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Publication, Part of

Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2014 to December 2014

Official statistics
Publication Date:
Geographic Coverage:
England
Geographical Granularity:
Country, Strategic Health Authorities, Hospital Trusts, Primary Care Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups, NHS Trusts, Primary Care Organisations, County, Care Trusts, Hospital and Community Health Services
Date Range:
01 Apr 2014 to 31 Dec 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, Quality of Life Dimensions, was published on 14 May 2015.

Highlights

Click this screenshot to see average casemix-adjusted health gains and statistical outliers by hospital providers:

Screenshot  

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

Chart 1

Participation and Coverage

  • There have been 195,840 PROMs-eligible procedures carried out in hospitals1 and 147,785 pre-operative questionnaires returned so far, a headline participation rate of 75.5 per cent (75.5 per cent for 2012-13).
  • For the 147,785 pre-operative questionnaires returned, 87,311 post-operative questionnaires were sent out2, of which 47,292 have been returned so far - a return rate of 54.2 per cent3 (73.3 per cent for 2012-13).

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:

  • 50.6 per cent of groin hernia respondents (49.4 per cent for 2012-13)
  • 89.2 per cent of hip replacement respondents (87.9 per cent for 2012-13)
  • 81.1 per cent of knee replacement respondents (79.7 per cent for 2012-13)
  • 53.7 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:

  • 37.8 per cent of groin hernia respondents (37.4 per cent for 2012-13)
  • 65.5 per cent of hip replacement respondents (64.2 per cent for 2012-13)
  • 56.0 per cent of knee replacement respondents (54.6 per cent for 2012-13)
  • 40.2 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.]
  • 96.8 per cent of hip replacement respondents (95.8 per cent for 2012-13) ['Oxford Hip Score']
  • 93.7 per cent of knee replacement respondents (92.3 per cent for 2012-13) ['Oxford Knee Score']
  • 83.6 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 42 of the 195,840 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.

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Last edited: 11 April 2018 5:11 pm