

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

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

  • 52.2 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:

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

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

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

  • 39.9 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.]

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

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

  • 85.3 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 35 of the 122,571 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

Last edited: 7 March 2024 4:33 pm