West Midlands Cancer Intelligence Unit Opportunities to Work with the WMCIU on Colorectal Cancer Projects 29 March 2010 Dr Gill Lawrence Director, West Midlands Cancer Intelligence Unit Tel: Fax:

West Midlands Cancer Intelligence Unit Ideas for collaborative studies I ● Comparison of data for cases submitted to the National Bowel Cancer Audit Programme with the data recorded at the WMCIU  Data completeness 2007/08  1 WM Trust has not submitted any data  1 WM Trust has 7% case ascertainment  5 WM Trusts have 50-79% case ascertainment  Outcome measures  Permanent stoma rate  Post-operative mortality (30 day)  Post-operative length of stay  1-year survival  5-year survival

West Midlands Cancer Intelligence Unit Ideas for collaborative studies II ● Predictors of outcome and changes over time  Dukes’ stage  Pre-operative radiotherapy  Circumferential margin  Vascular invasion  Median number of nodes examined ● Types of operations carried out and changes over time  Laparoscopic procedures  APER rates  Accuracy of coding  Look at APER/AR ratios?

West Midlands Cancer Intelligence Unit Ideas for collaborative studies III ● Colorectal cancer liver metastases  Surgical resection rates and survival ● Bowel cancer screening histories  Download of screen-detected cancers from Bowel Cancer Screening Computer System (BCSS)  Comparison of screen-detected and symptomatic cancers  Tumour characteristics  Survival rates  Operation type  Caseload  Allocate full screening history to all cases  Non attenders  Interval cancers

West Midlands Cancer Intelligence Unit