Provisional Quarterly Patient Reported Outcome Measures (PROMs) in England – April 2015 to December 2015
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, Rates of Attrition 2013-14, was published on 12 May 2016.
Click this screenshot to see average casemix-adjusted health gains and statistical outliers by hospital providers:
For the coverage period 1 April 2015 to 31 December 2015.
Participation and Coverage
- There have been 198,020 PROMs-eligible procedures carried out in hospitals1 and 146,489 pre-operative questionnaires returned so far, a headline participation rate of 74.0 per cent (76.2 per cent for 2013-14).
- For the 146,489 pre-operative questionnaires returned, 87,619 post-operative questionnaires were sent out2, of which 52,052 have been returned so far - a return rate of 59.4 per cent3 (73.6 per cent for 2013-14).
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:
- 50.1 per cent of groin hernia respondents (49.7 per cent for 2013-14)
- 89.5 per cent of hip replacement respondents (87.9 per cent for 2013-14)
- 81.6 per cent of knee replacement respondents (80.3 per cent for 2013-14)
- 53.9 per cent of varicose vein respondents (51.8 per cent for 2013-14)
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:
- 37.1 per cent of groin hernia respondents (37.3 per cent for 2013-14)
- 64.9 per cent of hip replacement respondents (64.2 per cent for 2013-14)
- 55.1 per cent of knee replacement respondents (54.6 per cent for 2013-14)
- 41.1 per cent of varicose vein respondents (39.9 per cent for 2013-14)
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 (96.0 per cent for 2013-14) ['Oxford Hip Score']
- 94.0 per cent of knee replacement respondents (93.0 per cent for 2013-14) ['Oxford Knee Score']
- 83.2 per cent of varicose vein respondents (82.9 per cent for 2013-14) ['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 50 of the 198,020 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.