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Patient reported outcomes | Andrew Vallance-Owen

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A presentation by Andrew Vallance-Owen on Patient Reported Outcomes at the diagnosis Salon on 28th April.

Gesundheit & MedizinSeele & GeistBusiness
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PATIENT REPORTED OUTCOMES International Forum on Quality and Safety in Healthcare Breakfast Session Andrew Vallance-Owen Group Medical Director 7 April 2011
 
 
Generic questionnaire used by NHS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EQ-5D Kind, P. et al. BMJ 1998;316:736-741
Disease-specific vs. generic tools ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VF-14 (Visual Function) – extract from 14 questions
Baseline data can be interesting in their own right: VF-14 pre-op scores, where 100 = no visual problems 0 10 20 30 40 50 60 70 80 90 100 0 3 5 8 11 13 16 19 21 24 27 29 32 35 38 40 43 46 48 51 54 56 59 62 64 67 70 72 75 78 80 83 86 88 91 94 96 99 Percentage of patients (N=824) VF-14 score (100 = no visual problems)
PROMS - NHS ,[object Object],[object Object],[object Object],[object Object]
Recruitment varies by procedure % of patients completing baseline questionnaire, NHS data Hips and knees – 70 to 80% Hernia – 50 to 60% Varicose vein – 40 to 50%
EQ-5D responsiveness? Note number “Same” and “Unknown” 
 compared with condition-specific tools:
How NHS data have been presented (as experimental statistics) http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=1295
How the NHS data can be shown - funnel plot Oxford Hip change scores by hospital, April ’09 to April ’10 data NHS Experimental Statistics
The future of PROMS? The ‘howRu’ howRu 35 words EQ-5D 230 words SF-12 451 words SF-36 779 words

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Patient reported outcomes | Andrew Vallance-Owen

  • 1. PATIENT REPORTED OUTCOMES International Forum on Quality and Safety in Healthcare Breakfast Session Andrew Vallance-Owen Group Medical Director 7 April 2011
  • 4.
  • 5. EQ-5D Kind, P. et al. BMJ 1998;316:736-741
  • 6.
  • 7. VF-14 (Visual Function) – extract from 14 questions
  • 8. Baseline data can be interesting in their own right: VF-14 pre-op scores, where 100 = no visual problems 0 10 20 30 40 50 60 70 80 90 100 0 3 5 8 11 13 16 19 21 24 27 29 32 35 38 40 43 46 48 51 54 56 59 62 64 67 70 72 75 78 80 83 86 88 91 94 96 99 Percentage of patients (N=824) VF-14 score (100 = no visual problems)
  • 9.
  • 10. Recruitment varies by procedure % of patients completing baseline questionnaire, NHS data Hips and knees – 70 to 80% Hernia – 50 to 60% Varicose vein – 40 to 50%
  • 11. EQ-5D responsiveness? Note number “Same” and “Unknown” 
 compared with condition-specific tools:
  • 12. How NHS data have been presented (as experimental statistics) http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=1295
  • 13. How the NHS data can be shown - funnel plot Oxford Hip change scores by hospital, April ’09 to April ’10 data NHS Experimental Statistics
  • 14. The future of PROMS? The ‘howRu’ howRu 35 words EQ-5D 230 words SF-12 451 words SF-36 779 words