Oxford University Hospitals NHS Foundation Trust

Thames Valley, Cancer Alliance

The Oxford University Hospitals NHS Foundation Trust incorporates John Radcliffe Hospital and Churchill Hospital in Oxford, and Horton General Hospital in Banbury http://www.ouh.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 68 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 63 92.1% 87.1%
Treatment planning
– HGD plan discussed at MDT 57 83.8% 85.8%
– Treatment plan for active treatment 62 91.2% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 57 83.8% 69.6%
– Surveillance 3 4.4% 12.8%
– No active treatment or surveillance 0 0.0% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 160 21417
Case ascertainment for OG cancer (%) 65-74%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
12 8.6% 12.9%
– Patients with referral source reported as unknown 4 2.5% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 151 95.6% 87.3%
Treatment planning
– Patients having a plan for curative treatment 79 49.4% 37.9%
– Patients having a plan for non-curative treatment 81 50.6% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 56 69.1% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2015-2018
Organisation National
Number of patients having surgery 283 6730
Length of stay, median (days) 9 11
Operations in which 15 or more lymph nodes were examined (%) 93.9% 84.4%
30-day postoperative mortality (%) 1.0% 1.9%
90-day postoperative mortality (%) 1.3% 3.4%
Oesophageal surgery
Number of patients having oesophageal surgery 206 4404
Oesophageal patients with positive longitudinal margins (%) 2.0% 3.8%
Oesophageal patients with positive circumferential margins (%) 17.9% 25.4%
Gastric surgery
Number of patients having gastric surgery 77 2326
Gastric patients with positive longitudinal margins (%) 7.3% 7.2%

NB: Outcome figures are not presented for trusts reporting fewer than 10 cases


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