In this report, we focus on the care received by people diagnosed with oesophago-gastric (OG) cancer between April 2015 and March 2017, and the outcomes of treatment. We also evaluate the care pathway followed by patients diagnosed with oesophageal high-grade dysplasia (HGD).
For the first time, we are able to describe changes in key indicators of care over the five years since the current audit began in 2012. During this period, several improvements in care have been observed:
- more patients with HGD are receiving active treatment compared with five years ago
- there has been an increase in the use of CT scans for initial assessment of patients with OG cancer, and increased use of PET-CT scans among patients with a curative treatment plan for oesophageal cancer
- there has been a steady reduction in the typical length of hospital stay after curative surgery for OG cancer
We also identify areas where further progress is required:
- the proportion of patients diagnosed with early-stage cancer has not improved since 2012
- the rate of emergency diagnoses has remained unchanged, and regional variations have persisted over time
From next month, trusts and local health boards will be able to download summaries of their 2018 annual report results from the NOGCA website.