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 Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 168 1911 30710
Case ascertainment (%) 110 119 95
Data completeness of:
– Pre-treatment TNM (%) 86 73 76
– Performance status (%) 67 74 83
Patients having major resection: Trust Network National
Number of patients in Audit 103 1214 19231
ASA grade 1 (%) 11 10 12
ASA grade 2 (%) 52 53 53
ASA grade 3 (%) 35 32 27
ASA grade 4+ (%) 2 4 3
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 98 91 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 168 1911 30710
Seen by Clinical Nurse Specialist (%) 98 89 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 103 1214 19231
Distant metastases (%) 8 14 9
Urgent or emergency surgery (%) 18 20 16
At least 12 lymph nodes excised (%) 73 78 84
Laparoscopic surgery attempted (%) 53 46 63
Risk-adjusted length of stay > 5 days (%) 58 71 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 23 273 4468
Neoadjuvant therapy (%) 30 38 35
Circumferential resection margin: Recorded (%) N/A 5 26
Circumferential resection margin: Positive (%) 4 4 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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