Hywel Dda University Health Board

South Wales, Welsh Region

Management of High Grade Dysplasia patients

Welsh Region National
Number of High Grade Dysplasia patients in audit N/A 1448
Welsh Region National
Method of Diagnosis
– First diagnosis confirmed by second pathologist N/A 86.9%
Treatment planning
– HGD plan discussed at MDT N/A 87.9%
– Treatment plan for active treatment N/A 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) N/A 73.8%
– Surveillance N/A 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 190 20528
Case ascertainment for OG cancer (%) 75-84%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
37 22.4% 13.3%
– Patients with referral source reported as unknown 17 8.9% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 173 91.1% 86.9%
Treatment planning
– Patients having a plan for curative treatment 46 24.2% 38.5%
– Patients having a plan for non-curative treatment 144 75.8% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 80 55.6% 48.2%

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