Thirty-day mortality after endometrial cancer surgery in England, 2000 to 2009

Trust-level variations in 30-day post-operative mortality for endometrial cancer, for England for 2000 to 2009, were shown in the paper: Gildea C, Nordin A, Hirschowitz L, Poole J. Thirty-day postoperative mortality for endometrial carcinoma in England: a population-based study. BJOG 2016; DOI: 10.1111/1471-0528.13917 

This analysis adjusted for variations in post-operative mortality by year of diagnosis, age at diagnosis, deprivation quintile of residence, disease stage and tumour grade, with full details of the methods available in the paper. A data briefing reports a short summary of the main variations by these factors.

The funnel plot below shows these trust-level variations in 30-day case-mix adjusted post-operative mortality rates for endometrial carcinoma, 2000 to 2009. One trust had a post-operative mortality rate which was higher than expected, based on the number of women receiving surgery and the national post-operative mortality rate (0.61%). A further 11 trusts had slightly higher than expected post-operative mortality rates. These 12 trusts are indicated on the plot, and their details are provided in the table below. These results reflect the overall post-operative mortality rates for the period 2000 to 2009. However, there have been a number of changes to clinical care over this period and in the years since then, which could affect the national post-operative mortality rate and trust-level variations.

Endometrial cancer postop mortality outliers

Trust codeTrust nameNumber of surgically treated patients30-day adjusted post-operative mortality rate (%)
RMC Royal Bolton Hospital NHS Foundation Trust 170 3.4
5J5 Oldham PCT 28 4.2
RGC Whipps Cross University Hospital NHS Trust 82 2.4
RQM Chelsea and Westminster Hospital NHS Foundation Trust 92 3.1
RN5 Basingstoke and North Hampshire NHS Foundation Trust 94 2.3
RN7 Dartford and Gravesham NHS Trust 96 2.2
RQW The Princess Alexandra Hospital NHS Trust 153 2.1
RBN St Helens and Knowsley Hospitals NHS Trust  209 2.1
RN3 Great Western Hospitals NHS Foundation Trust  209 1.7
RXR East Lancashire Hospitals NHS Trust 293 1.6
RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust 308 1.6
RKB University Hospitals Coventry and Warwickshire NHS Trust 355 1.5