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Surgical resection update

Surgical resection update. Eveline Internullo. LCCOP 2018 (2016). 27 units 125 thoracic surgeons. Median: 203 Median per surgeon: 46. Data submitted for LCCOP 2019 (2017) 240 lung cancer resections. Types of lung cancer operated in 2016 (LCCOP 2018). 93% NSCLC

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Surgical resection update

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  1. Surgical resection update Eveline Internullo SWAG Lung CAG - 21st May 2019

  2. SWAG Lung CAG - 21st May 2019

  3. SWAG Lung CAG - 21st May 2019

  4. LCCOP 2018 (2016) SWAG Lung CAG - 21st May 2019

  5. 27 units 125 thoracic surgeons Median: 203 Median per surgeon: 46 Data submitted for LCCOP 2019 (2017) 240 lung cancer resections SWAG Lung CAG - 21st May 2019

  6. Types of lung cancer operated in 2016 (LCCOP 2018) 93% NSCLC Increasing number of operations for carcinoid tumours: 87% in 2 years SWAG Lung CAG - 21st May 2019

  7. Stages of lung cancer operated in 2016 (LCCOP 2018) 81% 12.9% SWAG Lung CAG - 21st May 2019

  8. Types of procedure for lung cancer operated in 2016 (LCCOP 2018) 4% 77% 17% SWAG Lung CAG - 21st May 2019

  9. Primary lung cancer resections by procedure performed 2015/6-2017/8 UHB

  10. Procedures for primary lung cancer: proportion by VATS 2015/6-2017/8 UHB

  11. Selected diagnostic procedures 2015/6-2017/8 UHB

  12. Mortality for lung cancer operated in 2016 (LCCOP 2018) Survival England UHBristol 30 days 98.2% 98.1% 90 days 96.5% 97% 1 year 88.7% 88.3% SWAG Lung CAG - 21st May 2019

  13. Mortality for lung cancer operated in 2016 SWAG Lung CAG - 21st May 2019

  14. SWAG Lung CAG - 21st May 2019

  15. SWAG Lung CAG - 21st May 2019

  16. SWAG Lung CAG - 21st May 2019

  17. SWAG Lung CAG - 21st May 2019

  18. NLCA 2018 (2017) 16.6% (unadjusted) SWAG Lung CAG - 21st May 2019

  19. NLCA 2018 (2017) – adjusted* resection rates *for age, sex, stage, PS and socio-economic status SWAG Lung CAG - 21st May 2019

  20. SWAG Lung CAG - 21st May 2019

  21. 73.5%

  22. SWAG Lung CAG - 21st May 2019

  23. NLCA 2018 (2017) – adjusted* resection rates *for age, sex, stage, PS and socio-economic status SWAG Lung CAG - 21st May 2019

  24. What next?… Telly link • Surgeons’ attendance to MDTs • Patients optimization for surgery - smoking cessation - COPD management - CPET - cardiologyreview - pulmonaryrehabilitation - surgicalsecond opinion • Pathwayoptimization (NOLCP) - Minimizeadmin dead times (MDT to clinic appt) - Bundles - pooledlists - capacity (theatres, HDU) CCRM PreVid Fast Referral Forms OPA < 7 days One-stop clinic SWAG Lung CAG - 21st May 2019

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