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
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 112 2234 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 94 94 85
– Performance status (%) 88 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 68 1170 18552
ASA grade 1 (%) N/A 6 9
ASA grade 2 (%) 68 53 53
ASA grade 3 (%) 31 35 30
ASA grade 4+ (%) 1 3 2
ASA grade not recorded (%) N/A 3 6
Data completeness of:
7 Audit items for risk-adjustment (%) 88 89 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 112 2234 29766
Seen by Clinical Nurse Specialist (%) 96 82 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 13 469 8157
Undergoing major resection (%) 100 85 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 68 1170 18515
Distant metastases (%) 3 8 6
Urgent or emergency surgery (%) 100 100 21
At least 12 lymph nodes excised (%) 90 84 86
Laparoscopic surgery attempted (%) 91 53 71
Risk-adjusted length of stay > 5 days (%) N/A N/A 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 36 578 10335
Adjuvant chemotherapy (%) 69 62 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 19 273 4137
Neoadjuvant therapy (%) N/A N/A 34
Circumferential resection margin: Recorded (%) 89 87 90
Circumferential resection margin: Negative (%) 84 82 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 85 1138 17956
APER/Hartmanns (%) 41 45 37

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