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

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Feb 13, 2023 232 likes •441 views

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

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NSSG OG AUDIT DAY 2015

Helen Wescott – Specialist Nurse

SLIDE 2

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

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New Patients 2013 2014 564

Patients included OG HPB

ther

541

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0% 20% 40% 60% 80% 100% Cancer Type OG HPB Other

269 128 164 Other discussions:

ther primary

cancers, non malignant disease

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

12 8

106

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

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

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0% 20% 40% 60% 80% 100% Total JCUH FNH DMH BAGH NTUH HUH Other Curative Palliative BSC

1 1 39 15 36 9 5 6 22 10 15 10 5 3 31 12 10 6 6 5 44.9% 29.9% 27.5% 2

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

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

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

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Completed Inoperable 30 Day 90 Day

Oesophagectomy (2 Stage)

45 4 2

Oesophagectomy (3 Stage)

Oesophago- gastrectomy

Oesophagectomy and right hemi

Total Gastrectomy

15 3

Sub-total Gastrectomy

14 1

Wedge Resection

EMR

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

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

Surgeon A Surgeon B Surgeon C

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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

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2 4 6 8 10 12 14 SCC ACA HGD

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

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

r oesophageal

cancer ___ 2 2

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500 1000 1500 2000 2500 2014 2013 Cancer Not Cancer

1901 143 1363 134

7% 9%

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