Singh Nilanchali, Chanco Michelle, Wen Vivian, Mishra Neha, Mangal Shivangi, Ghatage Prafull
Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, Delhi, IND.
Cancer Center, Alberta Health Services, Calgary, CAN.
Cureus. 2023 Dec 13;15(12):e50462. doi: 10.7759/cureus.50462. eCollection 2023 Dec.
Objective In today's era of highly methodological oncological practices in place, we have a huge database to regulate, and it is foreseeable that a humongous load of information is ahead of us that we need to organize and comprehend. With the advancement in surgical equipment and evolving procedures, we need to store the information in a transferrable, understandable, and systematic way to prevent any ebb in the future. The systematic recording of operative data is even more important for patient management, training, and research. Standardized reporting also helps surgical residents have a better understanding of all aspects of the procedure. This study aims to analyze the synoptic operative reporting in cervical cancer patients from December 2009 to February 2020 in a single tertiary care center dedicated to providing oncology services to patients. This study will analyze the understandability, volume, and ease of transference of data during the given time period. Methodology The Alberta Cancer Registry was contacted to obtain data from the synoptic operative reports. Synoptic Operative Reports of all the patients operated on cervical cancer from December 2009 to February 2020. Results The data were obtained for 574 patients. As many as 463 patients were operated on for stage 1 and 2 cervical cancers and 10 patients for advanced and recurrent cervical cancer. A total of 101 patients were operated on for high-grade cervical dysplasia (HSIL). Adenocarcinoma was the most common histology. Laparotomy was performed in 308 patients, whereas others had laparoscopic procedures. Details of the surgery from the beginning of the incision to closure were recorded. The cervical cancer template consisted of 356 questions. There were separate templates for advanced and early-stage cancer. However, even with the meticulously detailed report, an average of only eight minutes was taken by each user to complete the template. Conclusion The computerized synoptic operative report has an upper hand over the dictated documentation report along with the ease of execution without missing essential substance. Its utility as an educational tool is very promising. Therefore, we encourage other facilities, especially cancer centers, to use synoptic operative reports more extensively not only for cervical cancer surgeries but also for other ones.
目的 在当今肿瘤学实践方法高度规范的时代，我们有一个庞大的数据库需要管理，而且可以预见，未来我们将面临海量信息，需要对其进行整理和理解。随着手术设备的进步和手术程序的不断发展，我们需要以可转移、易懂且系统的方式存储信息，以防止未来出现任何信息流失。手术数据的系统记录对于患者管理、培训和研究更为重要。标准化报告也有助于外科住院医师更好地了解手术的各个方面。本研究旨在分析2009年12月至2020年2月期间，在一家专门为患者提供肿瘤学服务的单一三级医疗中心，宫颈癌患者的概要手术报告。本研究将分析给定时间段内数据的易懂性、信息量和传输便利性。方法 联系艾伯塔癌症登记处，从概要手术报告中获取数据。获取了2009年12月至2020年2月期间所有接受宫颈癌手术患者的概要手术报告。结果 获得了574例患者的数据。多达463例患者接受了1期和2期宫颈癌手术，10例患者接受了晚期和复发性宫颈癌手术。共有101例患者接受了高级别宫颈发育异常（HSIL）手术。腺癌是最常见的组织学类型。308例患者接受了剖腹手术，其他患者接受了腹腔镜手术。记录了从切口开始到缝合的手术细节。宫颈癌模板包含356个问题。晚期和早期癌症有单独的模板。然而，即使报告非常详细，每个用户平均只需八分钟就能完成模板。结论 计算机化的概要手术报告比口述文档报告更具优势，执行起来轻松，且不会遗漏关键内容。其作为教育工具的效用非常可观。因此，我们鼓励其他机构，尤其是癌症中心，更广泛地使用概要手术报告，不仅用于宫颈癌手术，也用于其他手术。
