u p Audit of patient outcomes Tom Walker Head and Neck SSG 18 th September 2018 of appointments appropriately spaced of appointments spaced too closely to each other of appointments spaced too far away from each other ID: 933911
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Slide1
Head and Neck Cancer 5 Year follow up Audit of patient outcomes
Tom Walker
Head and Neck SSG, 18
th
September 2018
Slide2% of appointments appropriately spaced
% of appointments spaced too closely to each other% of appointments spaced too far away from each otherPatients who died74.58% 23.73%1.69% Patients who survived66.12% 24.79%9.09%
Table to demonstrate the spacing of appointments in the group of patients who survived the 5 year follow up (10 patient records) and the patients who died during the 5 year follow up (10 patient records) according to the NCCN guidelines 2016
Comment: Could the percentage of appropriately spaced appointments be higher in the group of patients who died because there was an awareness that these patients were more likely not to do as well?
Slide3Bar chart demonstrating the pathological features of the squamous cell carcinomas of patients who died in the 5 year follow up
Slide4Bar chart demonstrating the pathological features of the squamous cell carcinomas of patients who survived the 5 year follow up
There are no patients with vascular invasion in the ‘survived’ group. Histopathology may be a way to categorise patients for follow up.
Slide5Pie chart demonstrating the outcomes of each individual appointment for those patients who died during the 5 year follow up
* R/V means no issues/intervention and to see again as planned
Slide6Pie chart demonstrating the outcomes of the individual appointments
for those
patients who survived during the 5 year follow up Comment: patients in the ‘survived’ group had less interventions/investigations than those patients in the ‘died’ group
Slide7Bar chart demonstrating the frequency of symptomatic and asymptomatic issues within the died and survived group
Comment: The difference in the number of symptomatic issues is small and may not be significant, or it may represent 2 types of patients; those that identify and act on symptomatic issues and those that do not, and the effect of this behaviour on survival. To discuss the higher number of asymptomatic issues in the ‘died’ group.