Betsi Cadwaladr University Health Board

Specialist MDT: Betsi Cadwaladr University Health Board

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Men diagnosed at this hospital trust can access the following services:

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Transperineal biopsy under local anaesthetic
    • Transperineal biopsy under general anaesthetic
    • Transrectal ultrasound (TRUS) biopsy
    • Choline PET
    • PSMA (prostate-specific membrane antigen) PET scan
    • Isotope bone scan
  • Treatment Facilities:
    • Radical prostatectomy
    • External beam radiotherapy (EBRT)
    • Chemotherapy
  • Support Service Facilities:
    • Clinical Nurse Specialist (CNS) in all clinics
    • Prostate cancer-specific CNSs
    • Advanced PCa CNS
    • Urology CNS
    • Sexual function services
    • Specialist continence services
    • Psychological counselling
    • Genetic counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 487 487
Performance Status recorded 100% 100%
PSA completed 83% 83%
Gleason Score completed 83% 83%
TNM completed 37% 37%
Risk group assigned 91% 91%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 451 23477
Percentage of men diagnosed with metastatic disease 13% 17%
No. of men diagnosed with M1 (metastases) 60 N/A

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 5 N/A
Percentage of men with low-risk localised disease receiving radical treatment 0% 0%
No. of men diagnosed with locally advanced disease 161 N/A
Percentage of men diagnosed with locally advanced disease receiving radical treatment 73% 0%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2020-2021) 30
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 9%
No. of men who received radical prostatectomy (2019) 46
Adjusted percentage of men experiencing at least one GU complication (%) 3%
No. of men who received radical radiotherapy (2019) 200
Adjusted percentage of men experiencing at least one GI complication (%) 8%

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