Kingston Hospital NHS Foundation Trust

North West and South West London, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2016-20
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 49 1372
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 45 91.5% 88.1%
Treatment planning
– HGD plan discussed at MDT 43 87.8% 89.7%
– Treatment plan for active treatment 39 80.0% 78.8%
First treatment
– Endoscopic therapy (such as endoscopic resection) 39 80.0% 71.8%
– Surveillance 3 6.7% 13.9%

Management of oesophago-gastric cancer patients

Time period: 2018-2020
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 61 20,319
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
17 32.3% 12.6%
– Patients with referral source reported as unknown 0 0.0% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 56 91.8% 85.9%
Treatment planning
– Patients having a plan for curative treatment 24 39.3% 39.4%
– Patients having a plan for non-curative treatment 37 60.7% 60.6%
– Patients with non-curative plans having chemotherapy or radiotherapy 17 45.9% 42.8%

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