Swansea MDT

The Swansea MDT incorporates Singleton Hospital and Morriston Hospital in Swansea http://www.wales.nhs.uk/sitesplus/863/home

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • 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
  • Surgical services:
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 183 1998 29766
Case ascertainment (%) 94 110 90
Data completeness of:
– Pre-treatment TNM (%) 60 91 83
– Performance status (%) 44 83 85
Patients having major resection: Trust Network National
Number of patients in Audit 96 1117 16499
ASA grade 1 (%) 3 7 10
ASA grade 2 (%) 47 51 53
ASA grade 3 (%) 42 37 30
ASA grade 4+ (%) 5 3 3
ASA grade not recorded (%) 3 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 65 93 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 183 1998 29766
Seen by Clinical Nurse Specialist (%) 97 89 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 35 429 7226
Undergoing major resection (%) 89 90 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 96 1117 16474
Distant metastases (%) 7 10 6
Urgent or emergency surgery (%) 7 19 15
At least 12 lymph nodes excised (%) 80 87 84
Laparoscopic surgery attempted (%) 35 56 72
Risk-adjusted length of stay > 5 days (%) 65 68 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 100 603 10641
Adjuvant chemotherapy (%) 69 68 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 14 266 3899
Neoadjuvant therapy (%) N/A 5 32
Circumferential resection margin: Recorded (%) 57 93 86
Circumferential resection margin: Negative (%) 57 86 79
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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