Publication, Part of Patient Reported Outcome Measures (PROMs)
Finalised Patient Reported Outcome Measures (PROMs) in England for Hip & Knee Replacements, April 2018 – March 2019
Official statistics
Health Gain for Hip Replacements
Total Hip Replacements
Since 2009-10, the percentage of patients reporting an improvement in health has increased for all questionnaires relating to hip replacements. The EQ VAS has shown the highest increase, from 61.4% in 2009-10 to 69.1% in 2018-19. The percentage reporting an improvement is similar to last year (68.6% in 2017-18).
Average Health Gain
The average health gains for hip replacement patients has also increased slightly since 2009-10:
|
Measure |
2009-10 |
2017-18 |
2018-19 |
|---|---|---|---|
| Oxford Hip Score | 19.7 | 22.0 | 22.0 |
| EQ-5D Index | 0.407 | 0.454 | 0.454 |
| EQ VAS | 8.9 | 14.0 | 13.8 |
When comparing to last year, the average health gains have stayed the same for Oxford Hip Score and EQ-5D Index. The EQ VAS has shown a slight decrease from last year (14.0 in 2017-18).
Primary and Revision Hip Replacements
Where questionnaires have linked to an episode from the Hospital Episode Statistics data set, the procedure can be split into primary or revision hip replacements. The chart below shows the percentage of patients that reported an improvement in health. For primary procedures, the Oxford Hip Score shows the highest percentage with 97.7% (97.8% in 2017-18). This is also the measure with the highest percentage for revision procedures. 86.3% of patients reported an improvement in health (86.5% in 2017-18).
Average Health Gain
The table below shows the average health gain for primary and revision hip replacements.
|
Measure |
Primary |
Revision |
|---|---|---|
| Oxford Hip Score | 22.7 | 13.9 |
| EQ-5D Index | 0.464 | 0.287 |
| EQ VAS | 14.3 | 8.1 |
When comparing to last year, the average health gains are similar for Oxford Hip Score (22.7 for primary and 13.9 for revision in 2017-18) They were also similar for EQ-5D Index compared to 2017-18 (0.468 for primary and 0.291 for revision). The EQ VAS has shown a slight increase from last year (14.4 for primary and 7.6 for revision).
Results by Sector
Whilst the national PROMs programme collects data for NHS funded activity only, patients can be treated at either NHS or independent sector organisations. This may be due to patient choice or subcontracting arrangements between organisations.
The proportion of providers with a reported organisational average health gain above the national average is higher for independent providers than providers in the NHS.
For primary hip replacements, 55.0% of independent organisations were above the national average compared to 40.0% of NHS organisations. Independent organisations account for 46.6% of all organisations with 30 or more modelled records.
Last edited: 28 May 2024 12:39 pm