Homerton University Hospital NHS Foundation Trust

North Central and East London, Cancer Alliance

The Homerton University Hospital NHS Foundation Trust incorporates Homerton University Hospital in Hackney, London http://www.homerton.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 24 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 14 59.1% 87.1%
Treatment planning
– HGD plan discussed at MDT 17 70.8% 85.8%
– Treatment plan for active treatment 22 91.7% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 21 87.5% 69.6%
– Surveillance 0 0.0% 12.8%
– No active treatment or surveillance 0 0.0% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 45 21417
Case ascertainment for OG cancer (%) Under 65%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
N/A 4.0% 12.9%
– Patients with referral source reported as unknown 1 2.2% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 24 73.3% 87.3%
Treatment planning
– Patients having a plan for curative treatment 12 26.7% 37.9%
– Patients having a plan for non-curative treatment 33 73.3% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 23 69.7% 48.2%

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