Which patients are included in the outlier-reported measures in the annual report?

Which patients are included in the estimate of 90-day mortality in the 2018 report?

All patients aged 18 or over diagnosed between 1 April 2016 and 31 March 2017 who, according to NBOCA, underwent a major resection on or before 31st October 2017 (regardless of surgical urgency or curative intent).
Patients with cancer of the appendix and patients missing date of surgery or whose date of surgery is reported to be after their date of death will be excluded. Patients for whom ONS date of death is unavailable are excluded, and this will include patients who have a national data opt-out.

 

Which patients are included in the estimate of 30-day unplanned readmissions in the 2018 report?

All patients diagnosed between 1 April 2016 and 31 March 2017 who, according to NBOCA, underwent a major resection, regardless of surgical urgency or curative intent.

Patients under 18, those with cancer of the appendix, those with a missing date of surgery or whose readmission status cannot be determined from HES/PEDW will be excluded.

 

Which patients are included in the estimate of 18 month stoma in the 2018 report?

All rectal cancer patients aged 18 or over who, according to NBOCA underwent a major resection between 1 April 2013 and 31 March 2016 and can be linked to HES/PEDW (regardless of surgical urgency or curative intent).

 

Which patients are included in the estimate of 2 year mortality in the 2018 report?

All patients aged 18 or over who, according to NBOCA underwent a major resection between 1 April 2014 and 31 March 2015 (regardless of surgical urgency or curative intent).

Patients with cancer of the appendix and patients missing date of surgery or whose date of surgery is reported to be after their date of death will be excluded. Patients for whom ONS date of death is unavailable are excluded, and this will include patients who have a national data opt-out.

Further details about national data opt-out which replaced Type 2 objections from May 2018 is available from https://digital.nhs.uk/services/national-data-opt-out-programme