Cardiff MDT

The Cardiff MDT incorporates University Hospital of Wales in Cardiff http://www.cardiffandvaleuhb.wales.nhs.uk/home

View Trust Services

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
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Distal sacrectomy

Data Quality

All Patients: Trust Network National
Number of patients in Audit 225 1933 31676
Case ascertainment (%) 91 110 95
Data completeness of:
– Pre-treatment TNM (%) 74 89 80
– Performance status (%) 42 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 78 1220 19218
ASA grade 1 (%) 17 9 11
ASA grade 2 (%) 64 59 53
ASA grade 3 (%) 17 30 28
ASA grade 4+ (%) 3 3 3
ASA grade not recorded (%) N/A N/A 5
Data completeness of:
7 Audit items for risk-adjustment (%) 72 92 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 225 1933 31676
Seen by Clinical Nurse Specialist (%) 40 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 39 434 7416
Major resection rate in potentially curative patients (%) 87 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 78 1220 19218
Distant metastases (%) 8 10 8
Urgent or emergency surgery (%) 9 19 15
At least 12 lymph nodes excised (%) 87 85 84
Laparoscopic surgery attempted (%) 82 52 69
Risk-adjusted length of stay > 5 days (%) 47 68 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 11837
Adjuvant chemotherapy (%) N/A N/A 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 291 4588
Neoadjuvant therapy (%) 13 30 33
Circumferential resection margin: Negative (%) 100 86 80
Circumferential resection margin: Recorded (%) 100 91 90
APER rate (%) 18 29 25

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