St George's University Hospitals NHS Foundation Trust

West London, Cancer Alliance

The St George's University Hospitals NHS Foundation Trust incorporates St George's Hospital in Tooting, South London https://www.stgeorges.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 58 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 53 90.9% 87.1%
Treatment planning
– HGD plan discussed at MDT 50 86.2% 85.8%
– Treatment plan for active treatment 45 77.6% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 42 72.4% 69.6%
– Surveillance 6 10.3% 12.8%
– No active treatment or surveillance 1 1.7% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 131 21417
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
26 20.7% 12.9%
– Patients with referral source reported as unknown 3 2.3% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 125 97.7% 87.3%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 40 30.5% 37.9%
– Patients having a plan for non-curative treatment 91 69.5% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 41 45.1% 48.2%

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