University College London Hospitals NHS Foundation Trust

North Central London, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2016-20
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 20 1372
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 18 88.2% 88.1%
Treatment planning
– HGD plan discussed at MDT 16 80.0% 89.7%
– Treatment plan for active treatment 13 64.7% 78.8%
First treatment
– Endoscopic therapy (such as endoscopic resection) 11 55.6% 71.8%
– Surveillance 2 11.8% 13.9%

Management of oesophago-gastric cancer patients

Time period: 2018-2020
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 93 20,319
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
23 24.7% 12.6%
– Patients with referral source reported as unknown 2 2.2% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 89 95.7% 85.9%
Treatment planning
– Patients having a plan for curative treatment 38 40.9% 39.4%
– Patients having a plan for non-curative treatment 55 59.1% 60.6%
– Patients with non-curative plans having chemotherapy or radiotherapy 36 65.5% 42.8%

Outcomes for OG cancer patients who have curative surgery

Time period: 2017-2020
Organisation National
Number of patients having surgery 180 6012
Length of stay, median (days) 12 11
Operations in which 15 or more lymph nodes were examined (%) 87.8% 87.9%
30-day postoperative mortality (%) 2.1% 1.6%
90-day postoperative mortality (%) 3.9% 3.2%
Oesophageal surgery
Number of patients having oesophageal surgery 76 N/A
Oesophageal patients with positive longitudinal margins (%) 5.0% 4.0%
Oesophageal patients with positive circumferential margins (%) 19.9% 22.0%
Gastric surgery
Number of patients having gastric surgery 104 N/A
Gastric patients with positive longitudinal margins (%) 8.9% 8.8%

Compare trust outcomes

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