Publication

Provisional Quarterly Patient Reported Outcome Measures (PROMs) in England April 2017 to December 2017

This is part of Patient Reported Outcome Measures (PROMs)

Official statistics
Publication Date:
14 Jun 2018
Geographic Coverage:
England
Date Range:
01 Apr 2017 to 31 Dec 2017

Summary

Patients undergoing elective inpatient surgery for hip and knee replacement, 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 is for Provisional Quarterly Patient Reported Outcome Measures (PROMs) in England - April 2017 to December 2017. 

PROMS data on Groin Hernia and varicose vein surgery ceased to be collected on 1 October 2017 following the consultation on the future of PROMs by NHS England. Part year, finalised data for April 2017 to September 2017 has been published for these procedures in a separate statistical release.

Key Facts

For the coverage period 1 April 2017 to 31 December 2017.

Participation and Coverage

  • There have been 130,765 PROMs-eligible hip and knee replacement procedures carried out in hospitals1 ,and 105,718 pre-operative questionnaires returned so far, a headline participation rate of 80.8 per cent (91.9 per cent for 2015-16).
  • For the 105,718 pre-operative questionnaires returned, 57,312 post-operative questionnaires were sent out2, of which 32,279 have been returned so far - a return rate of 56.3 per cent3 (75.7 per cent for 2015-16).

 

National 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:

  • 90.5 per cent of hip replacement respondents (88.4 per cent for 2015-16)
  • 82.5 per cent of knee replacement respondents (80.7 per cent for 2015-16)

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:

  • 67.3 per cent of hip replacement respondents (65.6 per cent for 2015-16)
  • 58.4 per cent of knee replacement respondents (56.4 per cent for 2015-16)

Comparing pre- and post-operative responses to condition-specific questions, improvements in patients' conditions were recorded for:

  • 97.0 per cent of hip replacement respondents (96.5 per cent for 2015-16) ['Oxford Hip Score']
  • 94.3 per cent of knee replacement respondents (93.6 per cent for 2015-16) ['Oxford Knee Score']

 

We are currently experiencing technical difficulties with the mapping tool, we apologise for any inconvenience caused.

 

Web Platform Tool

NHS Digital are using Microsoft's Power Bi to create an interactive web platform tools to surface our data. PROMs data can be accessed by clicking the image below. 

PROMs Power BI

 

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 in PROMs. 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 325 procedures.
  2. Not every pre-operative questionnaire will have a post-operative questionnaire sent out, for various 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

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