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Quality indicators for operative reporting in transanal endoscopic surgery
Garrett G R J Johnson1, Reagan L Robertson1, Ashley Vergis2
1From the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Robertson, Vergis); and the Clinician Investigator Program, University of Manitoba, Winnipeg, Man. (Johnson).
Standardizing transanal endoscopic surgery (TES) reporting is crucial for consistent patient care. A Delphi process involving Canadian stakeholders developed a new TES synoptic report template to improve communication.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Health Informatics
Background:
- Transanal endoscopic surgery (TES) platforms are increasingly used for rectal lesion excision.
- Perioperative decision-making in TES can be variable, highlighting a need for standardized reporting.
- Synoptic operative reports are effective communication tools but have not been previously applied to TES.
Purpose of the Study:
- To develop a standardized synoptic operative report template for transanal endoscopic surgery (TES).
- To improve perioperative communication and care consistency for patients undergoing TES.
Main Methods:
- A Delphi process was employed with 15 stakeholders from across Canada.
- Participants contributed items across six categories: team characteristics, patient demographics, preoperative work-up, lesion characteristics, procedure details, and postoperative details.
Main Results:
- A total of 26 surgeon-entered and 41 auto-populated items were included in the final synoptic report.
- The developed template aims to standardize the reporting of TES procedures.
Conclusions:
- The newly developed synoptic reporting template for TES can enhance perioperative communication.
- Standardization of TES reporting is a significant step towards improving patient care and outcomes.
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