Aintree University Hospital NHS Foundation Trust

Cheshire and Merseyside, Cancer Alliance

The Aintree University Hospital NHS Foundation Trust incorporates Aintree University Hospital in Liverpool http://www.aintreehospital.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 104 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 73 70.2% 87.1%
Treatment planning
– HGD plan discussed at MDT 84 80.8% 85.8%
– Treatment plan for active treatment 77 74.0% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 61 58.7% 69.6%
– Surveillance 21 20.2% 12.8%
– No active treatment or surveillance 6 5.8% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 170 21417
Case ascertainment for OG cancer (%) 75-84%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
22 13.3% 12.9%
– Patients with referral source reported as unknown 0 0.0% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 106 77.1% 87.3%
Treatment planning
– Patients having a plan for curative treatment 79 46.5% 37.9%
– Patients having a plan for non-curative treatment 91 53.5% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 53 58.2% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2015-2018
Organisation National
Number of patients having surgery 96 6730
Length of stay, median (days) 11 11
Operations in which 15 or more lymph nodes were examined (%) 91.4% 84.4%
30-day postoperative mortality (%) 2.6% 1.9%
90-day postoperative mortality (%) 3.8% 3.4%
Oesophageal surgery
Number of patients having oesophageal surgery 60 4404
Oesophageal patients with positive longitudinal margins (%) 7.1% 3.8%
Oesophageal patients with positive circumferential margins (%) 24.6% 25.4%
Gastric surgery
Number of patients having gastric surgery 36 2326
Gastric patients with positive longitudinal margins (%) 22.2% 7.2%

NB: Outcome figures are not presented for trusts reporting fewer than 10 cases


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