Patient Reported Outcome Measures (PROMs) are information collected directly from patients through questionnaires completed at various pre- and post-operative intervals. Mr Kosuge collects PROMs for his patients who undergo hip and knee replacements. His latest data for hip and knee replacement patients at Rivers Hospital are as follows:

Oxford Hip Score	Mr Kosuge	National*
Pre-operative	18.9	17.6
Post-operative (6 months)	42.3	39.9

Oxford Knee Score	Mr Kosuge	National*
Pre-operative	23.3	19.0
Post-operative (6 months)	40.2	36.2

Mr Kosuge is delighted to report that the scores of both his hip and knee replacement patients are higher than national averages at six-months post-operation. These results are not possible without the excellent team of anaesthetists, nurses, physiotherapists and administrative staff Mr Kosuge works closely with. In addition, Mr Kosuge cannot understate the hard work invested by his patients as this is also key to the success of an operation. Mr Kosuge recommends the pre-operative patient resources Joint School and Versus Arthritis which he believes can help contribute to the positive outcomes of operations.

For more information about Mr Kosuge’s outcomes.

*NHS Digital Finalised Patient Reported Outcome Measures (PROMs) in England for Hip & Knee Replacements. April 2018 - March 2019.

An unprecedented number of orthopaedic patients have been affected by the COVID19 pandemic. The cancellation of routine non-emergency orthopaedic services has led to delay in diagnosis, investigations and management of patients. Services are resuming, but in a very selective and limited fashion due to resources still being diverted to ongoing COVID19 planning and management. Patients with painful conditions are struggling and those waiting for an operation are having to face the reality of waiting longer than in pre-COVID19 times.

Mr Kosuge is doing his best to try and re-establish his practice, both on the NHS and privately in order to help his patients as much as possible.

British Orthopaedic Association - patient information regarding COVID19.

Joint School app - a free, digital service aimed at patients who are waiting to have a hip or knee replacement.

Mr Kosuge recommends the above patient resources which he hopes will help patients in the interim.