Royal Liverpool and Broadgreen University Hospitals NHS Trust

Specialist MDT: Royal Liverpool and Broadgreen University Hospitals 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 general anaesthetic
    • Choline PET
    • PSMA (prostate-specific membrane antigen) PET scan
    • Isotope bone scan
  • Treatment Facilities:
    • Robot assisted laparoscopic prostatectomy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (PCa CNS)
    • Advanced PCa CNS
    • Urology CNS
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Disease Presentation

Specialist MDT National
No. of men with disease status determined 878 49027
Percentage of men diagnosed with metastatic disease 16% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 57 3055
Percentage of men with low-risk localised disease receiving radical treatment 2% 5%
No. of men diagnosed with locally advanced disease 403 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 70% 71%
No. of men diagnosed with M1 (metastases) 139 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 31% 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 194 10750
Percentage of men who responded 76% 78%
No. of men who completed CNS question 138 8137
Percentage of men who were ‘given the name of a CNS’ 84% 87%
No. of men who rated their overall care on a scale of 1-10 133 7878
Percentage of men who rated their overall care as 8 or above 90% 91%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2018-2019) 160
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 6%
No. of men who received radical prostatectomy (2017) 98
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 4%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received radical prostatectomy and were sent a questionnaire 77
Percentage of men who responded 82%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 63
Adjusted EPIC-26 urinary incontinence score (0=worst to 100=best) 73
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 63
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 26

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