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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 196 2108 28013
Case ascertainment (%) N/A N/A 93
Data completeness of:
– Pre-treatment TNM (%) 87 65 71
– Performance status (%) 6 33 77
Patients having major resection: Trust Network National
Number of patients in Audit 115 1320 18809
ASA grade 1 (%) 10 7 14
ASA grade 2 (%) 51 55 53
ASA grade 3 (%) 35 32 25
ASA grade 4+ (%) 4 3 3
ASA grade not recorded (%) N/A 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 98 78 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 196 2108 30122
Seen by Clinical Nurse Specialist (%) 100 100 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 115 1320 18809
Distant metastases (%) 8 13 9
Urgent or emergency surgery (%) 15 18 16
Median number of lymph nodes excised 22 16 17
Laparoscopic surgery attempted (%) 58 50 61
Length of stay > 5 days (%) N/A N/A 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 30 322 4769
Neoadjuvant therapy (%) 48 35 37
Circumferential resection margin: Recorded (%) 3 7 25
Circumferential resection margin: Positive (%) 7 8 7
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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