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- Talk
- 21/09/2022
- UK
Patient Reported Outcome Measures - The Value of PROMs: An Introduction To The NJR Approach For Inclusion of PROMs In The NJR Datasets and for Analysis in the NJR Annual Report
Description
In this presentation, Mark Wilkinson discusses the integration of Patient Reported Outcome Measures (PROMS) into the National Joint Registry (NJR) reporting process, focusing particularly on hip and knee data. He outlines the history of NHS Digital in collecting national PROMS since 2009, emphasizing the importance of incorporating these measures in clinical outcomes reporting. The discussion covers the methodological approaches taken to assess the completeness and reliability of PROMS data, and explores how they can inform annual reports and individual surgeon metrics.
Wilkinson presents the demographic analysis revealing variations between patients who complete PROMS and those who do not, highlighting subtle differences such as age, fitness levels, and socioeconomic factors. He highlights that patients who complete PROMs tend to have a slightly lower ten-year mortality rate and compares revision rates of joint replacements, finding significant differences in hip outcomes for PROM completers versus non-completers.
The presentation further analyzes the individual performance of various implant brands and constructs using minimal important change (MIC) scores, identifying that while all knee implants meet the expected performance threshold, a small number of hip implants appear to underperform. The session concludes with a proposal for presenting PROMS data transparently for better decision-making in clinical practice.
Lastly, Wilkinson invites questions for further discussion as he hands over to Robin, who will provide insights on patient experience in this context.