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Provisional Quarterly Patient Reported Outcome Measures (PROMs) in England – April 2016 to June 2016

13:12 June 22, 2017 - 09:30 November 10, 2016
Publication date: November 10, 2016
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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.

Key facts

For the coverage period 1 April 2016 to 30 June 2016.

Chart 1

Participation and Coverage

  • There have been 67,344 PROMs-eligible procedures carried out in hospitals1 and 50,202 pre-operative questionnaires returned so far, a headline participation rate of 74.5 per cent (75.6 per cent for 2014-15).
  • For the 50,202 pre-operative questionnaires returned, 4,981 post-operative questionnaires were sent out2, of which 2,046 have been returned so far - a return rate of 41.1 per cent3 (73.0 per cent for 2014-15).

National 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:

  • 49.2 per cent of groin hernia respondents (49.9 per cent for 2014-15)
  • [Insufficient data for hip replacement4.]
  • [Insufficient data for knee replacement4.]
  • 47.6 per cent of varicose vein respondents (51.9 per cent for 2014-15)

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:

  • 39.8 per cent of groin hernia respondents (37.9 per cent for 2014-15)
  • [Insufficient data for hip replacement4.]
  • [Insufficient data for knee replacement4.]
  • 40.3 per cent of varicose vein respondents (39.0 per cent for 2014-15)

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.]
  • [Insufficient data for hip replacement4.]
  • [Insufficient data for knee replacement4.]
  • 80.8 per cent of varicose vein respondents (82.3 per cent for 2014-15) ['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 in PROMs. 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 15 of the 67,344 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.
  4. Due to the length of time before post-operative questionnaires are sent out for hip and knee replacements, there are not yet sufficient data to calculate unadjusted scores for these procedures.

Resources

Coverage

Date Range: April 01, 2016 to June 30, 2016
Geographical coverage:
England
Geographical granularity:
NHS Trusts
Hospital Trusts
Country
Independent Sector Health Care Providers
Clinical Commissioning Groups

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