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A long thread, incorporating my 6,000th tweet! Often asked, so here's my attempt to summarise what I have learned, and believe in the world of #PROMs

With so much use of, desire for and great work in the field why is it so hard and isn't working as it should/ could/ would...?
Firstly stop thinking of tools and focus on logistics, engagement, and embedding an organisation wide culture of collecting #PROMs and #PREMs
This was our starting point 7 years ago at @NorthumbriaOrth - using paper & Excel across 5 hospital sites. #Teamwork
Many parties are already collecting #PROMs - particularly in the world of #orthopaedics - but as highlighted by the @BritOrthopaedic article on @SWORDResearchUK @NetworkProms EMPROVE audit, there is no consensus on what, when or how.
Read 22 tweets
1/13 Really interesting read Rory. Thx for sharing. I agree, its v difficult to remain clear headed when theres so much data & it can all be interpreted in different ways. Prof. @AndrewEwing11 is unhappy with #Sweden's strategy and has been openly critical - he's entitled to that
2/13 I think that data is being represented in a way that suits the narrative.I added extra columns:"since Aug 7" & "since Sept 7".I used Oct 14 as end point (date of publication).I also highlighted Netherlands in red as it was best performing in the table and good for comparison
3/13 In Sweden from Aug to Oct there was a 3% increase in cumulative deaths per 100k and from Sept to Oct there was a 1% increase. Meanwhile, Netherlands (best of the worst) had 8% & 6% increases in cumulative deaths per 100k respectively.
Read 13 tweets

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