KEY TAKEAWAYS
- The study aimed to assess how a computer synoptic operative report improves the quality and completeness of surgical reporting for advanced ovarian cancer procedures.
- The results demonstrated notable enhancements in the completeness and quality of surgical documentation for advanced ovarian cancer procedures.
Alice Bedel and the team conducted a study that aimed to assess how a computer synoptic operative report improves the thoroughness and quality of surgical reporting for advanced ovarian cancer procedures.
The study was undertaken at a tertiary cancer center from January 2016 to September 2021, with the implementation of the computer synoptic operative report in May 2019. They compared two cohorts: the first before (P1), where surgeons dictated reports freely, and the second after (P2), where all surgeons used the computer synoptic report.
The analysis included 227 operative reports: 104 in Period 1 (P1) and 123 in Period 2 (P2). In P1, 54 out of 104 patients (52%) underwent interval surgery after six chemotherapy cycles. Conversely, in P2, all interval debulking surgeries occurred after fewer than six cycles (P<0.001). Although more frequent in P2, primary debulking surgery rates were similar between groups. The median intra-operative peritoneal carcinomatosis index was higher in P2 (2 vs 4, P<0.001), while mean blood loss was higher in P1 (308 mL vs 151 mL, P<0.001). Complete cytoreduction rates were comparable (97% vs 87%, P=0.6).
The median hospital stay was about 12 days in P1 and 16 days in P2 (P=0.5). P2 exhibited higher compliance with all eight significant items, present in 66% of reports compared to none in P1. Compliance rates for specific items were histology (76% vs 97%), CA125 (63% vs 89%), type of surgery (38% vs 100%), peritoneal carcinomatosis index (21% vs 100%), complete cytoreduction score (36% vs 99%), International Federation of Obstetrics and Gynecology stage (24% vs 100%), Aletti score (0% vs 89%), and blood loss (32% vs 98%) for P1 and P2, respectively.
The study concluded that implementing the computer synoptic operative report enhanced the thoroughness and caliber of surgical information recorded during advanced ovarian cancer procedures. No funding was provided for the study.
Source: https://ijgc.bmj.com/content/early/2024/02/08/ijgc-2023-004947
Bedel A, Blache G, Jauffret C, et al. (2024)’’ A computer synoptic operative report versus a report dictated by a surgeon in advanced ovarian cancerInternational Journal of Gynecologic Cancer Published Online First: 08 February 2024. doi: 10.1136/ijgc-2023-004947.
