Sheffield Teaching Hospitals NHS Foundation Trust

The Sheffield Teaching Hospitals NHS Foundation Trust incorporates Northern General Hospital in Sheffield http://www.sth.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Complex vascular reconstruction

Data Quality
All Patients: Trust Network National
Number of patients in Audit 369 1270 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 80 88 86
– Performance status (%) 100 89 89
Patients having major resection: Trust Network National
Number of patients in Audit 199 622 19631
ASA grade 1 (%) 31 14 9
ASA grade 2 (%) 50 50 53
ASA grade 3 (%) 19 27 31
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) N/A 8 4
Data completeness of:
7 Audit items for risk-adjustment (%) 98 91 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 369 1270 35779
Seen by Clinical Nurse Specialist (%) 63 84 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 199 622 19614
Distant metastases (%) 2 4 5
Urgent or emergency surgery (%) 12 12 15
At least 12 lymph nodes excised (%) 95 95 84
Laparoscopic surgery attempted (%) 55 73 72
Risk-adjusted length of stay > 5 days (%) 55 54 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 96 N/A 10747
Adjuvant chemotherapy (%) 51 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 193 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 26 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 46 N/A 4251
Neoadjuvant therapy (%) 46 N/A 33
Circumferential resection margin: Recorded (%) 100 99 89
Circumferential resection margin: Negative (%) 93 92 83
Rectal volume 33 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 178 647 19644
APER/Hartmanns (%) 35 43 37

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