Jordan Lang Eng1, Christopher Ronald Baliski2, Colleen McGahan3, Eric Cai4. 1. Department of Surgery, Dalhousie University, 849-1276 South Park Street Street, Halifax, NS, B3H 2Y9, Canada. Electronic address: Jordan.eng@alumni.ubc.ca. 2. Surgical Oncology, BC Cancer Agency (SAH-CSI), 399 Royal Avenue, Kelowna, BC, V1Y 5L3, Canada; Surgical Oncology Network, Canada; Department of Surgery, University of British Columbia, Canada. 3. BC Cancer Agency, 801 - 686 West Broadway, Vancouver, BC, V5Z 1G1, Canada. 4. British Columbia Cancer Agency Research Centre, 703-686 West Broadway, Vancouver, BC, V5Z 1G1, Canada.
Abstract
OBJECTIVES: The narrative operative report represents the traditional means by which breast cancer surgery has been documented. Previous work has established that omissions occur in narrative operative reports produced in an academic setting. The goal of this study was to determine the completeness of breast cancer narrative operative reports produced in a community care setting and to explore the effect of a surgeon's case volume and years in practice on the completeness of these reports. MATERIALS AND METHODS: A standardized retrospective review of operative reports produced over a consecutive 2 year period was performed using a set of procedure-specific elements identified through a review of the relevant literature and work done locally. RESULTS: 772 operative reports were reviewed. 45% of all elements were completely documented. A small positive trend was observed between case volume and completeness while a small negative trend was observed between years in practice and completeness. CONCLUSION: The dictated narrative report inadequately documents breast cancer surgery irrespective of the recording surgeon's volume or experience. An intervention, such as the implementation of synoptic reporting, should be considered in an effort to maximize the utility of the breast cancer operative report.
OBJECTIVES: The narrative operative report represents the traditional means by which breast cancer surgery has been documented. Previous work has established that omissions occur in narrative operative reports produced in an academic setting. The goal of this study was to determine the completeness of breast cancer narrative operative reports produced in a community care setting and to explore the effect of a surgeon's case volume and years in practice on the completeness of these reports. MATERIALS AND METHODS: A standardized retrospective review of operative reports produced over a consecutive 2 year period was performed using a set of procedure-specific elements identified through a review of the relevant literature and work done locally. RESULTS: 772 operative reports were reviewed. 45% of all elements were completely documented. A small positive trend was observed between case volume and completeness while a small negative trend was observed between years in practice and completeness. CONCLUSION: The dictated narrative report inadequately documents breast cancer surgery irrespective of the recording surgeon's volume or experience. An intervention, such as the implementation of synoptic reporting, should be considered in an effort to maximize the utility of the breast cancer operative report.
Authors: Tina J Hieken; William R Burns; Amanda B Francescatti; Arden M Morris; Sandra L Wong Journal: Ann Surg Oncol Date: 2022-02-16 Impact factor: 4.339
Authors: Jacqueline M Soegaard Ballester; Kristin E Goodsell; Jae P Ermer; Giorgos C Karakousis; John T Miura; Nicole M Saur; Najjia N Mahmoud; Ari Brooks; Julia C Tchou; Peter E Gabriel; Lawrence N Shulman; Heather Wachtel Journal: Ann Surg Oncol Date: 2021-09-14 Impact factor: 5.344