The Royal Marsden NHS Foundation Trust

Specialist MDT: The Royal Marsden NHS Foundation 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
    • Whole body MRI
    • 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
    • Chemotherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Clinical Nurse Specialist (CNS) in all clinics
    • Prostate cancer-specific CNSs
    • Advanced PCa CNS
    • Urology CNS
    • Specialist continence services
    • Psychological counselling
    • Genetic counselling
    • Onco-geriatric service

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 80 853
Performance Status recorded 30% 37%
PSA completed 1% 26%
Gleason Score completed N/A N/A
TNM completed 66% 66%
Stage variable assigned 79% 77%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 659 23477
Percentage of men diagnosed with metastatic disease 18% 17%
No. of men diagnosed with M1 (metastases) 118 N/A

Management

These indicators could not be reported this year for England as we were unable to assign a patient to a particular risk group due to the unavailability of information on Gleason score in the Rapid Cancer Registration Dataset

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2020-2021) 123
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 8%
No. of men who received radical prostatectomy (2019) 121
Adjusted percentage of men experiencing at least one GU complication (%) 10%
No. of men who received radical radiotherapy (2019) 329
Adjusted percentage of men experiencing at least one GI complication (%)

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