Site specific - Colorectal

ICD-10 CODES

Note:

• please refer to Appendix A and B for site specific registerable ICD codes for colorectal cancer patients

National Cancer Audit Collaborating Centre (NATCAN)

Future contracting of NBOCA

The contract for the National Gastrointestinal Cancer Audit Programme (GICAP) at the Royal College of Surgeons of England, which is made up of NBOCA and the National Oesophago-Gastric Cancer Audit (NOGCA), comes to an end on 31 May 2023. From 1 June 2023 both NBOCA and NOGCA will move into the National Cancer Audit Collaborating Centre (NATCAN) at the Clinical Effectiveness Unit (CEU) of the Royal College of Surgeons of England (RCS England).

Part of the rationale for this is to reduce the burden of data collection and reporting across the NHS. As a result, all data moving forward will be from existing data sources. It is important therefore for Trusts to collect all the site specific data items within COSD, as these will form a large part of future analysis by NBOCA.

More information about NATCAN can be found via their official website.

This section is a child of 'CORE Diagnosis'

May be up to one occurrence per Core - Diagnosis- (0..1)

Start of repeating item - 'Synchronous Tumour Indicator'

End of repeating item - 'Synchronous Tumour Indicator'

Synchronous Tumour Indicator

Record any synchronous tumours in the Colon as identified by the clinician at presentation. Synchronous tumours are defined as discrete tumours apparently not in continuity with other primary cancers originating in the same site or tissue, multiple synchronous tumours can be reported.

Tumour Height Above Anal Verge

Record the approximate height in centimetres of the lower limit of the tumour above anal verge as measured by rigid sigmoidoscopy or MRI only.

Note:

• this is for rectal cancer only and is supported by the NBOCA data entry system which only allows entries for HAAV for IDC10 and major site C20 (Malignant neoplasm of rectum)

This section is a child of 'Core - Clinical Nurse Specialist + Risk Factor' required to carry details of Clinical Nurse Specialist type (specific to Colorectal Cancers).

May be multiple occurrences as per Core - Clinical Nurse Specialist + Risk Factor (0..*)

Clinical Nurse Specialist Type

Record the type of Clinical Nurse Specialist assigned to the patient during their treatment pathway.

This is a new section in v10 and is required to carry details of the surgical urgency type specific for Colorectal Cancers. This section is a child of 'Core Treatment - Surgery'

May be up to one occurrence per - Core Treatment - Surgery (0..1)

Surgical Urgency Type

This is a new data item for v10. Record the type of surgical urgency assigned to the patient during their treatment pathway.

This data item was requested to support the National Bowel Cancer Audit.

Additional supporting notes:

• IMMEDIATE – Immediate life, limb, or organ-saving intervention – resuscitation simultaneous with intervention
  • normally within minutes of decision to operate
  • life-saving
    • other; for example, limb or organ saving
• URGENT – Intervention for acute onset or clinical deterioration of potentially life-threatening conditions, for those conditions that may threaten the survival of limb or organ, for fixation of many fractures and for relief of pain or other distressing symptoms
  • normally within hours of decision to operate
• EXPEDITED – Patient requiring early treatment where the condition is not an immediate threat to life, limb, or organ survival
  • normally within days of decision to operate
• ELECTIVE – Intervention planned or booked in advance of routine admission to hospital
  • timing to suit patient, hospital, and staff

Whilst it is recognised that additional categories or sub-categories could be defined it is important that the classification remains as simple as possible to use. Please refer to the National Confidential Enquiry into Patient Outcome and Death website for more information