University Hospitals of Derby and Burton NHS Foundation Trust

Specialist MDT: University Hospitals of Derby and Burton NHS Foundation Trust

NB Burton Hospitals NHS Foundation Trust and Derby Teaching Hospitals NHS Foundation Trust have merged to form University Hospitals of Derby and Burton NHS Foundation 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:
    • Robot assisted laparoscopic prostatectomy
    • Laparoscopic prostatectomy
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • Chemotherapy
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (PCa CNS)
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 794 794
Performance Status recorded 37% 37%
PSA completed 66% 66%
Gleason Score completed 89% 89%
TNM completed 88% 88%
Risk group assigned 97% 97%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 776 49027
Percentage of men diagnosed with metastatic disease 15% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 39 3055
Percentage of men with low-risk localised disease receiving radical treatment 0% 5%
No. of men diagnosed with locally advanced disease 361 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 70% 71%
No. of men diagnosed with M1 (metastases) 118 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 195 10750
Percentage of men who responded 78% 78%
No. of men who completed CNS question 146 8137
Percentage of men who were ‘given the name of a CNS’ 85% 87%
No. of men who rated their overall care on a scale of 1-10 145 7878
Percentage of men who rated their overall care as 8 or above 95% 91%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2018-2019) 150
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 14%
No. of men who received radical prostatectomy (2017) 111
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 18%
No. of men who received radical radiotherapy (2017) 166
Adjusted percentage of men receiving a procedure of the large bowel and a diagnosis indicating radiation toxicity (GI complication) (%) 11%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received radical prostatectomy and were sent a questionnaire 52
Percentage of men who responded 83%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 43
Adjusted EPIC-26 urinary incontinence score (0=worst to 100=best) 75
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 42
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 19
No. of men diagnosed 1st April 18 - 30th Sept 18 who received external beam radiotherapy and were sent a questionnaire 141
Percentage of men who responded 77%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 90
Adjusted EPIC-26 bowel function score (0=worst to 100=best) 84
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 101
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 15

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