Hull University Teaching Hospitals NHS Trust

Humber, Coast and Vale, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2016-20
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 22 1372
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 21 94.4% 88.1%
Treatment planning
– HGD plan discussed at MDT 21 95.5% 89.7%
– Treatment plan for active treatment 15 66.7% 78.8%
First treatment
– Endoscopic therapy (such as endoscopic resection) 12 55.6% 71.8%
– Surveillance 7 33.3% 13.9%

Management of oesophago-gastric cancer patients

Time period: 2018-2020
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 217 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
28 12.8% 12.6%
– Patients with referral source reported as unknown 4 1.8% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 207 95.4% 85.9%
Treatment planning
– Patients having a plan for curative treatment 95 43.8% 39.4%
– Patients having a plan for non-curative treatment 122 56.2% 60.6%
– Patients with non-curative plans having chemotherapy or radiotherapy 82 67.2% 42.8%

Outcomes for OG cancer patients who have curative surgery

Time period: 2017-2020
Organisation National
Number of patients having surgery 144 6012
Length of stay, median (days) 13 11
Operations in which 15 or more lymph nodes were examined (%) 75.0% 87.9%
30-day postoperative mortality (%) 4.4% 1.6%
90-day postoperative mortality (%) 8.6% 3.2%
Oesophageal surgery
Number of patients having oesophageal surgery 94 N/A
Oesophageal patients with positive longitudinal margins (%) 2.5% 4.0%
Oesophageal patients with positive circumferential margins (%) 30.8% 22.0%
Gastric surgery
Number of patients having gastric surgery 50 N/A
Gastric patients with positive longitudinal margins (%) 10.5% 8.8%

Compare trust outcomes

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