Synoptic operative reporting in cancer surgery: A scoping review

• Published in: The American journal of surgery Vol. 225; no. 5; pp. 878 - 886
• Main Authors: Watanabe, Akie, Nabata, Kylie, Wiseman, Sam M.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2023; Elsevier Limited
• Subjects: Breast cancer; Cancer; Cancer surgery; Colorectal cancer; Completeness; Databases, Factual; Humans; Metastases; Metastasis; Narration; Neoplasms - surgery; Operative reporting; Pancreas; Pathology; Postoperative Care; Reporting completeness; Standardization; Surgical oncology; Synoptic reporting; Systematic review; Thyroid gland; Reporting completeness; NR; Synoptic reporting; BI-RADS; TI-RADS; EMR; NOR; ACR; ACS; CAP; QI; Operative reporting; Surgical oncology; SORs; RFS; SR
• ISSN: 0002-9610; 1879-1883
• DOI: 10.1016/j.amjsurg.2023.01.003

Narrative operative reports (NOR) are important for cancer management but often lack key information. This review investigated the efficacy of synoptic operative reports (SORs) for cancer operations compared to NORs.
A database search included published studies up to October 31, 2021. Overall report completeness and reporting frequencies of cancer elements were descriptively compared between NORs and SORs.
Among 4353 studies, 32 were included. 47% of studies compared NORs to SORs. Overall completeness favored SORs (80 ± 19%) over NORs (47 ± 18%, p < 0.001). Essential cancer operative report elements including tumor location (NOR: 51 ± 28%, SOR: 89 ± 11%, p < 0.001), presence of metastases (NOR: 36 ± 33%, SOR: 96 ± 5%, p < 0.001), and final resection margins (NOR: 39 ± 30%, SOR: 87 ± 17%, p < 0.001) demonstrated higher mean reporting frequencies in SORs.
Overall completeness and reporting of cancer elements were superior in SORs. Although standardization of SORs requires further research, transition from NORs to SORs may improve the quality of postoperative cancer care.
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•Operative reporting has been studied most frequently in rectal and breast cancer.•Synoptic operative reports have better overall reporting completeness.•Most cancer elements are reported more consistently in synoptic operative reports.•Transition to synoptic operative reporting may improve quality of cancer care.