King's College Hospital NHS Foundation Trust - King's College Hospital

The King's College Hospital NHS Foundation Trust - King's College Hospital incorporates King's College Hospital in London https://www.kch.nhs.uk/
Case Ascertainment for 2018-19 and 2019-20 was calculated for the entire trust.

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • 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
    • Dedicated Specialist Advanced Outpatient Clinic
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 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 162 606 35779
Case ascertainment (%) Good Fair Good
Data completeness of:
– Pre-treatment TNM (%) 69 79 86
– Performance status (%) 100 90 89
Patients having major resection: Trust Network National
Number of patients in Audit 104 453 19631
ASA grade 1 (%) 13 10 9
ASA grade 2 (%) 53 60 53
ASA grade 3 (%) 30 26 31
ASA grade 4+ (%) 4 2 2
ASA grade not recorded (%) N/A 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 100 95 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 162 606 35779
Seen by Clinical Nurse Specialist (%) 87 94 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 104 453 19614
Distant metastases (%) 6 3 5
Urgent or emergency surgery (%) 5 8 15
At least 12 lymph nodes excised (%) 88 92 84
Laparoscopic surgery attempted (%) 85 71 72
Risk-adjusted length of stay > 5 days (%) 69 68 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 60 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 N/A N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) N/A N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 N/A 4251
Neoadjuvant therapy (%) 55 N/A 33
Circumferential resection margin: Recorded (%) 100 97 89
Circumferential resection margin: Negative (%) 88 85 83
Rectal volume 29 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 82 446 19644
APER/Hartmanns (%) 11 35 37

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