Site specific - Upper GI

It is important to note that all ‘Liver and Cholangiocarcinoma’ cancers are now to be reported within the ‘Liver’ section of COSD.

All staging should now be recorded using the ‘CORE – Staging’ section, using UICC TNM v8.

ICD-10 codes

Note:

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

National Cancer Audit Collaborating Centre (NATCAN)

Future contracting of NOGCA

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 NOGCA.

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

This is a child of ‘Core - Treatment - Surgery’, and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

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

Non Curative Intent Reason (Upper GI)

Record the reason why the patient was taken to theatre for curative intent, but intraoperative findings prevent surgery.

Notes:

• 4, 5 and 6 have been retired
• 7 and 8 are new selections from v10

This is a child of ‘CORE – Treatment’, and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

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

Post Operative Tumour Site (Upper GI)

The main cancer site for which the patient is receiving care, as established in the resected specimen. Please note that “Cardia” should no longer be used to describe adenocarcinomas located at the gastro-oesophageal junction. Instead, these tumours should be described by the appropriate Siewert type.

This is to carry surgical complication details for ‘Upper GI – Esophageal Database (ESODATA)’ as specified. This is a child of ‘Core - Treatment - Surgery’ and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

May be up to one occurrence per CORE Treatment group (0..1)

Start of Repeating Item - Surgical Complications - International Esophageal Database (ESODATA)

End of Repeating Item - Surgical Complications - International Esophageal Database (ESODATA)

Start of Section - Surgical Complications Leak Severity Type (0..1)

End of Section - Surgical Complications Leak Severity Type

Start of Section - Surgical Complications Conduit Necrosis/Failure Type (0..1)

End of Section - Surgical Complications Conduit Necrosis/Failure Type

Start of Section - Surgical Complications Recurrent Laryngeal Nerve Injury Involvement Type (0..1)

End of Section - Surgical Complications Recurrent Laryngeal Nerve Injury Involvement Type

Start of Section - Surgical Complications Chyle Leak Severity Type (0..1)

End of Section - Surgical Complications Chyle Leak Severity Type

Start of Repeating Section - Surgical Complications Additional Complications (0..*)

End of Repeating Section - Surgical Complications Additional Complications

Surgical Complications – International Esophageal Database (ESODATA)

The types of complications as defined in the International Esophageal Database (ESODATA)

This list has been compiled by the Esophageal Complications Consensus Group (ECCG)

Notes:

• the following is the start of a repeating section – ‘Surgical Complications Leak Severity Type’
• this will link both the complication and the type
• these data items are mandatory within the section, therefore you cannot submit this section without all data being reported

Surgical Complications – International Esophageal Database (ESODATA)

The specified type of complication as defined in the International Esophageal Database (ESODATA).

Leak Severity Type

Record the severity of the leak

Notes:

• the following is the start of a repeating section – ‘Surgical Complications Conduit Necrosis/Failure Type’
• this will link both the complication and the type
• these data items are mandatory within the section, therefore you cannot submit this section without all data being reported

Surgical Complications – International Esophageal Database (ESODATA)

The specified type of complication as defined in the International Esophageal Database (ESODATA).

Conduit Necrosis/Failure Type

Record the conduit necrosis/failure type

Notes:

• the following is the start of a repeating section – ‘Surgical Complications Recurrent Laryngeal Nerve Injury Involvement Type’
• this will link both the complication and the type
• these data items are mandatory within the section, therefore you cannot submit this section without all data being reported

Surgical Complications – International Esophageal Database (ESODATA)

The specified type of complication as defined in the International Esophageal Database (ESODATA).

Recurrent Laryngeal Nerve Injury Involvement Type

Record any recurrent laryngeal nerve injury involvement type

Notes:

• the following is the start of a repeating section – ‘Surgical Complications Chyle Leak Severity Type’
• this will link both the complication and the type
• these data items are mandatory within the section, therefore you cannot submit this section without all data being reported

Surgical Complications – International Esophageal Database (ESODATA)

The specified type of complication as defined in the International Esophageal Database (ESODATA).

Chyle Leak Severity Type

Record any Chyle leak severity type

Notes:

• the following is the start of a repeating section – ‘Surgical Complications Additional Complications’
• this will allow for any additional complications to be recorded
• these data items are mandatory within the section, therefore you cannot submit this section without all data being reported

Surgical Complications – International Esophageal Database (ESODATA)

The specified type of complication as defined in the International Esophageal Database (ESODATA).

Additional Complications

If ‘other complications’ selected, state any complications that is not in the ECCG recommended complications list above?

Clavien-Dindo Classification of Surgical Classifications

Record the overall grade as per the Clavien-Dindo Classification of Surgical Classifications.

Note:

• it is noted that the name is misspelt in v9. this will be corrected in v10 to ‘Clavien-Dindo Classification of Surgical Classifications’

This is to carry surgery outcome measures for ‘Upper GI – Esophageal Database (ESODATA)’ as specified. This is a child of ‘Core - Treatment - Surgery’, and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

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

Change in Level of Care

Record if there was any change in the level of care required for the patient?

Blood Product Utilisation

Record if there were any blood products required?

Number of Units Transfused

Record the number of units of blood transfused.

This is to carry surgery procedure details, for ‘Upper GI – Oesophagectomy’ as specified. This is a child of ‘Core - Treatment - Surgery’, and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

May be up to one occurrence per CORE – Treatment – Surgery (0..1)

Surgical Approach Type

Record the type surgical approach used during the Oesophagectomy.

Open Approach Type

Record the type of open surgical approach used during the Oesophagectomy.

Minimally Invasive Approach Type

Record the type of minimally invasive approach used during the Oesophagectomy.

Anastomosis Type

Record the type of anastomosis used during the Oesophagectomy.

Oesophageal Conduit Type

Record the type of oesophageal conduit used during the Oesophagectomy.

Neck Dissection

Record if there was any neck dissection during the Oesophagectomy.

This is to carry surgery details for Upper GI, as specified. This is a child of ‘Core - Treatment - Surgery’, and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

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

Surgical Palliation Type

This is a mandatory data item. Record the type of surgical palliation performed if any, for example Hepaticojejunostomy.

To carry surgery details for Endoscopic and Radiological procedures for Upper GI, as specified. This is a child of ‘Core - Treatment - Surgery’, and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

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

Start of Repeating Item - Endoscopic Procedure Type

End of Repeating Item - Endoscopic Procedure Type

Endoscopic Procedure Type

This is a mandatory data item. The main endoscopic procedures carried out. More than one procedure can be entered. This is a repeating data item.

To carry surgery details for Endoscopic and Radiological procedures for Upper GI, as specified. This is a child of ‘Core - Treatment - Surgery’, and will mandate:

• the date the treatment started
• the treatment modality
• the organisation that provided the treatment

It is possible that some legacy data may not have all the required mandatory fields. The recommendation is for Trusts to update their data to meet the new requirements and improve/enrich their data submissions, or not upload the legacy data items in the new record (if that data is not available).

May be up to one occurrence per CORE – Treatment – Surgery (0..1)

Start of Repeating Item - Endoscopic/Radiological Complications Type

End of Repeating Item - Endoscopic/Radiological Complications Type

Endoscopic or Radiological Type Complication

This is a mandatory data item. The types of complications that the patient experiences during the admission for the endoscopic procedure. More than one option can be selected.