NSSG OG AUDIT DAY 2015 Helen Wescott Specialist Nurse Patients - PowerPoint PPT Presentation

NSSG OG AUDIT DAY 2015 Helen Wescott – Specialist Nurse

Patients discussed at weekly South Tees Multi- disciplinary • meeting between January – December 2015 Patients included from Specialist Oesophago-gastric MDT • and local Hepato-Bilary Pancreatic MDT Data collected from Infoflex database •

2013 541 564 New Patients 2014 Patients included OG HPB other

OG Cancer Type 269 128 164 HPB Other Other discussions: other primary cancers, non malignant disease 0% 20% 40% 60% 80% 100%

1 2 106 98 62 12 8 3 4 5 0% 20% 40% 60% 80% 100%

Oesophagus Tumour site 168 91 10 Stomach GIST 0% 20% 40% 60% 80% 100%

Other Hartlepool North Tees Bishop Auckland 2013 2014 Darlington Friarage James Cook 0 20 40 60 80 100 120 140

2 1 1 Other HUH 6 6 5 NTUH 10 31 12 Curative BAGH 10 5 3 Palliative DMH 22 10 15 BSC FNH 6 9 5 JCUH 39 15 36 Total 44.9% 29.9% 27.5% 0% 20% 40% 60% 80% 100%

Other HGD Carcinoma Curative Palliative SCC ACA 0% 20% 40% 60% 80% 100%

SCC Neo Surgery Chemo/Rad EMR ACA 0 10 20 30 40 50 60

46 34 2014 49 43 2013 Oesophagectomy Gastrectomy 42 42 2012 0 20 40 60 80 100

Completed Inoperable 30 Day 90 Day Oesophagectomy 45 4 2 (2 Stage) Oesophagectomy 1 (3 Stage) Oesophago- 5 gastrectomy Oesophagectomy 1 and right hemi Total Gastrectomy 15 3 Sub-total 14 1 Gastrectomy Wedge Resection 4 EMR 1

2012 No complications 2013 All complications Mortality 2014 75% 80% 85% 90% 95% 100%

Surgeon A A Gast Surgeon B Surgeon C A Oes No complications B Gast Complications Inoperable B Oes 30 Day 90 Day C Gast C Oes 0 10 20 30 40

Numbers Para Anastomotic Collection 1 Pleural Effusion 1 Oesophageal Anastomotic Leak 3 Chest Infection 1 Confusion 1 Duodenal Stump Leak 1 Perforated Colon 1 Death (90 Days) 2

14 12 10 8 SCC 6 ACA 4 HGD 2 0

100% 1 90% 2 80% 70% 6 60% RIP 50% Perforance Status 40% Progressive Disease 30% 20% 10% 0% Category 1

CSS Study acronym NT &H STHFT CDDFT Total Upper GI OG GO2 - Alternative ___ 2 0 2 chemotherapy for frail or elderly patients with advanced gastric or oesophageal cancer

2500 7% 2000 143 9% 1500 134 Cancer Not Cancer 1901 1363 1000 500 0 2014 2013

Numbers 40 35 30 25 20 Numbers 15 10 5 0 2008 2009 2010 2011 2012 2013 2014