Retrospective PROMs
Research type
Research Study
Full title
The use of retrospective patient reported outcome measures (PROMs) and of general population norms for evaluating emergency admissions
IRAS ID
193108
Contact name
Esther L S Kwong
Contact email
Sponsor organisation
London School of Hygiene and Tropical Medicine
Duration of Study in the UK
0 years, 6 months, 1 days
Research summary
Measuring the quality and value of healthcare is paramount for all health systems worldwide, including the NHS. Patient Reported Outcomes Measures (PROMs) have been seen as one of the ways that the NHS can improve quality and measure effectiveness to determine the value of resources spent.
However, there are areas such as in emergency admissions to hospital whereby current NHS PROMs collection does not cover and the methods for doing so pose a challenge. .
There are two possible methods to extend PROMs use to emergency admissions, namely using retrospective PROMs or general population norms in place of a contemporary baseline PROMs.
There will be four phases to this PhD. Phase 1 will consist of a literature review on the evidence available in using the methods stated above, and provide an overview of the key topics for this project such as the role of recall bias in the retrospective collection of PROMs. Phase 2 consists of a quantitative data collection to determine the reliability of using PROMs in elective surgery patients.
Phase 3 compares retrospective PROMs to use of general population norms derived from general practice patient survey data. Phase 4 will involve feasibility testing of the collection of PROMs in three different medical and surgical emergency admissions in major trauma, emergency laparotomy and acute myocardial infarction national audits.
This ethical application refers specifically to Phase 2 of the project where reliability between retrospective and contemporary PROMs is studied by comparing contemporary PROM and retrospective directly in elective orthopaedic patients undergoing hip and knee surgery who are on the national PROMs programme. This study will lead to a PhD thesis and include a recommendation for a reliable method for PROMs use in emergency admissions. Further ethical approval will be sought at other relevant stages.
REC name
North East - Newcastle & North Tyneside 2 Research Ethics Committee
REC reference
16/NE/0081
Date of REC Opinion
8 Mar 2016
REC opinion
Favourable Opinion