Abstract
Background
Patient reported outcomes measures are a fundamental part of the NHS. Since 2009, they have been used to measure quality from the patient's perspective. PROMS2.0 is a semi-automated web based system, which allows collection and analysis of outcome data. This study looks at the factors, which can influence PROMS. These include looking at general trends which affect reported outcomes such as surgeon, age and gender. We also look to assess the reasons for non-uptake in the study.
Methods
Data was collected from October 2012 to March 2015. Scores used to asses outcome measures included EQ-5D VAS, EQ-5D Health Index, and MOxFQ, collected pre-operatively and post-operatively.
Results
97/350 (27.8%) (69F+28M) patients consented and provided pre-op and post op scores. Average age was 57.2 years (Range-19–89). 69 Rt Vs 36 Lt. Surgeon A-51, B-31, C-8 procedures. MOxFQ- all three domains improved on average- Pain- 51.2 to 28.2. Walking/standing- 53.5 to 30.4 and Social interaction- 46.1 to 27.3. EQ5D scores also improved. VAS- 76.0 to 79.7, Index- 0.70 to 0.74. Patients over 70 showed the greatest improvement in MOxFQ, over 70s and under 50s did the same in EQ5D. Male patients reported better outcomes overall in both scores. All statistically significant. No significant patterns found between different surgeons. Left sided procedures did slightly better than right. Non-participation reasons- 20/30 lack of time, 7/30- reduced internet access, 3/30- non specified.
Conclusions
Our results suggest improvement in PROMS. Better outcomes are linked to increased age, male sex, left sided procedures but not individual surgeons. Non-responding patients placed forgetfulness/time and lack of Internet access as reasons for non-participation Simplification and integration of PROMS will be key to increased participation.
Level of evidence
Prospective case-series- Level 3
