Management of High Grade Dysplasia patients
| Cancer Alliance | National | ||
|---|---|---|---|
| Number of High Grade Dysplasia patients in audit | 18 | 1120 | |
| Cancer Alliance | National | ||
| Method of Diagnosis | |||
| – First diagnosis confirmed by second pathologist | N/A | 76.5% | 90.0% |
| Treatment planning | |||
| – HGD plan discussed at MDT | N/A | 88.9% | 93.0% |
| – Treatment plan for active treatment | N/A | 83.3% | 82.0% |
| First treatment | |||
| – Endoscopic therapy (such as endoscopic resection) | N/A | 83.3% | 78.0% |
| – Surveillance | N/A | 5.6% | 11.0% |
NOTE: Percentages have been calculated based on the number of patients with recorded data for each variable and not the total number of patients in the Cancer Alliance.
Management of oesophago-gastric cancer patients
| Organisation | National | ||
|---|---|---|---|
| Number of oesophago-gastric (OG) cancer patients in audit | 242 | 19,865 | |
| Case ascertainment for OG cancer (%) | 85-100% | ||
| Method of Diagnosis | |||
| – Patients diagnosed after an emergency admission** ** Percent figure accounts for differences in mix of patients across organisations |
<10 | 0.0% | 13.1% |
| – Patients with referral source reported as unknown | 86 | 35.5% | 1.4% |
| Pre-treatment staging of cancer | |||
| – Patients having staging CT scan recorded | 238 | 98.4% | 94.0% |
| Treatment planning | |||
| – Patients having a plan for curative treatment | 113 | 46.7% | 37.2% |
| – Patients having a plan for non-curative treatment | 129 | 53.3% | 62.8% |
| – Patients with non-curative plans having chemotherapy or radiotherapy | N/A | 34.7% | |
Outcomes for OG cancer patients who have curative surgery
| Organisation | National | ||
|---|---|---|---|
| Number of patients having surgery | 162 | 5452 | |
| Length of stay, median (days) | 10 | 10 | |
| Operations in which 15 or more lymph nodes were examined (%) | 87.6% | 90.1% | |
| 30-day postoperative mortality (%) | 1.9% | 1.5% | |
| 90-day postoperative mortality (%) | 2.5% | 2.9% | |
| Oesophageal surgery | |||
| Number of patients having oesophageal surgery | 112 | N/A | |
| Oesophageal patients with positive longitudinal margins (%) | 11.8% | 4.9% | |
| Oesophageal patients with positive circumferential margins (%) | 29.8% | 21.5% | |
| Gastric surgery | |||
| Number of patients having gastric surgery | 50 | N/A | |
| Gastric patients with positive longitudinal margins (%) | 17.5% | 9.8% | |