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EMPHIN Forum (Apr 2010)

EMPHIN Forum (Apr 2010). Carolynn Gildea Trent Cancer Registry. Variations in Cancer Surgery Across the East Midlands and North Trent. Methods. Breast (female) and Lung cancer 2004-2007 diagnosed patients HES inpatient/day case linked to Registry

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EMPHIN Forum (Apr 2010)

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  1. EMPHIN Forum (Apr 2010) Carolynn Gildea Trent Cancer Registry Variations in Cancer Surgery Across the East Midlands and North Trent

  2. Methods Breast (female) and Lung cancer 2004-2007 diagnosed patients HES inpatient/day case linked to Registry Surgery 6 months following diagnosis Stage, PCT, Deprivation, Age, Ethnicity, Gender, Morphology

  3. Breast Cancer - Summary 71% of tumours receive relevant surgery 40% of tumours receive mastectomy, 33% conserving surgery 30% of tumours receive block dissection of lymph nodes, 34% sampling of lymph nodes

  4. Breast Cancer - By PCT Within the East Midlands, any relevant surgery varies from 61% (Lincolnshire) to 77% (Leicestershire County and Rutland)

  5. Breast Cancer - By Stage 85%-90% of stage 1-3 tumours receive surgery only 28% of stage 4 tumours receive surgery

  6. Breast Cancer - By Deprivation Mastectomy and block dissection of lymph nodes are more common for residents of more deprived areas Conserving surgery and sampling of lymph nodes are less common for residents of more deprived areas

  7. Breast Cancer - By Age Elderly patients are less likely to receive all types of surgery Only 17% of patients aged 85+ receive surgery, compared to around 80% of patients under 70 Conserving surgery is most common for patients aged 50-70

  8. Lung Cancer - By PCT 8.5% of tumours receive relevant surgery In the East Midlands, relevant surgery varies from 7.3% (Lincolnshire) to 11.5% (Leicester City)

  9. Lung Cancer - By Deprivation Patients from more deprived areas are less likely to receive relevant surgery

  10. Lung Cancer - By Age Elderly patients are less likely to receive relevant surgery Only 0.6% of patients over 85 receive relevant surgery, compared to 46.9% of patients under 35

  11. Next Steps Engage with clinicians Include extra 2008/09 HES data Investigate radiotherapy and chemotherapy Include stage for Lung cancer Include Charlson morbidity National analyses by NCIN

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