The utility of synoptic operation reports in colorectal surgery: a systematic review.


Journal

International journal of colorectal disease
ISSN: 1432-1262
Titre abrégé: Int J Colorectal Dis
Pays: Germany
ID NLM: 8607899

Informations de publication

Date de publication:
30 Apr 2024
Historique:
accepted: 15 03 2024
medline: 1 5 2024
pubmed: 1 5 2024
entrez: 30 4 2024
Statut: epublish

Résumé

Accurate documentation is crucial in surgical patient care. Synoptic reports (SR) are structured checklist-based reports that offer a standardised alternative to traditional narrative reports (NR). This systematic review aims to assess the completeness of SR compared to NR in colorectal cancer (CRC) surgery. Secondary outcomes include the time to completion, surgeon satisfaction, educational value, research value, and barriers to implementation. Prospective or retrospective studies that assessed SR compared to NR in colorectal cancer surgery procedures were identified through a systematic search of Ovid MEDLINE, Embase (Ovid), CIHNAL Plus with Full Text (EBSCOhost), and Cochrane. One thousand two articles were screened, and eight studies met the inclusion criteria after full-text review of 17 papers. Analysis included 1797 operative reports (NR, 729; SR, 1068). Across studies reporting this outcome, the completeness of documentation was significantly higher in SR (P < 0.001). Reporting of secondary outcomes was limited, with a predominant focus on research value. Several studies demonstrated significantly reduced data extraction times when utilising SR. Surgeon satisfaction with SR was high, and these reports were seen as valuable tools for research and education. Barriers to implementation included integrating SR into existing electronic medical records (EMR) and surgeon concerns regarding increased administrative burden. SR offer advantages in completeness, data extraction, and communication compared to NR. Surgeons perceive them as beneficial for research, quality improvement, and teaching. This review supports the necessity for development of user-friendly SR that seamlessly integrate into pre-existing EMRs, optimising patient care and enhancing the quality of CRC surgical documentation.

Identifiants

pubmed: 38689196
doi: 10.1007/s00384-024-04613-y
pii: 10.1007/s00384-024-04613-y
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

63

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Amanda Nikolic (A)

Te Whatu Ora, Waitaha, Christchurch, New Zealand. Amanda.Nikolic@cdhb.health.nz.
Christchurch Hospital, C/O Department of Surgery, 2 Riccarton Avenue, Christchurch Central City, Christchurch, 4710, New Zealand. Amanda.Nikolic@cdhb.health.nz.

Isaac Tranter-Entwistle (I)

Te Whatu Ora, Waitaha, Christchurch, New Zealand.
Department of Surgery and Critical Care, University of Otago, Christchurch, New Zealand.

Andrew McCombie (A)

Department of Surgery and Critical Care, University of Otago, Christchurch, New Zealand.

Saxon Connor (S)

Te Whatu Ora, Waitaha, Christchurch, New Zealand.
Christchurch Hospital, C/O Department of Surgery, 2 Riccarton Avenue, Christchurch Central City, Christchurch, 4710, New Zealand.

Tim Eglinton (T)

Te Whatu Ora, Waitaha, Christchurch, New Zealand.
Department of Surgery and Critical Care, University of Otago, Christchurch, New Zealand.
Christchurch Hospital, C/O Department of Surgery, 2 Riccarton Avenue, Christchurch Central City, Christchurch, 4710, New Zealand.

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