The Royal Marsden NHS Foundation Trust

North West and South West London, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 53 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 49 91.7% 86.9%
Treatment planning
– HGD plan discussed at MDT 47 88.7% 87.9%
– Treatment plan for active treatment 41 76.6% 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) 38 72.3% 73.8%
– Surveillance 5 8.5% 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 19 20528
Case ascertainment for OG cancer (%)
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
0 0.0% 13.3%
– Patients with referral source reported as unknown 4 21.1% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 17 89.5% 86.9%
Treatment planning
– Patients having a plan for curative treatment 15 78.9% 38.5%
– Patients having a plan for non-curative treatment 4 21.1% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 3 75.0% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2016-2019
Organisation National
Number of patients having surgery 144 6273
Length of stay, median (days) 13.5 11
Operations in which 15 or more lymph nodes were examined (%) 97.2% 86.6%
30-day postoperative mortality (%) 0.9% 1.7%
90-day postoperative mortality (%) 1.6% 3.3%
Oesophageal surgery
Number of patients having oesophageal surgery 86 N/A
Oesophageal patients with positive longitudinal margins (%) 0.0% 4.2%
Oesophageal patients with positive circumferential margins (%) 7.7% 24.2%
Gastric surgery
Number of patients having gastric surgery 58 N/A
Gastric patients with positive longitudinal margins (%) 1.7% 8.1%

Compare trust outcomes

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