Epsom and St Helier University Hospitals NHS Trust

North West and South West London, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 53 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 49 91.7% 86.9%
Treatment planning
– HGD plan discussed at MDT 47 88.7% 87.9%
– Treatment plan for active treatment 41 76.6% 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) 38 72.3% 73.8%
– Surveillance 5 8.5% 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 104 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
10 10.4% 13.3%
– Patients with referral source reported as unknown 0 0.0% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 103 99.0% 86.9%
Treatment planning
– Patients having a plan for curative treatment 48 46.2% 38.5%
– Patients having a plan for non-curative treatment 56 53.8% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 21 37.5% 48.2%

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