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:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 61 2234 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 97 94 85
– Performance status (%) 95 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 21 1170 18552
ASA grade 1 (%) 10 6 9
ASA grade 2 (%) 24 53 53
ASA grade 3 (%) 52 35 30
ASA grade 4+ (%) 14 3 2
ASA grade not recorded (%) N/A 3 6
Data completeness of:
7 Audit items for risk-adjustment (%) 67 89 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 61 2234 29766
Seen by Clinical Nurse Specialist (%) 97 82 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 10 469 8157
Undergoing major resection (%) 100 85 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 21 1170 18515
Distant metastases (%) 25 8 6
Urgent or emergency surgery (%) 100 100 21
At least 12 lymph nodes excised (%) 75 84 86
Laparoscopic surgery attempted (%) 33 53 71
Risk-adjusted length of stay > 5 days (%) N/A N/A 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A 578 10335
Adjuvant chemotherapy (%) N/A 62 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 273 4137
Neoadjuvant therapy (%) N/A N/A 34
Circumferential resection margin: Recorded (%) N/A 87 90
Circumferential resection margin: Negative (%) N/A 82 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A 1138 17956
APER/Hartmanns (%) N/A 45 37

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