Hull and East Yorkshire Hospitals NHS Trust

Humber, Coast and Vale, Cancer Alliance

The Hull and East Yorkshire Hospitals NHS Trust incorporates Hull Royal Infirmary and Castle Hill Hospital in Hull https://www.hey.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2012-2017
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 29 2059
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 17 89.5% 85.8%
Treatment planning
– HGD plan discussed at MDT 19 86.4% 85.8%
– Treatment plan for active treatment 14 66.7% 73.4%
First treatment
– Endoscopic therapy (such as endoscopic resection) 13 61.9% 69.0%
– Surgical resection 1 4.8% 4.4%
– Surveillance 5 23.8% 18.1%

Management of oesophago-gastric cancer patients

Time period: 2015-2017
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 230 21032
Case ascertainment for OG cancer 71 to 80 79.10%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
**Adjusted for age and gender
36 15.80% 13.30%
– Patients with referral source reported as unknown 2 0.90% 2.00%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 217 94.30% 89.50%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 76 33.00% 38.60%
– Patients having a plan for non-curative treatment 154 67.00% 61.40%
– Patients with non-curative plans having chemotherapy or radiotherapy 125 81.20% 49.50%

Outcomes for OG cancer patients who have curative surgery

Time period: 2014-2017
Organisation National
Number of patients having surgery 121 6714
Length of stay, median (days) 11.5 11
Operations in which 15 or more lymph nodes were examined (%) 65.1% 82.5%
Number of patients with data on lymph nodes examined 106 6326
30-day postoperative mortality (%) 3.8% 1.8%
90-day postoperative mortality (%) 6.7% 3.2%
Oesophageal surgery
Number of patients having oesophageal surgery 79 4363
Oesophageal patients with positive longitudinal margins (%) 6.2% 3.6%
Number of patients with data on longitudinal margins 73 4128
Oesophageal patients with positive circumferential margins (%) 21.2% 25.1%
Number of patients with data on circumferential margins 73 4009
Gastric surgery
Number of patients having gastric surgery 42 2351
Gastric patients with positive longitudinal margins (%) 15.4% 8.2%
Number of patients with data on longitudinal margins 33 2198

NB: Outcome figures are not presented for trusts reporting fewer than 10 cases or less than 50% complete cases. The national outcome figures presented here may differ slightly from figures presented elsewhere, as they include England and Wales as opposed to only England on the NHS Choices or AUGIS websites.


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