Bronglais MDT

The Bronglais MDT incorporates Bronglais General Hospital in Aberystwyth http://www.wales.nhs.uk/sitesplus/862/home

Prior to 2021-2022, outcomes were separately reported for Bronglais MDT, West Wales General & Prince Phillip MDT and Withybush General MDT

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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
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 52 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 21 1132 15891
ASA grade 1 (%) 10 6 8
ASA grade 2 (%) 29 43 52
ASA grade 3 (%) 38 38 31
ASA grade 4+ (%) 14 3 2
ASA grade not recorded (%) 10 9 7
Data completeness of:
7 Audit items for risk-adjustment (%) 86 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 52 1912 28523
Seen by Clinical Nurse Specialist (%) 100 93 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients N/A 411 7393
Undergoing major resection (%) N/A 82 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 21 1132 15855
Distant metastases (%) 15 10 7
Urgent or emergency surgery (%) 43 26 20
At least 12 lymph nodes excised (%) 86 88 86
Laparoscopic surgery attempted (%) 33 57 67
Risk-adjusted length of stay > 5 days (%) N/A 63 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 11 701 10794
Adjuvant chemotherapy (%) 36 57 60

Rectal cancer patients

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

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