Ysbyty Maelor MDT

The Ysbyty Maelor MDT incorporates Wrexham Maelor Hospital http://www.wales.nhs.uk/sitesplus/861/home

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome

Data Quality

All Patients: Trust Network National
Number of patients in Audit 186 2335 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 96 86
– Performance status (%) 92 98 89
Patients having major resection: Trust Network National
Number of patients in Audit 96 1436 19631
ASA grade 1 (%) 10 6 9
ASA grade 2 (%) 50 49 53
ASA grade 3 (%) 39 37 31
ASA grade 4+ (%) 1 7 2
ASA grade not recorded (%) N/A 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 95 95 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 186 2335 35779
Seen by Clinical Nurse Specialist (%) 98 88 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 96 1436 19614
Distant metastases (%) 6 8 5
Urgent or emergency surgery (%) 15 18 15
At least 12 lymph nodes excised (%) 97 89 84
Laparoscopic surgery attempted (%) 70 65 72
Risk-adjusted length of stay > 5 days (%) 63 60 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 72 N/A 10747
Adjuvant chemotherapy (%) 72 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 49 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 30 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 22 N/A 4251
Neoadjuvant therapy (%) 25 N/A 33
Circumferential resection margin: Recorded (%) 100 91 89
Circumferential resection margin: Negative (%) 100 86 83
Rectal volume 26 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 108 1145 19644
APER/Hartmanns (%) 44 45 37

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