University Hospitals Plymouth NHS Trust

Peninsula, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2016-20
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 38 1372
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 28 73.7% 88.1%
Treatment planning
– HGD plan discussed at MDT 27 71.1% 89.7%
– Treatment plan for active treatment 21 55.9% 78.8%
First treatment
– Endoscopic therapy (such as endoscopic resection) 19 49.2% 71.8%
– Surveillance 13 35.3% 13.9%

Management of oesophago-gastric cancer patients

Time period: 2018-2020
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 176 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
24 13.7% 12.6%
– Patients with referral source reported as unknown 0 0.0% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 169 96.0% 85.9%
Treatment planning
– Patients having a plan for curative treatment 65 36.9% 39.4%
– Patients having a plan for non-curative treatment 111 63.1% 60.6%
– Patients with non-curative plans having chemotherapy or radiotherapy 69 62.2% 42.8%

Outcomes for OG cancer patients who have curative surgery

Time period: 2017-2020
Organisation National
Number of patients having surgery 243 6012
Length of stay, median (days) 11 11
Operations in which 15 or more lymph nodes were examined (%) 94.2% 87.9%
30-day postoperative mortality (%) 0.4% 1.6%
90-day postoperative mortality (%) 2.2% 3.2%
Oesophageal surgery
Number of patients having oesophageal surgery 203 N/A
Oesophageal patients with positive longitudinal margins (%) 2.4% 4.0%
Oesophageal patients with positive circumferential margins (%) 16.5% 22.0%
Gastric surgery
Number of patients having gastric surgery 40 N/A
Gastric patients with positive longitudinal margins (%) 22.6% 8.8%

Compare trust outcomes

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