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National Oesophago-Gastric Cancer Audit

9 November 2017
First submission feedback
Thank you for your continued cooperation with NOGCA. As in previous years, the data quality is generally very good and we are especially grateful for your engagement with new topics.

A total of 1,197 records relating to Enhanced Recovery After Surgery (ERAS) have already been submitted for 2016-17, and High Grade Dysplasia (HGD) submissions are up compared to this time last year.

Based on the first submission, the following may help trusts to improve the accuracy and completeness of their data:
  1. Check MDT and pathologist notes to ensure all HGD records are uploaded.
  2. The Frequently Asked Questions on the audit webpage give you guidance on whether to upload the patient details as an HGD record or oesophageal cancer (OG) tumour record.
  3. Upload two oncology records only for patients who received curative neo-adjuvant therapy before surgery and then adjuvant treatment after surgery.
  4. Ensure that all pathology records for patients who have curative surgery are uploaded. The pathology records are required to derive the new indicators for the Clinical Outcomes Publication (COP) 2018. These indicators will be derived for patients who were diagnosed between April 2014 and March 2017 and who had curative surgery.
  5. Check that valid GMC codes are entered in the consultant fields.
Reviewing your data
The second submission deadline has been set for 8 December.

All patient and tumour records need to be submitted by this date. These records are linked to ONS death data to calculate mortality rates for use in the COP and Annual Report. New patient and tumour records submitted after this second deadline will not be included in these publications.

It is important that all trusts check the accuracy and completeness of their data using the online tools.

Clinical Audit Platform (CAP) users can access reports at any time to get an overall summary of their submissions. There is a guide to the online reports available on the audit webpage.

A third and final submission deadline will be set after which changes cannot be made.
Clinical Outcomes Publication
We will send out trust specific reports to the 38 surgical centres after the second submission deadline.

The trusts will be able to raise queries about their data and clarify aspects that they are unsure of.

CAP users can download patient level data to check individual patient records that will be included in the COP, using the Data Manager check and Consultant check reports.

All data changes have to be done by trusts on CAP.

The four new COP indicators (introduced this year) are:
  1. proportion of patients with adequate lymph nodes examined
  2. proportion of patients with positive longitudinal margins for oesophagectomy
  3. proportion of patients with longitudinal margins for gastrectomy
  4. proportion of patients with circumferential margins for oesophagectomy.
Increasing numbers of trusts are moving to email addresses.

Please remember that if your trust's email address protocols are changing, all CAP users will need to register a new Single Sign On and complete a new User Registration Form for Caldicott Guardian sign off.