Table 3.
Patterns of care for patients having curative surgery for oesophagogastric cancer by time period and tumour site
| 2012–2014 | 2014–2016 | 2016–2018 | 2018–2020 | |
|---|---|---|---|---|
| Oesophagectomy, n | 3071 | 3078 | 2765 | 2557 |
| Neoadjuvant therapy, n (%) | 2151 (70.0) | 2090 (67.9) | 1904 (68.9) | 1878 (73.5) |
| Main procedure | ||||
| ȃThoracoabdominal | 309 (10.1) | 283 (9.2) | 181 (6.6) | 161 (6.3) |
| ȃTwo-phase | 2517 (82.0) | 2473 (80.3) | 2369 (85.7) | 2221 (86.9) |
| ȃThree-phase | 144 (4.7) | 197 (6.4) | 153 (5.5) | 136 (5.3) |
| ȃTranshiatal | 101 (3.3) | 125 (4.1) | 62 (2.2) | 39 (2.5) |
| Surgical access | ||||
| ȃOpen | 1675 (58.5) | 1639 (57.7) | 1367 (51.7) | 1150 (47.0) |
| ȃHybrid | 771 (26.9) | 867 (30.5) | 789 (29.9) | 745 (30.4) |
| ȃLaparoscopic completed | 290 (10.1) | 256 (9.0) | 412 (15.6) | 450 (18.4) |
| ȃLaparoscopic converted | 129 (4.5) | 81 (2.9) | 75 (2.8) | 65 (2.7) |
| ȃRobotic | 0 | 0 | <5 | 37 (1.6) |
| ȃMissing | 206 | 235 | 120* | 110 |
| Gastrectomy | 1735 | 1606 | 1481 | 1357 |
| Neoadjuvant therapy | 801 (46.2) | 673 (41.9) | 618 (41.7) | 695 (51.2) |
| Main procedure | ||||
| ȃTotal gastrectomy | 794 (45.8) | 673 (41.9) | 700 (42.3) | 640 (47.2) |
| ȃExtended gastrectomy | 122 (7.0) | 143 (8.9) | 127 (8.6) | 125 (9.2) |
| ȃProximal | 28 (1.6) | 37 (2.3) | 24 (1.6) | 16 (1.2) |
| ȃDistal gastrectomy | 733 (42.3) | 714 (44.5) | 587 (39.6) | 556 (41.0) |
| ȃOther | 58 (3.4) | 39 (2.5) | 43 (2.9) | 20 (1.5) |
| Surgical access | ||||
| ȃOpen | 1481 (85.4) | 1346 (83.8) | 1213 (82.0) | 1079 (80.1) |
| ȃLaparoscopic completed | 207 (11.9) | 219 (13.6) | 237 (16.0) | 248 (18.4) |
| ȃLaparoscopic converted | 47 (2.7) | 41 (2.6) | 29 (2.0) | 20 (1.5) |
| ȃRobotic | 0 | 0 | 0 | <5 |
| ȃMissing | 0 | 0 | 2 | 10* |
| Surgical volumes | ||||
| ȃNHS organizations performing surgery | 56 | 66 | 51 | 57 |
| ȃMedian number of patients per organization over 2 years (i.q.r.) | 84.5 (28–129.5) | 72 (1–113) | 87 (36–127) | 64 (2–105) |
Values are n (%) unless otherwise stated. Data suppression applied to small numbers (<5) and percentages calculated treating suppressed values as 0. *Rounded to the nearest 5. NHS, National Health Service; i.q.r., interquartile range.