Bradford Teaching Hospitals NHS Foundation Trust

West Yorkshire and Harrogate, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 28 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 22 76.9% 86.9%
Treatment planning
– HGD plan discussed at MDT 25 89.3% 87.9%
– Treatment plan for active treatment 23 82.1% 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) 23 82.1% 73.8%
– Surveillance 3 10.7% 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 131 20528
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
3 2.9% 13.3%
– Patients with referral source reported as unknown 28 21.4% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 126 96.2% 86.9%
Treatment planning
– Patients having a plan for curative treatment 79 60.3% 38.5%
– Patients having a plan for non-curative treatment 52 39.7% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 23 44.2% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2016-2019
Organisation National
Number of patients having surgery 141 6273
Length of stay, median (days) 13 11
Operations in which 15 or more lymph nodes were examined (%) 93.5% 86.6%
30-day postoperative mortality (%) 5.4% 1.7%
90-day postoperative mortality (%) 5.7% 3.3%
Oesophageal surgery
Number of patients having oesophageal surgery 83 N/A
Oesophageal patients with positive longitudinal margins (%) 7.4% 4.2%
Oesophageal patients with positive circumferential margins (%) 31.6% 24.2%
Gastric surgery
Number of patients having gastric surgery 58 N/A
Gastric patients with positive longitudinal margins (%) 8.7% 8.1%

Compare trust outcomes

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