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Patient-reported experience and outcome measures in oral surgery: a dental hospital experience

Abstract

Introduction Patient-reported experience and outcome measures (PREMs and PROMs) are useful tools in assessing the quality of a service and the care it provides. We present our findings from the collection and analysis of PREMs and PROMs at the Royal London Dental Hospital Oral Surgery Department and discuss implications for future practice.

Methods PREMs questionnaires exploring peri-operative aspects of care were distributed to patients having dental extractions under local anaesthetic. Patients were later invited to complete a PROMs questionnaire to gather information about their post-operative experience.

Results One hundred and fifty-five PREMs questionnaires were completed. Over 98% of patients reported that they felt involved in their treatment, their pain and anxiety was well managed, they received information in a suitable language, and they felt able to ask questions. Eighty-seven (56%) patients subsequently completed the PROMs questionnaire. Twelve (14%) reported that they required assistance following treatment and two (2%) required further surgery. Sixty-three (72%) patients reported that they achieved normal function/appearance within two weeks.

Conclusion The majority of patients reported a positive experience throughout their patient journey. We conclude that PREMs and PROMs may be used for benchmarking and managing service provision. There is scope for developing comprehensive measures for use in dental settings.

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References

  1. NHS England. Five Year Forward View. 2014. Online information available at https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf (accessed June 2019).

  2. NHS England. The NHS Long Term Plan. 2019. Online information available at https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/nhs-long-term-plan-version-1.2.pdf (accessed June 2019).

  3. NHS England. Guides for Commissioning Dental Specialities. 2015. Online information available at https://www.england.nhs.uk/primary-care/dentistry/dental-commissioning/dental-specialities/ (accessed June 2019).

  4. NHS England. Guide for Commissioning Oral Surgery and Oral Medicine Specialties. 2015. Online information available at https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/09/guid-comms-oral.pdf (accessed June 2019).

  5. Darzi A. NHS Next Stage Review Interim Report. 2007. Online information available at http://www.nhshistory.net/darzi-interim.pdf (accessed June 2019).

  6. Darzi A. Quality and the NHS Next Stage Review. The Lancet 2008; 371: 1563-1564.

  7. NHS England. Patient Reported Outcome Measures (PROMs). 2009. Online information available at https://digital.nhs.uk/data-and-information/data-tools-and-services/data-services/patient-reported-outcome-measures-proms (accessed June 2019).

  8. Black N, Varaganum M, Hutchings A. Relationship between patient reported experience (PREMs) and patient reported outcomes (PROMs) in elective surgery. BMJ Qual Saf 2014; 23: 534-542.

  9. Black N. Patient reported outcome measures could help transform healthcare. BMJ. 2013; 346: f167.

  10. Hahn E, Cella D, Chassany O, Fairclough D, Wong G, Hays R. Precision of health-related quality-of-life data compared with other clinical measures. Mayo Clin Proc 2007; 82: 1244-1254.

  11. Kingsley C, Patel S. Patient-reported outcome measures and patient-reported experience measures. BJA Educ 2017; 17: 137-144.

  12. Marshall S, Haywood K, Fitzpatrick R. Impact of patient-reported outcome measures on routine practice: a structured review. J Eval Clin Pract 2006; 12: 559-568.

  13. Monmouth Partners. A guide to patient reported measures - theory, landscape and uses. 2014. Online information available at https://www.monmouthpartners.com/assets/pdf/A%20Guide%20to%20Patient%20Reported%20Measures.pdf (accessed June 2019).

  14. Valderas J, Kotzeva A, Espallargues M et al. The impact of measuring patient-reported outcomes in clinical practice: a systematic review of the literature. Qual Life Res 2008; 17: 179-193.

  15. Weldring T, Smith S. Article commentary: Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs). Health Serv Insights 2013; 6: 61-68.

  16. Gerrard G, Jones R, Hierons R. How did we do? An investigation into the suitability of patient questionnaires (PREMs and PROMs) in three primary care oral surgery practices. Br Dent J 2017; 223: 27-32.

  17. Higginson I, Carr A. Measuring quality of life: Using quality of life measures in the clinical setting. BMJ 2001; 322: 1297-1300.

  18. Patel N, Vijayanarayanan R, Pachter D, Coulthard P. Oral health-related quality of life: pre-and post-dental implant treatment. Oral Surg 2014; 8: 18-22.

  19. McGrath C, Comfort M, Lo E, Luo Y. Patient-centred outcome measures in oral surgery: validity and sensitivity. Br J Oral Maxillofac Surg 2003; 41: 43-47.

  20. Patel N, Ali S, Yates J. Quality of life following injury to the inferior dental or lingual nerve - a cross-sectional mixed-methods study. Oral Surg 2016; 11: 9-16.

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Acknowledgements

The authors would like to thank all members of staff involved in the project and the oral surgery nursing team for their efforts in distributing questionnaires.

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Correspondence to Sanford Grossman.

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Grossman, S., Dungarwalla, M. & Bailey, E. Patient-reported experience and outcome measures in oral surgery: a dental hospital experience. Br Dent J 228, 70–74 (2020). https://doi.org/10.1038/s41415-020-1198-2

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