Salford Royal NHS Foundation Trust

Greater Manchester, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 17 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 12 69.2% 86.9%
Treatment planning
– HGD plan discussed at MDT 17 100.0% 87.9%
– Treatment plan for active treatment 13 76.5% 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) 6 35.3% 73.8%
– Surveillance 1 5.9% 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 112 20528
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
5 4.4% 13.3%
– Patients with referral source reported as unknown 4 3.6% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 106 94.6% 86.9%
Treatment planning
– Patients having a plan for curative treatment 51 45.5% 38.5%
– Patients having a plan for non-curative treatment 61 54.5% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 37 60.7% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2016-2019
Organisation National
Number of patients having surgery 208 6273
Length of stay, median (days) 11 11
Operations in which 15 or more lymph nodes were examined (%) 86.7% 86.6%
30-day postoperative mortality (%) 0.4% 1.7%
90-day postoperative mortality (%) 1.3% 3.3%
Oesophageal surgery
Number of patients having oesophageal surgery 125 N/A
Oesophageal patients with positive longitudinal margins (%) 1.8% 4.2%
Oesophageal patients with positive circumferential margins (%) 20.5% 24.2%
Gastric surgery
Number of patients having gastric surgery 83 N/A
Gastric patients with positive longitudinal margins (%) 11.3% 8.1%

Compare trust outcomes

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