Summit update December 2017: progress towards optimal care
Victorian Oesophagogastric Cancer Audit
Improving the multidisciplinary meeting capture rate and timeliness of care for patients with oesophagogastric cancer is a priority for the 2018 Victorian Optimal Care Pathway Program. To inform this work Integrated Cancer Services (ICS) collected data on:
- The percentage of patients who have multidisciplinary meeting review.
- The key characteristics of patients who have multidisciplinary meeting review and those who do not.
- Timeliness of care in relation to the optimal care pathway recommendations.
The medical record audit included patients diagnosed with oesophagogastric cancer between 1 July and 31 December 2016 who were admitted to a Victorian public health service. Centralised analysis of this data will allow for mapping of patients’ full pathway of multidisciplinary meeting care across different Victorian regions.
Preliminary state-wide data
For local data please contact your ICS.
A state-wide audit report is being prepared. For further details contact Jane Weber, Senior Project Officer, Department of Health & Human Services – Cancer Strategy & Development.
Need more information? Read the Oesophagogastric Cancer Summit Newsletter or watch the summit data presentation.
Watch the Oesophagogastric Cancer Summit presentation:
Have a question? Contact Amy Sutherland
About the summit
Improving outcomes for people with oesophagogastric cancer is particularly challenging. Chances for early detection are slim and many present at a late stage of disease. Eighty members of oesophagogastric cancer multidisciplinary teams across Victoria gathered together on the August 26 2016 to review variations in care and identify opportunities to improve the outcomes and experiences of care.
The scene was set by three senior UGI surgeons; Professor Robert Thomas, Chief Cancer Advisor to the Department of Health & Human Services; Mr Paul Cashin of Monash Health and Mr Ahmad Aly of Austin Health.
Professor Thomas opened the event highlighting the importance of the multidisciplinary team approach to cancer care and introducing the optimal care pathway for people with oesophagogastric cancer as an important document that sets a common understanding of what care to expect at different points in the cancer journey. Mr Cashin welcomed the participants and set the task of identifying opportunities for improving outcomes and the organisation of care for Victorians diagnosed with oesophagogastric cancer. Mr Aly presented available data about the current state of oesophagogastric cancer care and outcomes in Victoria.
Observed variations in data for oesophagogastric cancers in Victoria
- Trend for improving survival in both oesophageal and gastric cancer over the last 30 years with 1-year relative survival increasing from around 35% to around 55%.
- Regional variation in 5-year survival which seems to correlate with socio-economic status, higher rate of presentations with metastatic disease and utilisation of surgery and neoadjuvant therapy.
- Time to surgery and chemotherapy is longer than optimal timeframe of 28 days (up to 71 days from diagnosis to surgery and up to 50 days from diagnosis to adjuvant chemoradiation).
- Only 60% of patients have treatment planned formally by a multidisciplinary team.
- There are lower rates of multidisciplinary meeting discussion for regional / rural patients.
- Documentation of staging at multidisciplinary meeting sits at 53% for the state.
- 63% of patients with oesophageal cancer had an oesophagectomy in their ICS of residence and 75% had first chemotherapy in their ICS of residence.
- 73% of patients with gastric cancer had a gastrectomy in their ICS of residence and 81% had first chemotherapy in their ICS of residence.
Oesophagogastric Cancer Summit working party
|Mr Ahmad Aly||Dr Peter Briggs||Mr Paul Burton|
|Mr Paul Cashin||Mr Gary Crosthwaite||Mr David Deutscher|
|Mr Cuong Duong||Dr Samuel Harris||Mr Matthew Leong|
|Prof Trevor Leong||Mr Kiat Lim||A/Prof Sue-Anne McLachlan|
|A/Prof Peter Nottle||Mr John Spillane||Dr Niall Tebbutt|
|Dr Zee Wan Wong|
|Ms Mirela Matthews||Ms Amy Sutherland||Mr Luc te Marvelde|
|Mr Don Vincendese||Ms Ella Stuart||Ms Megan Dendle|
Ph: 03 9496 3213