Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2011 to March 2012, Pre- and post-operative data, May 2013 release

For the coverage period 1 April 2011 to 31 March 2012:

Participation and Coverage

• There were 247,663 PROMs-eligible procedures carried out in hospitals¹; 184,801 pre-operative questionnaires returned so far, a headline participation rate of 74.6 per cent (69.9 per cent for 2010-11).
• For the 184,801 pre-operative questionnaires returned, 175,110 post-operative questionnaires were sent out², of which 134,174 have been returned so far - a return rate of 76.6 per cent³ (81.0 per cent for 2010-11).

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:

• 49.8 per cent of groin hernia respondents (50.5 per cent for 2010-11)
• 87.3 per cent of hip replacement respondents (86.7 per cent for 2010-11)
• 78.4 per cent of knee replacement respondents (77.9 per cent for 2010-11)
• 53.2 per cent of varicose vein respondents (51.6 per cent for 2010-11)

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:

• 38.8 per cent of groin hernia respondents (39.1 per cent for 2010-11)
• 63.6 per cent of hip replacement respondents (61.4 per cent for 2010-11)
• 53.7 per cent of knee replacement respondents (50.8 per cent for 2010-11)
• 42.0 per cent of varicose vein respondents (39.8 per cent for 2010-11)

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.]
• 95.8 per cent of hip replacement respondents (95.8 per cent for 2010-11) ['Oxford Hip Score']
• 91.6 per cent of knee replacement respondents (91.4 per cent for 2010-11) ['Oxford Knee Score']
• 83.1 per cent of varicose vein respondents (82.5 per cent for 2010-11) ['Aberdeen Varicose Vein Questionnaire']

Methodology Change

Figures produced for this and subsequent publications may differ slightly from previous figures in part because of a change in methodology.

• Read about changes to the PROMs methodology

   

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 56 of the 247,663 procedures.
2. Not every pre-operative questionnaire will have a post-operative questionnaire sent out. This may be for a number of 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.