The Newcastle Upon Tyne Hospitals NHS Foundation Trust

Northern, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 175 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 164 94.0% 86.9%
Treatment planning
– HGD plan discussed at MDT 158 90.1% 87.9%
– Treatment plan for active treatment 122 69.6% 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) 104 59.5% 73.8%
– Surveillance 26 14.9% 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 191 20528
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
40 19.5% 13.3%
– Patients with referral source reported as unknown 1 0.5% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 188 98.4% 86.9%
Treatment planning
– Patients having a plan for curative treatment 72 37.7% 38.5%
– Patients having a plan for non-curative treatment 119 62.3% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 61 51.3% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2016-2019
Organisation National
Number of patients having surgery 342 6273
Length of stay, median (days) 9 11
Operations in which 15 or more lymph nodes were examined (%) 99.4% 86.6%
30-day postoperative mortality (%) 1.4% 1.7%
90-day postoperative mortality (%) 2.3% 3.3%
Oesophageal surgery
Number of patients having oesophageal surgery 218 N/A
Oesophageal patients with positive longitudinal margins (%) 2.3% 4.2%
Oesophageal patients with positive circumferential margins (%) 24.2%
Gastric surgery
Number of patients having gastric surgery 124 N/A
Gastric patients with positive longitudinal margins (%) 5.0% 8.1%

Compare trust outcomes

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