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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.
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.
Purpose:
The purpose of this study was to audit paediatric surgical oncology dictations to evaluate completeness and ease of data collection and provide a baseline measurement for the implementation of synoptic operative reports (SORs) in a tertiary care setting.
Methods:
An audit tool based on Children's Oncology Group (COG) protocols was created to assess the completeness of surgical and tumour-specific data within operative reports. Audited cases included four paediatric tumours of interest (Germ Cell, Wilms, Neuroblastoma, and Hepatoblastoma) between 2010 and 2023.
Results:
Overall, 71 audits were performed, the majority being Wilms Tumour cases (45.1 %), followed by Neuroblastoma (29.6 %), Germ Cell (18.3 %), and Hepatoblastoma (7.0 %). The average percentage of complete data for operative reports was low; the mean completeness of general oncological information for all tumour types was 66.0 %, and tumour-specific details were 42.0 %. Ovarian Germ Cell Tumour had the highest average percentage of complete data (65.9 %), followed by Wilms Tumour (58.7 %), Testicular Germ Cell Tumour (43.0 %), Neuroblastoma (15.0 %), and Hepatoblastoma (9.5 %). The median data collection time was 6.0 min per audit. The median time from the operation to the transcription of the report was 1.0 days (interquartile range (IQR): 1.0-7.0).
Conclusion:
Narrative operative reports have inadequate completeness, especially concerning tumour-specific factors, which are often essential in accurate diagnosis, and in guiding treatment for children with cancer. SORs could be a solution and aid in the completeness and accessibility of data use.
Type Of Study:
Retrospective review.
Level Of Evidence (I-V):
IV.
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