University Hospitals Birmingham NHS Foundation Trust

Specialist MDT: University Hospitals Birmingham NHS Foundation Trust

NB On 1 April 2018, Heart of England and University Hospitals Birmingham NHS Foundation Trust merged to become one 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
    • Isotope bone scan
  • Treatment Facilities:
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • Low-dose rate brachytherapy
    • Stereotactic body radiation therapy (SBRT)
    • Chemotherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (PCa CNS)
    • Urology CNS
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 903 1367
Performance Status recorded 52% 40%
PSA completed 67% 68%
Gleason Score completed 94% 92%
TNM completed 83% 81%
Risk group assigned 96% 96%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 1331 49027
Percentage of men diagnosed with metastatic disease 13% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 80 3055
Percentage of men with low-risk localised disease receiving radical treatment 13% 5%
No. of men diagnosed with locally advanced disease 482 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 74% 71%
No. of men diagnosed with M1 (metastases) 175 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 44% 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 355 10750
Percentage of men who responded 72% 78%
No. of men who completed CNS question 245 8137
Percentage of men who were ‘given the name of a CNS’ 87% 87%
No. of men who rated their overall care on a scale of 1-10 238 7878
Percentage of men who rated their overall care as 8 or above 88% 91%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2018-2019) 250
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 21%
No. of men who received radical prostatectomy (2017) 207
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 5%
No. of men who received radical radiotherapy (2017) 433
Adjusted percentage of men receiving a procedure of the large bowel and a diagnosis indicating radiation toxicity (GI complication) (%) 7%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received radical prostatectomy and were sent a questionnaire 105
Percentage of men who responded 70%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 73
Adjusted EPIC-26 urinary incontinence score (0=worst to 100=best) 62
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 72
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 16
No. of men diagnosed 1st April 18 - 30th Sept 18 who received external beam radiotherapy and were sent a questionnaire 237
Percentage of men who responded 71%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 155
Adjusted EPIC-26 bowel function score (0=worst to 100=best) 85
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 152
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 16

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