Dictation Precision: Evaluating Paediatric Oncology Operative Reports as an Impetus for Synoptic Reports

Alisiya Petrushkevich1, Eliza Livingston1, Jacob Davidson2

  • 1Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.

PubMed

Insights

Paediatric surgical oncology operative reports lack essential data completeness, particularly for tumor-specific details. Synoptic operative reports (SORs) offer a promising solution for improving data accessibility and accuracy in pediatric cancer care.

Area of Science:

  • Paediatric Surgical Oncology
  • Cancer Data Management
  • Clinical Auditing

Background:

  • Operative reports are crucial for cancer diagnosis and treatment guidance.
  • Current narrative reports in paediatric surgical oncology often lack completeness.
  • This study addresses the need for improved data quality in paediatric cancer care.

Purpose of the Study:

  • To audit paediatric surgical oncology dictations for data completeness and ease of collection.
  • To establish a baseline for implementing synoptic operative reports (SORs).
  • To evaluate the quality of operative reports for specific paediatric tumours.

Main Methods:

  • Retrospective audit of 71 paediatric surgical oncology operative reports (2010-2023).
  • Utilized an audit tool based on Children's Oncology Group (COG) protocols.
  • Assessed completeness of general oncological and tumour-specific data for four tumour types: Germ Cell, Wilms, Neuroblastoma, and Hepatoblastoma.

Main Results:

  • Overall data completeness was low (66.0% general oncological, 42.0% tumour-specific).
  • Wilms Tumour (58.7%) and Ovarian Germ Cell Tumour (65.9%) showed higher completeness than Neuroblastoma (15.0%) and Hepatoblastoma (9.5%).
  • Median data collection time was 6 minutes per audit, with reports transcribed a median of 1 day post-operation.

Conclusions:

  • Narrative operative reports in paediatric surgical oncology are inadequate, especially for critical tumour-specific information.
  • Synoptic operative reports (SORs) are proposed as a solution to enhance data completeness and accessibility.
  • Implementing SORs can improve data utilization for diagnosis and treatment planning in paediatric cancer.
Abstract

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