Imperial College Healthcare NHS Trust

Specialist MDT: Imperial College Healthcare NHS Trust

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Men diagnosed at this hospital trust can access the following services:

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Transperineal biopsy under local anaesthetic
    • Transperineal biopsy under general anaesthetic
    • Choline PET
    • PSMA (prostate-specific membrane antigen) PET scan
    • Isotope bone scan
    • One-stop diagnostic clinic
  • Treatment Facilities:
    • Radical prostatectomy
    • Robot assisted laparoscopic prostatectomy
    • External beam radiotherapy (EBRT)
    • Stereotactic body radiation therapy (SBRT)
    • HIFU
    • Cryotherapy
    • Chemotherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Clinical Nurse Specialist (CNS) in all clinics
    • Prostate cancer-specific CNSs
    • Advanced PCa CNS
    • Urology CNS
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

For Wales, this data completeness relates to patients diagnosed between April 2022 and March 2023.
For England, this data completeness relates to patients diagnosed in 2021. This is the data completeness of the National Cancer Registration Dataset (NCRD). For data completeness of the Rapid Cancer Registration Dataset (RCRD), please refer to the NPCA quarterly reports.

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 335 1265
Performance Status recorded 69% 69%
PSA completed 51% 45%
Gleason Score completed 84% 82%
TNM completed 43% 61%

Disease Presentation

For Wales, these results relate to patients diagnosed between April 2022 and March 2023.
For England, these results relate to patients diagnosed between January and December 2021.

Specialist MDT National
No. of men with disease status determined 991 39897
Percentage of men diagnosed with metastatic disease 10% 17%

Management

For Wales, these results relate to patients diagnosed between April 2022 and March 2023.
For England, these results relate to patients diagnosed between January and December 2021.

Specialist MDT National
No. of men diagnosed with low-risk localised disease 82 4684
Percentage of men with low-risk localised disease receiving radical treatment 11% 8%
No. of men diagnosed with locally advanced disease 388 15410
Percentage of men diagnosed with locally advanced disease receiving radical treatment 73% 68%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (April 2022- March 2023) 249
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 10%
No. of men who received radical prostatectomy (September 2020 - August 2021) 102
Adjusted percentage of men experiencing at least one GU complication (%) 6%
No. of men who received radical radiotherapy (September 2020 - August 2021) 186
Adjusted percentage of men experiencing at least one GI complication (%) 3%

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