Prince Charles Hospital MDT

The Prince Charles Hospital MDT incorporates Prince Charles Hospital in Merthyr Tydfil http://cwmtaf.wales/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 107 1933 31676
Case ascertainment (%) 103 110 95
Data completeness of:
– Pre-treatment TNM (%) 96 89 80
– Performance status (%) 100 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 78 1220 19218
ASA grade 1 (%) N/A 9 11
ASA grade 2 (%) 55 59 53
ASA grade 3 (%) 42 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 (%) 100 92 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 107 1933 31676
Seen by Clinical Nurse Specialist (%) 93 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 25 434 7416
Major resection rate in potentially curative patients (%) 96 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 (%) 6 10 8
Urgent or emergency surgery (%) 12 19 15
At least 12 lymph nodes excised (%) 85 85 84
Laparoscopic surgery attempted (%) 94 52 69
Risk-adjusted length of stay > 5 days (%) 53 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 21 291 4588
Neoadjuvant therapy (%) 21 30 33
Circumferential resection margin: Negative (%) 90 86 80
Circumferential resection margin: Recorded (%) 90 91 90
APER rate (%) 29 29 25

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