Barts Health NHS Trust

North East London, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit N/A 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist N/A 86.9%
Treatment planning
– HGD plan discussed at MDT N/A 87.9%
– Treatment plan for active treatment N/A 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) N/A 73.8%
– Surveillance N/A 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 185 20528
Case ascertainment for OG cancer (%) 85-100%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
62 29.0% 13.3%
– Patients with referral source reported as unknown 1 0.5% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 185 100.0% 86.9%
Treatment planning
– Patients having a plan for curative treatment 69 37.3% 38.5%
– Patients having a plan for non-curative treatment 116 62.7% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 60 51.7% 48.2%

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