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Publication, Part of

Provisional Patient Reported Outcome Measures (PROMs) in England - April 2013 to February 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 2013 to 28 Feb 2014

Summary

* Please note that a new version of the Data Quality Note containing an amended description of the method used to estimate missing PROMs episodes was published on 10 October 2014. Published PROMs data and estimates of missing PROMs episodes are not affected.  The HSCIC apologises for any inconvenience caused. *

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, EQ-5D™ Analysis (link below), was published on 8 May 2014.

Highlights

For the coverage period 1 April 2013 to 28 February 2014.

Chart 1

Participation and Coverage

  • There were 228,812 PROMs-eligible procedures carried out in hospitals1 and 170,273 pre-operative questionnaires returned so far, a headline participation rate of 74.4 per cent (74.7 per cent for 2011-12).

  • For the 170,273 pre-operative questionnaires returned, 114,980 post-operative questionnaires were sent out2, of which 66,774 have been returned so far - a return rate of 58.1 per cent3 (79.6 per cent for 2011-12).

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:

  • 50.2 per cent of groin hernia respondents (49.9 per cent for 2011-12)

  • 87.8 per cent of hip replacement respondents (87.3 per cent for 2011-12)

  • 80.6 per cent of knee replacement respondents (78.4 per cent for 2011-12)

  • 51.6 per cent of varicose vein respondents (53.2 per cent for 2011-12)

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:

  • 37.2 per cent of groin hernia respondents (38.9 per cent for 2011-12)

  • 64.2 per cent of hip replacement respondents (63.6 per cent for 2011-12)

  • 54.3 per cent of knee replacement respondents (53.8 per cent for 2011-12)

  • 39.1 per cent of varicose vein respondents (42.0 per cent for 2011-12)

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.]

  • 96.1 per cent of hip replacement respondents (95.7 per cent for 2011-12) ['Oxford Hip Score']

  • 93.2 per cent of knee replacement respondents (91.6 per cent for 2011-12) ['Oxford Knee Score']

  • 83.5 per cent of varicose vein respondents (83.1 per cent for 2011-12) ['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 47 of the 228,812 procedures.
  2. Not every pre-operative questionnaire will have a post-operative questionnaire sent out, for various reasons 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

Related Links

Last edited: 11 April 2018 5:12 pm