Countess of Chester Hospital NHS Foundation Trust

Cheshire and Merseyside, Cancer Alliance

The Countess of Chester Hospital NHS Foundation Trust incorporates Countess of Chester Hospital in Chester http://www.coch.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2012-2017
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 132 2059
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 67 71.3% 85.8%
Treatment planning
– HGD plan discussed at MDT 79 70.5% 85.8%
– Treatment plan for active treatment 70 68.0% 73.4%
First treatment
– Endoscopic therapy (such as endoscopic resection) 65 63.1% 69.0%
– Surgical resection 5 4.8% 4.4%
– Surveillance 21 20.4% 18.1%

Management of oesophago-gastric cancer patients

Time period: 2015-2017
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 62 21032
Case ascertainment for OG cancer 41 to 50 79.10%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
**Adjusted for age and gender
4 6.60% 13.30%
– Patients with referral source reported as unknown N/A 0.00% 2.00%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 8 12.90% 89.50%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 33 53.20% 38.60%
– Patients having a plan for non-curative treatment 29 46.80% 61.40%
– Patients with non-curative plans having chemotherapy or radiotherapy 10 34.50% 49.50%

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