University Hospitals of Derby and Burton NHS Foundation Trust - Queens Hospital (Burton)

The University Hospitals of Derby and Burton NHS Foundation Trust - Queens Hospital incorporates Queen's Hospital in Burton Upon Trent https://www.uhdb.nhs.uk/
Chemotherapy toxicity data presented at trust level because 98% of data was coded at trust level.

The team at UHDB acknowledge that the urgency of the operation was transposed with the urgency of the treatment pathway in the 2021-22 data and hope the implementation of routinely captured data will avoid this error in future reporting.

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 164 3482 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 86 83 86
– Performance status (%) 80 90 89
Patients having major resection: Trust Network National
Number of patients in Audit 100 2135 19631
ASA grade 1 (%) 1 5 9
ASA grade 2 (%) 31 53 53
ASA grade 3 (%) 57 34 31
ASA grade 4+ (%) 5 4 2
ASA grade not recorded (%) 6 4 4
Data completeness of:
7 Audit items for risk-adjustment (%) 77 87 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 164 3482 35779
Seen by Clinical Nurse Specialist (%) 97 89 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 100 2135 19614
Distant metastases (%) 10 4 5
Urgent or emergency surgery (%) 99 24 15
At least 12 lymph nodes excised (%) 78 82 84
Laparoscopic surgery attempted (%) 83 72 72
Risk-adjusted length of stay > 5 days (%) N/A 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 10 N/A 10747
Adjuvant chemotherapy (%) 70 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 46 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 20 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 13 N/A 4251
Neoadjuvant therapy (%) 8 N/A 33
Circumferential resection margin: Recorded (%) 69 88 89
Circumferential resection margin: Negative (%) 69 81 83
Rectal volume 13 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 65 2273 19644
APER/Hartmanns (%) 52 38 37

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