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Patient Reported Outcome Measures (PROMs) in England - 2012-13, Special Topic, Quality of Life Dimensions

21:05 September 23, 2017 - 09:30 May 14, 2015
Publication date: May 14, 2015
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Summary

This topic of interest is primarily based on 2012-13 finalised data, though data based on previous finalised data years has also been made available where possible. It lets users explore change in the individual dimensions of the EQ-5D TM Index data. It also allows users to examine provider- and commissioner-level relationships between the percentage of patients reporting improvement on individual ‘quality of life’ dimensions of the EQ-5D TM Index and patients’ adjusted average health gain on the EQ-VAS and condition-specific measures.  

The quality of life dimensions, drawn from the EQ-5D TM Index, are:

·          m obility;

·          ability to self-care;

·          ability to carry out usual activities;

·          pain / discomfort; and

·          anxiety / depression.

Each dimension is scored between ‘1’ and ‘3’ with ‘1’ indicating no problems or concerns, and ‘3’ indicating ‘extreme’ problems or incapacitation (within the dimension).   A patient is considered to have improved on a dimension if their post-operative score is lower than their pre-operative score.

Key facts

 

Groin hernia

·     More than four in ten (41.9%) groin hernia patients experienced improvement on the ‘Pain / discomfort’ dimension with few (6.9%) experiencing deterioration.

·     Relatively few patients experienced change on the other dimensions of the EQ-5DTM Index (for example, 84.7% reported the same level of mobility).

           

Hip replacements

·    Overall, around three in four (73.7%) hip replacement patients reported reduced pain and discomfort, with those undergoing primary operations being more likely to do so (75.5%) than revision patients (53.3%).

·     Large proportions of hip replacement patients reported improved mobility (52.3%), ability to undertake usual activities (59.4%), and ability to self-care (38.4%) with those receiving primary operations reporting higher average gains than those undergoing revisions.

 

Knee replacements

·     Six in ten (60.0%) knee replacement patients experienced reduced pain and discomfort, with those undergoing primary operations being more likely to do so (60.7%) than revision operations (47.9%)

·     Large proportions of knee replacement patients also reported improved mobility (45.3%) and ability to undertake their usual activities (46.2%), with those receiving primary operations reporting higher average gains than those undergoing revisions.

 

Varicose vein

·     Around four in ten (40.6%) of varicose vein patients reported reduced pain and discomfort.

Resources

Coverage

Date Range: April 01, 2012 to March 31, 2013
Geographical coverage:
England
Geographical granularity:
NHS Trusts
Hospital Trusts
Country
Independent Sector Health Care Providers
Clinical Commissioning Groups

Related links

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