North Middlesex University Hospital NHS Trust

Specialist MDT: The Princess Alexandra Hospital NHS Trust

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Men diagnosed at this hospital trust can access the following services (updated 2019):

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Transperineal biopsy under local anaesthetic
    • Transperineal biopsy under general anaesthetic
    • Isotope bone scan
  • Treatment Facilities:
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • Stereotactic body radiation therapy (SBRT)
    • Chemotherapy

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 186 465
Performance Status recorded 49% 48%
PSA completed 42% 17%
Gleason Score completed 87% 90%
TNM completed 84% 75%
Risk group assigned 94% 87%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 411 49027
Percentage of men diagnosed with metastatic disease 11% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 36 3055
Percentage of men with low-risk localised disease receiving radical treatment 3% 5%
No. of men diagnosed with locally advanced disease 140 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 61% 71%
No. of men diagnosed with M1 (metastases) 44 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 47% 36%

Patient experience of care

Specialist MDT National
No. of men diagnosed 1st April 18 - 30th Sept 18 who had radical treatment (surgery or radiotherapy) and were sent a questionnaire 81 10750
Percentage of men who responded 68% 78%
No. of men who completed CNS question 54 8137
Percentage of men who were ‘given the name of a CNS’ 89% 87%
No. of men who rated their overall care on a scale of 1-10 53 7878
Percentage of men who rated their overall care as 8 or above 89% 91%

Outcome

Treatment Centre
No. of men who received radical radiotherapy (2017) 136
Adjusted percentage of men receiving a procedure of the large bowel and a diagnosis indicating radiation toxicity (GI complication) (%) 9%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received external beam radiotherapy and were sent a questionnaire 85
Percentage of men who responded 71%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 48
Adjusted EPIC-26 bowel function score (0=worst to 100=best) 87
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 50
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 16

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