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Publication

Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2014 to July 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 2014 to 31 Jul 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, Directly Standardised Rates of Episodes, was published on 13 November 2014.

Key facts

For the coverage period 1 April 2014 to 31 July 2014.

Chart 1

Participation and Coverage

  • There have been 86,204 PROMs-eligible procedures carried out in hospitals1 and 66,569 pre-operative questionnaires returned so far, a headline participation rate of 77.2 per cent (75.5 per cent for 2012-13).

  • For the 66,569 pre-operative questionnaires returned, 18,399 post-operative questionnaires were sent out2, of which 3,876 have been returned so far - a return rate of 21.1 per cent3 (73.3 per cent for 2012-13).

Unadjusted Scores4

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:

  • 49.7 per cent of groin hernia respondents (49.4 per cent for 2012-13)

  • [Insufficient data for hip replacement4.]

  • [Insufficient data for knee replacement4.]

  • 53.5 per cent of varicose vein respondents (52.7 per cent for 2012-13)

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:

  • 38.2 per cent of groin hernia respondents (37.4 per cent for 2012-13)

  • [Insufficient data for hip replacement4.]

  • [Insufficient data for knee replacement4.]

  • 42.0 per cent of varicose vein respondents (41.2 per cent for 2012-13)

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.]

  • [Insufficient data for hip replacement4.]

  • [Insufficient data for knee replacement4.]

  • 86.8 per cent of varicose vein respondents (82.9 per cent for 2012-13) ['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 21 of the 86,204 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.
  4. Due to the length of time before post-operative questionnaires are sent out for hip and knee replacements, there is not yet sufficient data to calculate unadjusted scores for these procedures.

Resources

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Last edited: 11 April 2018 5:11 pm