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Updated: Nov 2, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
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Repeat preoperative endoscopy after regional implementation of electronic synoptic endoscopy reporting: a
Garrett G R J Johnson1,2, Harminder Singh3, Ashley Vergis1
1Department of Surgery, Section of General Surgery, University of Manitoba, Winnipeg, MB, Canada.
Surgical Endoscopy
|June 8, 2021
Summary
Mandatory electronic synoptic reporting for endoscopy did not reduce repeat preoperative endoscopy rates for colorectal neoplasms. However, synoptic reports significantly improved the inclusion of key colonoscopy quality indicators.
Area of Science:
- Gastroenterology and Surgical Oncology
- Health Informatics and Quality Improvement
Background:
- Repeat preoperative endoscopy for colorectal neoplasms is a common issue, leading to treatment delays and potential complications.
- Poor communication between endoscopists and surgeons is a contributing factor to repeat endoscopies.
- Electronic synoptic reporting was implemented to standardize endoscopy documentation and improve quality indicator reporting.
Purpose of the Study:
- To evaluate the impact of mandatory electronic synoptic reporting on the rate of repeat preoperative endoscopy for colorectal lesions.
- To assess changes in the inclusion of colonoscopy quality indicators following the implementation of synoptic reporting.
Main Methods:
- Retrospective review of 1690 patients undergoing elective colorectal resection for neoplasms (January 2007-June 2020).
- Comparison of patients with index endoscopies documented via synoptic reports versus narrative reports.
- Primary outcomes: repeat preoperative endoscopy rates and inclusion of quality indicators (photo-documentation, tattoo placement, bowel preparation score).
Main Results:
- The repeat preoperative endoscopy rate was 29.07% for narrative reports and 25.22% for synoptic reports, a non-significant difference.
- Rates of tattoo placement, photo-documentation, and bowel preparation reporting significantly increased with synoptic reports (p ≤ 0.003).
- Repeat endoscopy rates did not decrease even when endoscopies were performed by a practitioner other than the operating surgeon.
Conclusions:
- Electronic synoptic endoscopy reports, based on current guidelines, did not reduce repeat preoperative endoscopy rates for colorectal neoplasms.
- Synoptic reporting significantly enhanced the documentation of essential colonoscopy quality indicators.
- Further research is needed to identify and address guideline deficiencies contributing to persistent repeat endoscopy rates.
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