Prince Charles Hospital MDT

The Prince Charles Hospital MDT incorporates Prince Charles Hospital in Merthyr Tydfil http://cwmtaf.wales/

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This trust offers the following services:

  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Diagnostic and pre-operative services:
    • Routine Genetic Testing for Lynch Syndrome
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 111 1912 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 86 94 86
– Performance status (%) 45 97 88
Patients having major resection: Trust Network National
Number of patients in Audit 77 1132 15891
ASA grade 1 (%) 1 6 8
ASA grade 2 (%) 48 43 52
ASA grade 3 (%) 49 38 31
ASA grade 4+ (%) 1 3 2
ASA grade not recorded (%) N/A 9 7
Data completeness of:
7 Audit items for risk-adjustment (%) 99 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 111 1912 28523
Seen by Clinical Nurse Specialist (%) 91 93 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 13 411 7393
Undergoing major resection (%) 92 82 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 77 1132 15855
Distant metastases (%) 4 10 7
Urgent or emergency surgery (%) 26 26 20
At least 12 lymph nodes excised (%) 90 88 86
Laparoscopic surgery attempted (%) 86 57 67
Risk-adjusted length of stay > 5 days (%) 44 63 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 47 701 10794
Adjuvant chemotherapy (%) 64 57 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 14 268 3481
Neoadjuvant therapy (%) N/A N/A 38
Circumferential resection margin: Recorded (%) 14 89 89
Circumferential resection margin: Negative (%) 14 84 82
Rectal volume 10 221 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 87 1164 19595
APER/Hartmanns (%) 45 45 36

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