Kingston Hospital NHS Foundation Trust

West London, Cancer Alliance

The Kingston Hospital NHS Foundation Trust incorporates Kingston Hospital in Kingston-upon-Thames https://www.kingstonhospital.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 91 21032
Case ascertainment for OG cancer >90 79.10%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
**Adjusted for age and gender
20 23.80% 13.30%
– Patients with referral source reported as unknown 10 11.00% 2.00%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 88 96.70% 89.50%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 40 44.00% 38.60%
– Patients having a plan for non-curative treatment 51 56.00% 61.40%
– Patients with non-curative plans having chemotherapy or radiotherapy 41 80.40% 49.50%

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