Provisional Quarterly Patient Reported Outcome Measures (PROMs) in England – April 2016 to September 2016
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.
For the coverage period 1 April 2016 to 30 September 2016.
Participation and Coverage
- There have been 133,649 PROMs-eligible procedures carried out in hospitals1 and 101,793 pre-operative questionnaires returned so far, a headline participation rate of 76.2 per cent (75.6 per cent for 2014-15).
- For the 101,793 pre-operative questionnaires returned, 37,328 post-operative questionnaires were sent out2, of which 15,338 have been returned so far - a return rate of 41.1 per cent3 (73.0 per cent for 2014-15).
Google Mapping Tool
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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:
- 50.9 per cent of groin hernia respondents (49.9 per cent for 2014-15)
- 89.7 per cent of hip replacement respondents (88.2 per cent for 2014-15)
- 82.1 per cent of knee replacement respondents (80.5 per cent for 2014-15)
- 51.3 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:
- 40.5 per cent of groin hernia respondents (37.9 per cent for 2014-15)
- 67.8 per cent of hip replacement respondents (65.1 per cent for 2014-15)
- 59.4 per cent of knee replacement respondents (55.3 per cent for 2014-15)
- 40.7 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.]
- 97.1 per cent of hip replacement respondents (96.4 per cent for 2014-15) ['Oxford Hip Score']
- 94.4 per cent of knee replacement respondents (93.2 per cent for 2014-15) ['Oxford Knee Score']
- 81.9 per cent of varicose vein respondents (82.3 per cent for 2014-15) ['Aberdeen Varicose Vein Questionnaire']
- 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 30 of the 133,649 procedures.
- 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.
- This will be an underestimate of the true rate due to the time delay in returning post-operative questionnaires.