Uptake and impact of synoptic reporting in a community care setting

American Journal of Surgery
Jordan Lang EngEric Cai

Abstract

Breast cancer surgeries have traditionally been documented in narrative reports. Narrative reports have been shown to be incomplete. Synoptic reports utilize standardized templates to record data and have emerged as an alternative to narrative reports. This study evaluates the uptake and impact of synoptic reporting for breast cancer surgery in a community care setting. A retrospective review of operative reports documenting breast cancer surgeries over a consecutive 3-year period. 772 narrative reports and 158 synoptic reports were reviewed. Synoptic reports were associated with a higher degree of overall completeness (60% vs 45%) when compared to narrative reports. 6 out of 7 surgeons that produced at least 5 synoptic and 5 narrative reports had increases in completeness with use of synoptic reporting. Use of synoptic reporting improves breast cancer operative report completeness and decreases superfluous content when compared to narrative reports. While synoptic report uptake during the study period was suboptimal there exists several means by which it can be improved, including investment in information technology infrastructure and emphasis on stakeholder engagement.

References

Nov 26, 2003·World Journal of Surgery·Geoffrey A Porter, Heather McMulkin-Tait
Oct 7, 2004·Annals of Surgical Oncology·Ibrahim EdhemovicGavin C E Stuart
Nov 11, 2005·The Milbank Quarterly·Avedis Donabedian
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Jan 12, 2012·Journal of Surgical Oncology·Laura DonahoeGeoff Porter
Jul 10, 2017·The Breast : Official Journal of the European Society of Mastology·Jordan Lang EngEric Cai

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Citations

Aug 21, 2019·The Australasian Journal of Dermatology·Samantha CabreraWilliam Ryman
Nov 20, 2021·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Nicole ConcinJan Persson

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