13 December 2018

Oesophago-gastric cancer Quality standard [QS176]

Oesophago-gastric cancer Quality standard [QS176]
NICE December 2018
  • This quality standard covers assessing and managing oesophago-gastric cancer in adults. 
  • Statement 1 Adults with oesophago-gastric cancer have access to an oesophago-gastric clinical nurse specialist.
  • Statement 2 Adults with oesophago-gastric cancer have their treatment reviewed by a multidisciplinary team that includes an oncologist and a specialist radiologist who both have an interest in oesophago-gastric cancer.
  • Statement 3 Adults with oesophageal or gastro-oesophageal junctional tumours (except T1a tumours) for whom radical treatment is suitable, have 18‑fluorodeoxyglucose positron emission tomography requested and reported within 1 week.
  • Statement 4 Adults with oesophago-gastric cancer have tailored specialist dietetic support before and after radical treatment.

National Bowel Cancer Audit – Annual Report 2018

National Bowel Cancer Audit – Annual Report 2018
HQIP 13 December 2018
  • The report highlights falls in mortality rates following both elective and emergency surgery, increased numbers of operations being performed laparoscopically and geographical variation in chemotherapy administration.

Cancer in Children, Teens and Young Adults - high risk patients

Medical & Surgical Review Programme: Cancer in Children, Teens and Young Adults Report
HQIP 13 December 2018
  • Cancer outcomes in children and young people have improved dramatically over the last few decades with over 80% of those diagnosed now being cured of their disease. This report deliberately focuses on a sample of patients who were a high-risk group who died or who had an unexpected admission to intensive care. 
  • One of the recommendations is that the audit and quality improvement methods, with action plans, are essential for on-going improvement but require access to data eg prescribing, which are not always available.

Early Discharge From Intensive Care After Cardiac Surgery

Early Discharge From Intensive Care After Cardiac Surgery is Feasible With an Adequate Fast Track, Stepdown Unit: Waikato Experience.
Heart, Lung and Circulation DOI: https://doi.org/10.1016/j.hlc.2018.11.002, 13 November 2018
  • Experience of an Australian day zero discharge enhanced recovery unit from the Cardiothoracic intensive care department.
  • Survival analysis demonstrated that the patients who were discharged early from ICU had significantly better follow-up survival compared to those who were discharged after 24 hours (p < 0.05).

Abstract

12 December 2018

Prostate cancer: diagnosis and management (update) Consultation

Prostate cancer: diagnosis and management (update) [GID-NG10057]
NICE 12 December 2018
  • NICE has recommended that multi-parametric magnetic resonance imaging (mpMRI) scanning should be offered as a first-line investigation for people with suspected clinically localised prostate cancer. This will not be replacing standard first-line tests such as the PSA test and people who are not going to have radical treatment should not be routinely offered the scan. 
  • The consultation closes on 16 January 2019, and expected date of publication is 24 April 2019.

11 December 2018

NHS Executive

NHS England and NHS Improvement senior leadership posts
NHS England 11 December 2018
  • NHS England and NHS Improvement have announced a new joint senior leadership team – the NHS Executive Group - and 7 Regional Directors.

6 December 2018

Diagnosing skin cancer - the evidence

Diagnosing skin cancer - Special Collection
Cochrane Library 6 December 2018
  • This Special Collection brings together a series of new diagnostic test accuracy systematic reviews for diagnosing skin cancer of all types. The reviews aim to identify the most accurate approaches to diagnosis, and so provide the best evidence on which clinical and policy-related decisions can be based.
  • Findings relate to diagnosis with the naked eye, smart phone apps, Dermoscopy assisted techniques, Teledermatology and other test including reflectance confocal microscopy (RCM), Optical coherence tomography and high frequency ultrasound.