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PTH-150 Improving Early Diagnosis of Oesophago-Gastric Cancers; A DGH Experience Pre and Post ‘Be Clear On Cancer’ Campaign
  1. MA Alam,
  2. A Sajjad,
  3. A Dixon,
  4. D Das,
  5. M Kasimanickam
  1. Gastroenterology, Kettering General Hospital, Kettering, UK

Abstract

Introduction Public health England launched a national campaign to raise awareness of oesophago-gastric cancers from 26 Jan – 22 Feb 2015. This was based on seven local projects across England between April – July 2012 which showed 26% statistically significant increase in 2 WW (Two week wait) referrals for suspected upper gastro-intestinal cancers Vs 16% increase in control area, 20% increase in oesophageal cancer diagnoses, 9% increase in overall diagnoses of Upper GI cancers with a small decrease in conversion rate. Our study looked at effect of this campaign in a DGH setting.

Methods To analyse the impact we collected data of all patients undergoing Upper GI endoscopy following 2 WW referrals from March to August 2015 (post campaign) and compared with the same time previous year 2014 (pre campaign) by identifying through electronic endoscopic reporting (Adam). We looked at indication, age, sex, endoscopic finding and histological confirmation reports.

Results 524 patients referred in 2015 on 2 WW pathway compared to 329 patients during the same time of year in 2014 resulting in 59% increase in endoscopy load. 50% increase in diagnoses of any upper GI cancer (24 Vs 16) and 7.7% increase in oesophageal cancer (14 Vs 13). Interestingly 10 gastric cancers were identified compared to 3 in 2014. Conversion rate of 5% was seen resulting in diagnoses of any upper GI cancer compared to 4.9% in 2014. 2.7% of referrals for suspected upper GI cancer resulted in diagnoses of oesophageal cancer in 2015 compared to 4% in 2014.

Conclusion Positive impact of campaign on early diagnoses of upper GI cancer with statistically significant increase in endoscopy burden. There were marginal raise in detection of oesophageal cancer and phenomenal increase in gastric cancer while the conversion rate decreased.

Disclosure of Interest None Declared

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