1Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO.
2Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH.
J Am Vet Med Assoc. 2023 Jun 7;261(10):1-5. doi: 10.2460/javma.23.03.0152. Print 2023 Oct 1.
To report to what degree narrative operative reports for soft tissue sarcoma (STS) and mast cell tumor (MCT) resections met a predetermined template made up of essential elements.
197 consecutive client-owned animals between May 1, 2017, and August 1, 2022.
A consensus list of 9 elements made up the final synoptic operative report (SR) template. Consecutive narrative surgery reports (NRs) of dogs that underwent MCT or STS resection were then reviewed to determine how many of the SR elements were present in each NR. A score was then determined for each NR out of a maximum total of 9.
Overall, 197 reports (99 MCT and 98 STS) were included. The median score was 5 (56% of elements reported). No report had all 9 elements, and 1 report had none of the elements reported. When MCT and STS were analyzed independently, the median score was 6 (67% of elements reported) for MCT and 5 (56% of elements reported) for STS. There was a trend of more cases with MCT that had a preoperative diagnosis, intraoperative measurements of the tumor, and surgeon margins marked compared to dogs with STS. More dogs with STS had an estimated Enneking dose compared to dogs with MCT.
Our data show that essential elements of STS and MCT resection in dogs were inconsistently recorded and no case had all elements present. This mirrors data in people and presses the need for more standardization in reporting of cancer operations in veterinary medicine.
报告软组织肉瘤（STS）和肥大细胞瘤（MCT）切除术的叙事手术报告在多大程度上符合由基本要素组成的预定模板。
2017 年 5 月 1 日至 2022 年 8 月 1 日期间的 197 例患宠。
最终综合手术报告（SR）模板由 9 个要素组成共识清单。然后回顾连续接受 MCT 或 STS 切除术的犬的连续叙事手术报告（NR），以确定每个 NR 中存在多少个 SR 要素。然后根据每个 NR 的最高总分为每个 NR 确定一个分数。
总共包括 197 份报告（99 份 MCT 和 98 份 STS）。中位数评分为 5 分（报告了 56%的要素）。没有报告包含所有 9 个要素，有 1 份报告没有报告任何要素。当 MCT 和 STS 分别进行分析时，MCT 的中位数评分为 6 分（报告了 67%的要素），STS 的中位数评分为 5 分（报告了 56%的要素）。与 STS 相比，MCT 手术中有术前诊断、肿瘤术中测量和标记外科切缘的病例趋势更多。与 MCT 相比，更多的 STS 犬接受了估计的恩内金剂量。
我们的数据表明，犬软组织肉瘤和肥大细胞瘤切除术的基本要素记录不一致，没有一个病例包含所有要素。这反映了人类的数据，并迫切需要在兽医肿瘤手术报告中进行更多的标准化。
