Cambridge University Hospitals NHS Foundation Trust

The Cambridge University Hospitals NHS Foundation Trust incorporates Addenbrooke's Hospital in Cambridge http://www.cuh.org.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
  • Advanced disease services:
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy

Data Quality

All Patients: Trust Network National
Number of patients in Audit 303 3626 31676
Case ascertainment (%) 101 101 95
Data completeness of:
– Pre-treatment TNM (%) 61 71 80
– Performance status (%) 100 89 86
Patients having major resection: Trust Network National
Number of patients in Audit 212 2090 19218
ASA grade 1 (%) 5 13 11
ASA grade 2 (%) 56 52 53
ASA grade 3 (%) 38 30 28
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) N/A 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 100 83 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 303 3626 31676
Seen by Clinical Nurse Specialist (%) 99 86 87
All patients deemed potentially curative? Trust Network National
Number of patients 42 756 7416
Major resection rate in potentially curative patients (%) 76 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 212 2090 19218
Distant metastases (%) 13 8 8
Urgent or emergency surgery (%) 14 14 15
At least 12 lymph nodes excised (%) 97 79 84
Laparoscopic surgery attempted (%) 58 75 69
Risk-adjusted length of stay > 5 days (%) 68 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 151 1337 11837
Adjuvant chemotherapy (%) 66 55 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 59 533 4588
Neoadjuvant therapy (%) 57 25 33
Circumferential resection margin: Negative (%) 98 80 80
Circumferential resection margin: Recorded (%) 100 88 90
APER rate (%) 17 21 25

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