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NSSG OG AUDIT DAY 2013

This audit report details the workload of the OG Cancer multidisciplinary team at South Tees Hospitals Foundation Trust for the year 2012, comparing it to 2011. The discussion on new patient cases, histological subtypes, and treatment modalities highlights significant changes and trends in patient referrals and outcomes. Key findings include a total of 575 new patients in 2012, outcomes of various surgical procedures, rates of inoperability, re-operations, and hospital mortality rates, emphasizing a successful year in management and treatment of OG cancer.

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NSSG OG AUDIT DAY 2013

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  1. NSSG OG AUDIT DAY 2013 South Tees Hospitals Foundation Trust Sam Dresner, Consultant Surgeon Helen Wescott, OG Cancer CNS

  2. MDT Workload • New patients discussed Jan – Dec 2012 - 575 • New patients discussed Jan - Dec 2011 - 474

  3. Upper GI New Patients

  4. HPB New Cases

  5. New cases - other

  6. Number of MDT discussions

  7. Patients By Referral Unit

  8. Histological Subtype(oesophagus, juctional, stomach)

  9. Treatment Modality

  10. OG Resection Audit • Elective / emergency OG database JCUH • 2011 - 104 patients • 2012 - 96 patients • M:F 65:31

  11. Procedures • 96 patients • EMR n=5 • Palliative bypass local hospital • metastatic gastric cancer (DMH) n=1 • metastatic pancreatic cancer (FHN) n=1 • Emergency (perforation/obstruction) • palliative resection n=1 • Small bowel resections n=2 • 86 elective OG cancer resections • 95 OG cancer resections 2011

  12. Procedures

  13. Outcomes • Inoperability (8/86) 9.3% • Re-operation (3/86) 3.5% • Bleeding n=2, Perforation n=1 • Leak rate (Oesophagectomy 3/37) 8.1% • 30-day mortality 0% • 90-day mortality 0% • In-hospital mortality 0% • LOS (1-74) Median 11 days

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