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Reporting Margin Status in Synoptic Reports.

Andrew A Renshaw¹, Mercy Mena-Allauca¹, Edwin W Gould¹

¹All authors: Baptist Hospital and Baptist Health of South Florida Healthcare System, Miami, FL.

JCO Clinical Cancer Informatics

|January 19, 2019

Summary

This summary is machine-generated.

Reporting colonic carcinoma margins as "Free" or "Positive" in synoptic reports significantly improves accuracy and speed. This preferred format enhances information retrieval for cancer registrars and medical personnel.

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Area of Science:

Medical Informatics
Oncology Reporting
Pathology Informatics

Background:

Synoptic reports are crucial for accurate and efficient medical information retrieval.
The format of these reports can impact reader performance, including accuracy and speed.
Standardized reporting formats are essential in oncology for consistent patient care.

Purpose of the Study:

To compare the effectiveness of different synoptic report formats for conveying colonic carcinoma margin status.
To evaluate how report formatting influences information retrieval accuracy and speed among nonpathologists.

Main Methods:

17 nonpathologists (cancer registrars, medical/nonmedical personnel) participated.
Performance was assessed using four computerized quizzes measuring accuracy and speed.
Various synoptic report formats for margin status were evaluated.

Main Results:

Reporting margins as "Free" or "Positive" was significantly faster (17%) and more accurate (99% vs. 98%) than the standard "Involved/Uninvolved" format.
Fewer errors were observed with the "Free/Positive" format, particularly in later stages of testing, suggesting fatigue may influence standard format errors.
All users expressed a preference for the "Free" and "Positive" terminology over the standard wording.

Conclusions:

The "Free" and "Positive" terminology for reporting colonic carcinoma margin status in synoptic reports enhances user preference, accuracy, and speed.
This simplified format improves information retrieval efficiency, potentially reducing errors associated with reader fatigue.
Adopting "Free/Positive" reporting can optimize synoptic reports in oncology for better clinical decision-making.