Imperial College Healthcare NHS Trust

Specialist MDT: Imperial College Healthcare NHS Trust

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Men diagnosed at this hospital trust can access the following services (updated 2022):

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Transperineal biopsy under local anaesthetic
    • Transperineal biopsy under general anaesthetic
    • Choline PET
    • PSMA (prostate-specific membrane antigen) PET scan
    • Isotope bone scan
    • One-stop diagnostic clinic
  • Treatment Facilities:
    • Radical prostatectomy
    • Robot assisted laparoscopic prostatectomy
    • External beam radiotherapy (EBRT)
    • Stereotactic body radiation therapy (SBRT)
    • HIFU
    • Cryotherapy
    • Chemotherapy
    • Joint specialist MDT clinic
  • 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

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 250 808
Performance Status recorded 75% 72%
PSA completed 52% 40%
Gleason Score completed 82% 76%
TNM completed 45% 61%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 625 31258
Percentage of men diagnosed with metastatic disease 15% 19%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 55 3680
Percentage of men with low-risk localised disease receiving radical treatment 13% 9%
No. of men diagnosed with locally advanced disease 232 11503
Percentage of men diagnosed with locally advanced disease receiving radical treatment 68% 69%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (Apr 2021 - Mar 2022) 164
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 10%
No. of men who received radical prostatectomy (Sep 2019 - August 2020) 88
Adjusted percentage of men experiencing at least one GU complication (%) 7%
No. of men who received radical radiotherapy (Sep 2019 - August 2020) 226
Adjusted percentage of men experiencing at least one GI complication (%) 4%

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