Sheffield Teaching Hospitals NHS Foundation Trust

South Yorkshire, Bassetlaw, North Derbyshire and Hardwick, Cancer Alliance

The Sheffield Teaching Hospitals NHS Foundation Trust incorporates Northern General Hospital in Sheffield http://www.sth.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 64 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 60 93.4% 87.1%
Treatment planning
– HGD plan discussed at MDT 61 95.2% 85.8%
– Treatment plan for active treatment 56 87.5% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 50 78.1% 69.6%
– Surveillance 3 4.7% 12.8%
– No active treatment or surveillance 1 1.6% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 276 21417
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
25 8.2% 12.9%
– Patients with referral source reported as unknown 0 0.0% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 266 98.2% 87.3%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 83 30.1% 37.9%
– Patients having a plan for non-curative treatment 193 69.9% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 64 33.2% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2015-2018
Organisation National
Number of patients having surgery 235 6730
Length of stay, median (days) 9 11
Operations in which 15 or more lymph nodes were examined (%) 78.2% 84.4%
30-day postoperative mortality (%) 0.4% 1.9%
90-day postoperative mortality (%) 2.2% 3.4%
Oesophageal surgery
Number of patients having oesophageal surgery 156 4404
Oesophageal patients with positive longitudinal margins (%) 1.6% 3.8%
Oesophageal patients with positive circumferential margins (%) 26.3% 25.4%
Gastric surgery
Number of patients having gastric surgery 79 2326
Gastric patients with positive longitudinal margins (%) 6.9% 7.2%

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


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