Ysbyty Maelor MDT

The Ysbyty Maelor MDT incorporates Wrexham Maelor Hospital http://www.wales.nhs.uk/sitesplus/861/home

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome

Data Quality

All Patients: Trust Network National
Number of patients in Audit 165 1912 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 94 86
– Performance status (%) 100 97 88
Patients having major resection: Trust Network National
Number of patients in Audit 80 1132 15891
ASA grade 1 (%) 14 6 8
ASA grade 2 (%) 54 43 52
ASA grade 3 (%) 33 38 31
ASA grade 4+ (%) N/A 3 2
ASA grade not recorded (%) N/A 9 7
Data completeness of:
7 Audit items for risk-adjustment (%) 100 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 165 1912 28523
Seen by Clinical Nurse Specialist (%) 99 93 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 33 411 7393
Undergoing major resection (%) 85 82 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 80 1132 15855
Distant metastases (%) 3 10 7
Urgent or emergency surgery (%) 21 26 20
At least 12 lymph nodes excised (%) 100 88 86
Laparoscopic surgery attempted (%) 61 57 67
Risk-adjusted length of stay > 5 days (%) 66 63 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 71 701 10794
Adjuvant chemotherapy (%) 73 57 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 21 268 3481
Neoadjuvant therapy (%) N/A N/A 38
Circumferential resection margin: Recorded (%) 100 89 89
Circumferential resection margin: Negative (%) 95 84 82
Rectal volume 26 221 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 105 1164 19595
APER/Hartmanns (%) 45 45 36

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