University Hospitals of North Midlands NHS Trust

West Midlands, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 95 1448
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 88 92.9% 86.9%
Treatment planning
– HGD plan discussed at MDT 83 87.4% 87.9%
– Treatment plan for active treatment 72 75.8% 81.1%
First treatment
– Endoscopic therapy (such as endoscopic resection) 63 65.9% 73.8%
– Surveillance 18 18.7% 11.0%

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 245 20528
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
26 10.5% 13.3%
– Patients with referral source reported as unknown 1 0.4% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 232 94.7% 86.9%
Treatment planning
– Patients having a plan for curative treatment 131 53.5% 38.5%
– Patients having a plan for non-curative treatment 114 46.5% 61.5%
– Patients with non-curative plans having chemotherapy or radiotherapy 64 56.1% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2016-2019
Organisation National
Number of patients having surgery 219 6273
Length of stay, median (days) 11 11
Operations in which 15 or more lymph nodes were examined (%) 92.5% 86.6%
30-day postoperative mortality (%) 2.8% 1.7%
90-day postoperative mortality (%) 5.5% 3.3%
Oesophageal surgery
Number of patients having oesophageal surgery 136 N/A
Oesophageal patients with positive longitudinal margins (%) 2.9% 4.2%
Oesophageal patients with positive circumferential margins (%) 31.4% 24.2%
Gastric surgery
Number of patients having gastric surgery 83 N/A
Gastric patients with positive longitudinal margins (%) 16.3% 8.1%

Compare trust outcomes

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