King's College Hospital NHS Foundation Trust

South East London, Cancer Alliance

The King's College Hospital NHS Foundation Trust incorporates Kings's College Hospital in London https://www.kch.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2012-2017
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 54 2059
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 49 94.2% 85.8%
Treatment planning
– HGD plan discussed at MDT 83 87.4% 85.8%
– Treatment plan for active treatment 81 86.2% 73.4%
First treatment
– Endoscopic therapy (such as endoscopic resection) 78 83.0% 69.0%
– Surgical resection 3 3.2% 4.4%
– Surveillance 5 5.3% 18.1%

Management of oesophago-gastric cancer patients

Time period: 2015-2017
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 168 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
28 17.90% 13.30%
– Patients with referral source reported as unknown 10 6.00% 2.00%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 168 100.00% 89.50%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 65 38.70% 38.60%
– Patients having a plan for non-curative treatment 103 61.30% 61.40%
– Patients with non-curative plans having chemotherapy or radiotherapy 70 68.00% 49.50%

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