Gloucestershire Hospitals NHS Foundation Trust

Somerset, Wiltshire, Avon and Gloucestershire, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 127 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 81 64.0% 86.9%
Treatment planning
– HGD plan discussed at MDT 101 79.5% 87.9%
– Treatment plan for active treatment 116 91.1% 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) 109 86.2% 73.8%
– Surveillance 3 2.4% 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 237 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
39 17.1% 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 232 97.9% 86.9%
Treatment planning
– Patients having a plan for curative treatment 77 32.5% 38.5%
– Patients having a plan for non-curative treatment 160 67.5% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 119 74.4% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2016-2019
Organisation National
Number of patients having surgery 114 6273
Length of stay, median (days) N/A 11
Operations in which 15 or more lymph nodes were examined (%) 96.0% 86.6%
30-day postoperative mortality (%) 5.5% 1.7%
90-day postoperative mortality (%) 6.3% 3.3%
Oesophageal surgery
Number of patients having oesophageal surgery 80 N/A
Oesophageal patients with positive longitudinal margins (%) 4.5% 4.2%
Oesophageal patients with positive circumferential margins (%) 8.3% 24.2%
Gastric surgery
Number of patients having gastric surgery 34 N/A
Gastric patients with positive longitudinal margins (%) 12.6% 8.1%

Compare trust outcomes

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