Swansea Bay University Health Board

Swansea Bay University Health Board, Welsh Region

The Swansea Bay University Health Board provides NHS services in Swansea, Neath Port Talbot, the western part of Vale of Glamorgan and Ystradgynlais in Powys http://sbuhb.nhs.wales/

Management of High Grade Dysplasia patients

Welsh Region National
Number of High Grade Dysplasia patients in audit N/A 1597
Welsh Region National
Method of Diagnosis
– First diagnosis confirmed by second pathologist N/A 87.1%
Treatment planning
– HGD plan discussed at MDT N/A 85.8%
– Treatment plan for active treatment N/A 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) N/A 69.6%
– Surveillance N/A 12.8%
– No active treatment or surveillance N/A 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 251 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
63 26.9% 12.9%
– Patients with referral source reported as unknown 1 0.4% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 245 98.0% 87.3%
Welsh Region National
Treatment planning
– Patients having a plan for curative treatment 98 39.0% 37.9%
– Patients having a plan for non-curative treatment 153 61.0% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 103 67.3% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2015-2018
Organisation National
Number of patients having surgery 53 6730
Length of stay, median (days) 8.5 11
Operations in which 15 or more lymph nodes were examined (%) 43.9% 84.4%
30-day postoperative mortality (%) 8.5% 1.9%
90-day postoperative mortality (%) 8.3% 3.4%
Oesophageal surgery
Number of patients having oesophageal surgery 30 4404
Oesophageal patients with positive longitudinal margins (%) 8.4% 3.8%
Oesophageal patients with positive circumferential margins (%) 26.2% 25.4%
Gastric surgery
Number of patients having gastric surgery 23 2326
Gastric patients with positive longitudinal margins (%) 6.1% 7.2%

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


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