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Implementation of Synoptic Reports in Enhancing Documentation Practices in Pediatric Surgical Oncology: A Systematic

Aydin Unal1, Derek Harrison2, Amos Hong Pheng Loh3,4

  • 1Department of Surgery, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.

Cancers
|March 28, 2026
PubMed

Insights

Synoptic operative reports significantly enhance documentation completeness in pediatric oncology surgery compared to narrative reports. Wider adoption is needed to bridge the translational gap in this field.

Area of Science:

  • Pediatric Surgical Oncology
  • Medical Informatics
  • Health Services Research

Background:

  • Evidence for synoptic reporting in adult surgical oncology is robust.
  • The evidence base for pediatric surgical oncology is limited and institution-specific.
  • A critical translational gap exists in pediatric surgical oncology documentation.

Purpose of the Study:

  • To evaluate the implementation and effectiveness of synoptic operative reports (SR).
  • To compare documentation completeness of SRs versus traditional narrative reports (NR) in pediatric oncology surgery.

Main Methods:

  • Systematic review of prospective and retrospective studies.
  • Searched PubMed, Scopus, and Web of Science for relevant literature.
  • Included 4 studies analyzing 341 operative reports (217 NRs, 124 SRs).

Main Results:

  • Synoptic reports were associated with a tenfold increase in documentation completeness.
  • Pooled odds ratio for NR vs. SR was 0.10 (95% CI, 0.07-0.14; p < 0.001).
  • Documentation completeness was the primary outcome measure.

Conclusions:

  • Synoptic reporting significantly improves pediatric oncologic operative documentation completeness.
  • Adoption of synoptic reporting in pediatric surgical oncology remains limited.
  • Further multicenter research is needed on scalability, EMR integration, and clinical impact.
Abstract

Keywords:
pediatric cancer surgerypediatric surgical oncologystructured documentationsynoptic operative reports

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