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/

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
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • 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 152 557 30541
Case ascertainment (%) 80 74 93
Data completeness of:
– Pre-treatment TNM (%) 78 71 78
– Performance status (%) 100 98 85
Patients having major resection: Trust Network National
Number of patients in Audit 115 453 19183
ASA grade 1 (%) 17 13 12
ASA grade 2 (%) 58 55 52
ASA grade 3 (%) 23 24 27
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) N/A 7 7
Data completeness of:
7 Audit items for risk-adjustment (%) 16 64 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 152 557 30424
Seen by Clinical Nurse Specialist (%) 100 100 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 115 453 19222
Distant metastases (%) 9 8 8
Urgent or emergency surgery (%) 16 12 17
At least 12 lymph nodes excised (%) 92 91 87
Laparoscopic surgery attempted (%) 74 65 66
Risk-adjusted length of stay > 5 days (%) N/A 66 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 19 106 4503
Neoadjuvant therapy (%) 46 49 36
Circumferential resection margin: Present (%) 100 95 84
Circumferential resection margin: Negative (%) 89 89 77
Rectal volume N/A N/A N/A
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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