Guy's and St Thomas' NHS Foundation Trust

Specialist MDT: Guy's and St Thomas' NHS Foundation Trust

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

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Template biopsy
    • Choline PET
    • Isotope bone scan
  • Treatment Facilities:
    • Radical prostatectomy
    • Robot assisted laparoscopic prostatectomy
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • Low-dose rate brachytherapy
    • Stereotactic body radiation therapy (SBRT)
    • Cryotherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Clinical nurse specialist
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 419 1036
Performance Status recorded 12% 23%
PSA completed 38% 47%
Gleason Score completed 86% 85%
TNM completed 88% 81%
Multiparametric MRI performed 36% 30%
At least 1 treatment modality recorded 5% 7%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 968 39534
Percentage of men diagnosed with metastatic disease 12% 16%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 78 2948
Percentage of men with low-risk localised disease receiving radical treatment 3% 4%
No. of men diagnosed with locally advanced disease 341 15404
Percentage of men diagnosed with locally advanced disease receiving radical treatment 62% 67%

Patient experience of care

Specialist MDT National
No. of men diagnosed April 15 – Sept 16 who were candidates, or who had, radical treatment (surgery or radiotherapy) and were sent a questionnaire 673 35162
Percentage of men who responded 59% 73%
No. of men who completed ‘diagnosis information’ question 390 25248
Percentage of men who were given the ‘right amount’ of information about their condition and treatment 86% 90%
No. of men who completed ‘treatment involvement’ question 387 25041
Percentage of men who were ‘involved as much as they were to be’ in decisions about their treatment and care 73% 73%
No. of men who completed CNS question 370 24569
Percentage of men who were ‘given the name of a CNS’ 75% 83%
No. of men who rated their overall care on a scale of 1-10 359 23809
Percentage of men who rated their overall care as 8 or above 87% 89%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2016-17) 232
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 5%
No. of men who received radical prostatectomy (2015) 232
Adjusted percentage of men experiencing at least one GU complication (%) 2%
No. of men who received radical radiotherapy (2015) 217
Adjusted percentage of men experiencing at least one GI complication (%) 10%

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Patient-reported outcomes

Treatment Centre
No. of men diagnosed April 15 – Sept 16 who received radical prostatectomy and were sent a questionnaire 249
Percentage of men who responded 65%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 156
Adjusted EPIC-26 urinary incontinence score 75
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 155
Adjusted EPIC-26 sexual function score 29
No. of men diagnosed April 15 – Sept 16 who received external beam radiotherapy and were sent a questionnaire 171
Percentage of men who responded 63%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 81
Adjusted EPIC-26 bowel function score 87
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 98
Adjusted EPIC-26 sexual function score 21

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