Milton Keynes University Hospital NHS Foundation Trust

East of England, Cancer Alliance

The Milton Keynes University Hospital NHS Foundation Trust incorporates Milton Keynes University Hospital http://www.mkhospital.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2012-2017
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 262 2059
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 217 90.0% 85.8%
Treatment planning
– HGD plan discussed at MDT 230 95.4% 85.8%
– Treatment plan for active treatment 190 83.3% 73.4%
First treatment
– Endoscopic therapy (such as endoscopic resection) 188 82.5% 69.0%
– Surgical resection 2 0.9% 4.4%
– Surveillance 19 8.3% 18.1%

Management of oesophago-gastric cancer patients

Time period: 2015-2017
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 82 21032
Case ascertainment for OG cancer 81 to 90 79.10%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
**Adjusted for age and gender
8 10.20% 13.30%
– Patients with referral source reported as unknown 1 1.20% 2.00%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 26 31.70% 89.50%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 62 75.60% 38.60%
– Patients having a plan for non-curative treatment 20 24.40% 61.40%
– Patients with non-curative plans having chemotherapy or radiotherapy 8 40.00% 49.50%

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