Cardiff MDT

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

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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
    • 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 293 1998 29766
Case ascertainment (%) 114 110 90
Data completeness of:
– Pre-treatment TNM (%) 85 91 83
– Performance status (%) 29 83 85
Patients having major resection: Trust Network National
Number of patients in Audit 73 1117 16499
ASA grade 1 (%) 5 7 10
ASA grade 2 (%) 60 51 53
ASA grade 3 (%) 14 37 30
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 19 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 71 93 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 293 1998 29766
Seen by Clinical Nurse Specialist (%) 55 89 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 56 429 7226
Undergoing major resection (%) 82 90 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 73 1117 16474
Distant metastases (%) 16 10 6
Urgent or emergency surgery (%) 32 19 15
At least 12 lymph nodes excised (%) 90 87 84
Laparoscopic surgery attempted (%) 64 56 72
Risk-adjusted length of stay > 5 days (%) 42 68 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 57 603 10641
Adjuvant chemotherapy (%) 74 68 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 22 266 3899
Neoadjuvant therapy (%) N/A 5 32
Circumferential resection margin: Negative (%) 86 86 79
Circumferential resection margin: Recorded (%) 91 93 86
APER rate (%) 27 31 24
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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