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 214 906 31676
Case ascertainment (%) 97 105 95
Data completeness of:
– Pre-treatment TNM (%) 93 84 80
– Performance status (%) 96 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 145 572 19218
ASA grade 1 (%) 6 3 11
ASA grade 2 (%) 50 26 53
ASA grade 3 (%) 36 27 28
ASA grade 4+ (%) 8 5 3
ASA grade not recorded (%) N/A 38 5
Data completeness of:
7 Audit items for risk-adjustment (%) 98 59 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 214 906 31676
Seen by Clinical Nurse Specialist (%) 97 76 87
All patients deemed potentially curative? Trust Network National
Number of patients 52 220 7416
Major resection rate in potentially curative patients (%) 81 85 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 145 572 19218
Distant metastases (%) 13 9 8
Urgent or emergency surgery (%) 15 18 15
At least 12 lymph nodes excised (%) 84 82 84
Laparoscopic surgery attempted (%) 40 46 69
Risk-adjusted length of stay > 5 days (%) 57 64 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 96 371 11837
Adjuvant chemotherapy (%) 72 64 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 40 137 4588
Neoadjuvant therapy (%) 47 47 33
Circumferential resection margin: Negative (%) 93 70 80
Circumferential resection margin: Recorded (%) 95 88 90
APER rate (%) 35 30 25

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