HQIP / Resources / National Bowel Cancer Audit Short Report: Hospital- and surgeon- level volumes for rectal cancer surgery
National Bowel Cancer Audit Short Report: Hospital- and surgeon- level volumes for rectal cancer surgery
Published: 13 Jan 2022
The National Bowel Cancer Audit (NBOCA) has published a short report into hospital and surgeon level volumes for rectal cancer surgery in England and implications for Wales. Based on data between 1 April 2015 and 31 March 2019, the report aims to inform and facilitate further work exploring the relationship between rectal cancer surgery volume and outcome, including appropriate risk-adjustment.
Overall, the report found that most hospitals are performing above the threshold of 10 rectal cancer resections per year as recommended by NICE. However, a significant proportion of surgeons do not meet the recommended threshold of five rectal cancer resections per year. The report’s recommendations include:
Hospitals should review their results for rectal cancer surgery volumes and evaluate their current practice in line with NICE guidelines
Providers should explore how best to appropriately utilise and monitor surgeon-level rectal cancer surgery volumes (i.e. the potential for reporting surgeon-level rectal cancer volumes back to individual hospitals to inform service structure), and
Hospitals should enter multiple consultant surgeons where appropriate to indicate dual consultant operating using the new NBOCA data entry item.
The report goes on to draw a number of conclusions including the fact that clear differences exist in the characteristics and clinical practice of low and high-volume hospitals (with high-volume hospitals more likely to be a comprehensive cancer centre and to perform open and robotic surgery).
Read the full report: You can read the report by clicking on the link below.