Abertawe Bro Morgannwg University Local Health Board

Abertawe Bromorgannwg University (ABMU) Health Board, Welsh Region

The Abertawe Bro Morgannwg University Local Health Board provides NHS services in Swansea, Bridgend county borough, Neath Port Talbot, the western part of Vale of Glamorgan and Ystradgynlais in Powys http://www.wales.nhs.uk/sitesplus/863/home

Management of High Grade Dysplasia patients

Welsh Region National
Number of High Grade Dysplasia patients in audit N/A 2059
Welsh Region National
Method of Diagnosis
– First diagnosis confirmed by second pathologist N/A 85.8%
Treatment planning
– HGD plan discussed at MDT N/A 85.8%
– Treatment plan for active treatment N/A 73.4%
First treatment
– Endoscopic therapy (such as endoscopic resection) N/A 69.0%
– Surgical resection N/A 4.4%
– Surveillance N/A 18.1%

Management of oesophago-gastric cancer patients

Time period: 2015-2017
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 259 21032
Case ascertainment for OG cancer 81 to 90 79.1%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
**Adjusted for age and gender
55 20.7% 13.3%
– Patients with referral source reported as unknown N/A 0.0% 2.0%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 253 97.3% 89.5%
Welsh Region National
Treatment planning
– Patients having a plan for curative treatment 93 35.9% 38.6%
– Patients having a plan for non-curative treatment 166 64.1% 61.4%
– Patients with non-curative plans having chemotherapy or radiotherapy 95 63.8% 49.5%

Outcomes for OG cancer patients who have curative surgery

Time period: 2014-2017
Organisation National
Number of patients having surgery 49 6714
Length of stay, median (days) 11.5 11
Operations in which 15 or more lymph nodes were examined (%) 50.0% 82.5%
Number of patients with data on lymph nodes examined 36 6326
30-day postoperative mortality (%) 2.9% 1.8%
90-day postoperative mortality (%) 2.8% 3.2%
Oesophageal surgery
Number of patients having oesophageal surgery 30 4363
Oesophageal patients with positive longitudinal margins (%) 8.5% 3.6%
Number of patients with data on longitudinal margins 21 4128
Oesophageal patients with positive circumferential margins (%) 15.1% 25.1%
Number of patients with data on circumferential margins 18 4009
Gastric surgery
Number of patients having gastric surgery 19 2351
Gastric patients with positive longitudinal margins (%) 8.4% 8.2%
Number of patients with data on longitudinal margins 10 2198

NB: Outcome figures are not presented for health boards reporting fewer than 10 cases or less than 50% complete cases. The national outcome figures presented here may differ slightly from figures presented elsewhere, as they include England and Wales as opposed to only England on the NHS Choices or AUGIS websites.


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