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National Oesophago-Gastric Cancer Audit

The 2016 Annual Report has been published at www.digital.nhs.uk/og. The main findings are below.

The first submission deadline for the 2017 Annual Report is Friday 7 October 2016, read more about how data quality can be improved below.

For more information, or to be removed from or added to this mailing list, please contact og.cancer@nhs.net.

2016 Annual Report - key findings

HGD

  • No. of HGD cases submitted to audit has fallen*
  • Good adherence to recommendations about diagnosis confirmed by second pathologist and cases discussed at MDT
  • But HIGH proportion of cases managed by surveillance alone
*If in doubt as to whether to include a HGD case, please refer to the HGD Guidance flow chart on our webpage.

OG Cancer
  • Proportion of patients diagnosed after emergency admission has fallen, but still 13.7%
  • Reported use of staging investigations has fallen, with significant variation across trusts
  • Increase in proportion managed with curative intent, mostly among oesophageal SCCs
  • Outcomes after curative surgery steadily improving
  • COP next year plan to report on quality of surgery too
  • Varied compliance with recommended palliative radiotherapy regimens for oesophageal cancer

2017 Annual Report - data quality

Analysis of the 2016 Annual Report data identified areas where data quality can be improved:

  • Please return pathology records if a surgery record is uploaded. Key data items from pathology records are used for COP analysis and it is important that we have complete data on all surgical patients. Currently around 6% of pathology records are not uploaded on CAP
  • If a patient has an oesophagectomy as the main procedure please fill in the data item on circumferential resection margin involvement in the pathology record. Either the Yes or No option should be marked. The N/A option only applies to gastrectomies.