Publication, Part of Patient Reported Outcome Measures (PROMs)
Finalised Patient Reported Outcome Measures (PROMs) in England, for Hip and Knee Replacement Procedures (April 2020 to March 2021)
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 69.7% in 2020-21. The percentage reporting an improvement is a small decrease from last year (69.4% in 2019-20).
Average Health Gain
The average health gains for hip replacement patients has increased since 2009-10:
|
Measure |
2009-10 |
2019-20 |
2020-21 |
|
Oxford Hip Score |
19.7 |
22.1 |
22.6 |
|
EQ-5D Index |
0.407 |
0.449 |
0.463 |
|
EQ VAS |
8.9 |
13.9 |
14.4 |
The average health gains have for Oxford Hip Score, EQ-5D Index and EQ-VAS have increased compared to 2019-20.
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 97.9% (97.5% in 2019-20). This is also the measure with the highest percentage for revision procedures. 89.1% of patients reported an improvement in health (88.4% in 2019-20).
Average Health Gain
The table below shows the average health gain for primary and revision hip replacements.
|
Measure |
Primary |
Revision |
|
Oxford Hip Score |
23.0 |
15.5 |
|
EQ-5D Index |
0.472 |
0.333 |
|
EQ VAS |
15.1 |
7.8 |
When comparing to last year, the average health gains for primary procedures have increased for all of the measures (22.7 for Oxford Hip Score, 0.458 for EQ-5D Index and 14.2 for EQ VAS in 2019-20). For revision procedures, the average health gain increased for the Oxford Hip Score and EQ-5D Index compared to last year (14.2 for Oxford Hip Score and 0.314 for EQ-5D Index in 2019-20) whilst the EQ VAS stayed almost the same (8.0 in 2019-20).
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, 58.0% of independent organisations were above the national average compared to 39.5% of NHS organisations. Independent organisations account for 47.5% of all organisations with 30 or more modelled records.
Last edited: 3 August 2023 3:30 pm