Imperial College Healthcare NHS Trust

West London, Cancer Alliance

The Imperial College Healthcare NHS Trust incorporates Charing Cross Hospital, St Mary's Hospital Paddington, and Hammersmith Hospital in London https://www.imperial.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2012-2017
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 82 2059
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 69 93.2% 85.8%
Treatment planning
– HGD plan discussed at MDT 64 95.5% 85.8%
– Treatment plan for active treatment 50 74.6% 73.4%
First treatment
– Endoscopic therapy (such as endoscopic resection) 49 73.1% 69.0%
– Surgical resection 1 1.5% 4.4%
– Surveillance 12 17.9% 18.1%

Management of oesophago-gastric cancer patients

Time period: 2015-2017
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 144 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
16 11.60% 13.30%
– Patients with referral source reported as unknown N/A 0.00% 2.00%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 88 61.10% 89.50%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 65 45.10% 38.60%
– Patients having a plan for non-curative treatment 79 54.90% 61.40%
– Patients with non-curative plans having chemotherapy or radiotherapy 39 49.40% 49.50%

Outcomes for OG cancer patients who have curative surgery

Time period: 2014-2017
Organisation National
Number of patients having surgery 118 6714
Length of stay, median (days) 10 11
Operations in which 15 or more lymph nodes were examined (%) 100.0% 82.5%
Number of patients with data on lymph nodes examined 117 6326
30-day postoperative mortality (%) 1.1% 1.8%
90-day postoperative mortality (%) 2.2% 3.2%
Oesophageal surgery
Number of patients having oesophageal surgery 56 4363
Oesophageal patients with positive longitudinal margins (%) 0.0% 3.6%
Number of patients with data on longitudinal margins 56 4128
Oesophageal patients with positive circumferential margins (%) 3.9% 25.1%
Number of patients with data on circumferential margins 54 4009
Gastric surgery
Number of patients having gastric surgery 62 2351
Gastric patients with positive longitudinal margins (%) 0.0% 8.2%
Number of patients with data on longitudinal margins 61 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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