Oesophago-gastric cancer report (NOGCA / NATCAN)

Reports | Published: 09 Jan 2025

The National Oesophago-Gastric Cancer Audit (NOGCA), which is part of the National Cancer Audit Collaborating Centre (NATCAN), has published a report on care received by people diagnosed with oesophageal and gastric cancer between 1 April 2021 to 31 March 2023 in England and Wales.

For people who have surgery with curative intent, rates of survival remain at a consistently high standard

This report finds that 1 in 5 people (21% in England, 18% in Wales) diagnosed with OG cancer were diagnosed after an emergency admission, with almost half diagnosed with either stage 4 (37% in England, 32% in Wales) or did not have their stage recorded (17% in England, 11% in Wales). Other findings include:

  • Almost three-quarters of people with OG cancer were diagnosed within 28 days of referral
  • 26% of people in England and 33% in Wales, who underwent disease-targeted treatment, received this treatment within 62 days of referral
  • Rates of survival following surgery for OG cancer were 96% at 90 days after surgery, and 83% (England) and 87% (Wales) at one year.

For the first time, the audit has derived its indicators using information that is routinely collected by the NHS as part of care provided, rather than data collected specifically for the audit – to minimise the burden of data collection on hospital staff. This report provides a picture of how NHS OG cancer services are performing in relation to five quality improvement goals developed in 2023-24. For people who have surgery with curative intent, rates of survival remain at a consistently high standard. But the reduced number of surgical outcomes reported this year illustrates the challenges encountered in moving to using routine cancer data sources. The report also reveals that there is large variation across regions in England and Wales in the length of time that people wait from diagnosis to treatment.

Read the full report: You can see all key findings and read the report in full by clicking on the link below.

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Further data: You can access data dashboards on each of the cancer audits within NATCAN here: www.natcan.org.uk/reports/natcan-quarterly-data-dashboards.

More information: For further information, go to the programme page on this website.

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Oesophago-gastric cancer report (NOGCA / NATCAN)