County Durham and Darlington NHS Foundation Trust

Northern, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2016-20
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 192 1372
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 180 93.8% 88.1%
Treatment planning
– HGD plan discussed at MDT 174 90.6% 89.7%
– Treatment plan for active treatment 128 66.5% 78.8%
First treatment
– Endoscopic therapy (such as endoscopic resection) 109 56.5% 71.8%
– Surveillance 37 19.2% 13.9%

Management of oesophago-gastric cancer patients

Time period: 2018-2020
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 229 20,319
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
27 11.6% 12.6%
– Patients with referral source reported as unknown 1 0.4% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 216 94.3% 85.9%
Treatment planning
– Patients having a plan for curative treatment 72 31.4% 39.4%
– Patients having a plan for non-curative treatment 157 68.6% 60.6%
– Patients with non-curative plans having chemotherapy or radiotherapy 78 49.7% 42.8%

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