Impact of template-based synoptic reporting on completeness of surgical pathology reports.

Schaad, Nicole; Berezowska, Sabina; Perren, Aurel; Hewer, Ekkehard Walter (2024). Impact of template-based synoptic reporting on completeness of surgical pathology reports. Virchows Archiv, 484(1), pp. 31-36. Springer 10.1007/s00428-023-03533-6

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Synoptic reporting increases completeness and standardization of surgical pathology reports and thereby contributes to an increased quality of clinical cancer care. Nevertheless, its widespread practical implementation remains a challenge, which is in part related to the effort required for setup and maintenance of database structures. This prompted us to assess the effect of a simple template-based, database-free system for synoptic reporting on completeness of surgical pathology reports. For this purpose, we analyzed 200 synoptic reports (100 colon and 100 lung cancer resections each) for completeness as required by the pertinent College of American Pathologists (CAP) protocols and compared these to a control dataset of 200 narrative reports. Introduction of template-based synoptic reporting resulted in improved completeness (98% of mandatory data elements) as compared to narrative reports (77%). Narrative reports showed a high degree of completeness for data elements covered by previously existing dictation templates. In conclusion, template-based synoptic reporting without underlying database structure can be a useful transitory phase in the implementation of synoptic reporting. It can result in a similar degree of completeness as reported in the literature for database solutions and provides other benefits of synoptic reporting while facilitating its implementation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Pathology > Cytopathology
04 Faculty of Medicine > Service Sector > Institute of Pathology > Clinical Pathology
04 Faculty of Medicine > Service Sector > Institute of Pathology

UniBE Contributor:

Schaad, Nicole Andrea, Berezowska, Sabina Anna, Perren, Aurel, Hewer, Ekkehard Walter

Subjects:

500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health

ISSN:

0945-6317

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

06 Apr 2023 10:44

Last Modified:

17 Jan 2024 00:11

Publisher DOI:

10.1007/s00428-023-03533-6

PubMed ID:

37017774

Uncontrolled Keywords:

Colon cancer Lung cancer Structured reporting Synoptic reporting

BORIS DOI:

10.48350/181546

URI:

https://boris.unibe.ch/id/eprint/181546

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