Mid Essex Hospital Services NHS Trust

East of England - South, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 62 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 54 87.5% 86.9%
Treatment planning
– HGD plan discussed at MDT 57 91.9% 87.9%
– Treatment plan for active treatment 49 79.7% 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) 44 71.2% 73.8%
– Surveillance 6 10.2% 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 162 20528
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
2 1.5% 13.3%
– Patients with referral source reported as unknown 1 0.6% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 106 65.4% 86.9%
Treatment planning
– Patients having a plan for curative treatment 81 50.0% 38.5%
– Patients having a plan for non-curative treatment 81 50.0% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 39 48.1% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2016-2019
Organisation National
Number of patients having surgery 211 6273
Length of stay, median (days) 10 11
Operations in which 15 or more lymph nodes were examined (%) 93.7% 86.6%
30-day postoperative mortality (%) 2.5% 1.7%
90-day postoperative mortality (%) 5.0% 3.3%
Oesophageal surgery
Number of patients having oesophageal surgery 161 N/A
Oesophageal patients with positive longitudinal margins (%) 8.0% 4.2%
Oesophageal patients with positive circumferential margins (%) 36.7% 24.2%
Gastric surgery
Number of patients having gastric surgery 50 N/A
Gastric patients with positive longitudinal margins (%) 11.7% 8.1%

Compare trust outcomes

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