York Teaching Hospital NHS Foundation Trust - The York Hospital

The York Teaching Hospital NHS Foundation Trust - The York Hospital incorporates York Hospital https://www.yorkhospitals.nhs.uk/

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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
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Extended lymphadenectomy
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 224 919 29766
Case ascertainment (%) 100 98 90
Data completeness of:
– Pre-treatment TNM (%) 89 90 83
– Performance status (%) 98 88 85
Patients having major resection: Trust Network National
Number of patients in Audit 144 585 16499
ASA grade 1 (%) 0 3 10
ASA grade 2 (%) 42 31 53
ASA grade 3 (%) 52 34 30
ASA grade 4+ (%) 6 3 3
ASA grade not recorded (%) 0 29 4
Data completeness of:
7 Audit items for risk-adjustment (%) 97 67 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 224 919 29766
Seen by Clinical Nurse Specialist (%) 97 80 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 50 216 7226
Undergoing major resection (%) 86 89 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 144 585 16474
Distant metastases (%) 9 6 6
Urgent or emergency surgery (%) 13 18 15
At least 12 lymph nodes excised (%) 91 85 84
Laparoscopic surgery attempted (%) 56 51 72
Risk-adjusted length of stay > 5 days (%) 48 63 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 74 336 10641
Adjuvant chemotherapy (%) 68 63 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 42 154 3899
Neoadjuvant therapy (%) 45 47 32
Circumferential resection margin: Recorded (%) 98 90 86
Circumferential resection margin: Negative (%) 93 82 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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