Synapse - Synoptic reporting for pretreatment CT examination in patients with advanced ovarian cancer: Impact on documentation of disease sites and physician satisfaction

Synoptic reporting for pretreatment CT examination in patients with advanced ovarian cancer: Impact on documentation of disease sites and physician satisfaction Journal Article

Authors:	Andrieu, P. C.; Nikolovski, I.; Juluru, K.; Sadowski, E.; Gangai, N.; Zheng, J.; Capanu, M.; Praiss, A. M.; Nougaret, S.; Shinagare, A. B.; Ma, W.; Torrisi, J. M.; Sonoda, Y.; Chi, D. S.; Lakhman, Y.; and Memorial Sloan Kettering Cancer Center Team Ovary
Contributors:	Aherne, E. A.; Akin, O.; Broach, V.; Dickinson, S.; Gardner, G. J.; Grisham, R.; Hayes, S. A.; O’Cearbhaill, R.; Roche, K. L.; Paroder, V.; Petkovska, I.; Sarasohn, D. M.; Tew, W.; Vargas, H. A.; Ward, J.; Wibmer, A. G.; Woo, S.; Zivanovic, O.
Article Title:	Synoptic reporting for pretreatment CT examination in patients with advanced ovarian cancer: Impact on documentation of disease sites and physician satisfaction
Abstract:	BACKGROUND. Imaging reports that consistently document all disease sites with a potential to increase surgical complexity or morbidity can facilitate ovarian cancer treatment planning. OBJECTIVE. The aims of this study were to compare simple structured reports and synoptic reports from pretreatment CT examinations in patients with advanced ovarian cancer in terms of completeness of documenting involvement of clinically relevant anatomic sites as well as to evaluate physician satisfaction with synoptic reports. METHODS. This retrospective study included 205 patients (median age, 65 years) who underwent contrast-enhanced abdominopelvic CT before primary treatment of advanced ovarian cancer from June 1, 2018, to January 31, 2022. A total of 128 reports generated on or before March 31, 2020, used a simple structured report (free text organized into sections); 77 reports generated on or after April 1, 2020, used a synoptic report (a list of 45 anatomic sites relevant to ovarian cancer management, each of which was classified in terms of disease absence versus presence). Reports were reviewed for completeness of documentation of involvement of the 45 sites. For patients who underwent neoadjuvant chemotherapy based on diagnostic laparoscopy findings or underwent primary debulking surgery with suboptimal resection, the EMR was reviewed to identify surgically established sites of disease that were unresectable or challenging to resect. Gynecologic oncology surgeons were electronically surveyed. RESULTS. The mean report turnaround time was 29.8 minutes for simple structured reports versus 54.5 minutes for synoptic reports (p < .001). A mean of 17.6 of 45 sites (range, four to 43 sites) were mentioned by simple structured reports versus 44.5 of 45 sites (range, 39–45) for synoptic reports (p < .001). Forty-three patients had surgically established unresectable or challenging-to-resect disease; involvement of anatomic site(s) with such disease was mentioned in 37% (11/30) of simple structured reports versus 100% (13/13) of synoptic reports (p < .001). All eight surveyed gynecologic oncology surgeons completed the survey. CONCLUSION. A synoptic report improved completeness of pretreatment CT reports in patients with advanced ovarian cancer, including for established sites of unresectable or challenging-to-resect disease. CLINICAL IMPACT. The findings indicate the role of disease-specific synoptic reports in facilitating referrer communication and potentially guiding clinical decision-making. © 2023 American Roentgen Ray Society. All rights reserved.
Keywords:	aged; patient satisfaction; retrospective studies; ovarian cancer; ovarian neoplasms; tomography, x-ray computed; diagnostic imaging; retrospective study; genital neoplasms, female; physicians; ovary tumor; physician; satisfaction; ct; female genital tract tumor; personal satisfaction; documentation; humans; human; female; x-ray computed tomography; synoptic reporting; standardized lexicon; free-text reports
Journal Title:	American Journal of Roentgenology
Volume:	221
Issue:	6
ISSN:	0361-803X
Publisher:	American Roentgen Ray Society
Date Published:	2023-12-01
Start Page:	760
End Page:	772
Language:	English
DOI:	10.2214/ajr.23.29096
PUBMED:	37436033
PROVIDER:	scopus
PMCID:	PMC11348752
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85178497897&doi=10.2214%2fAJR.23.29096&partnerID=40&md5=c5c2d74599bc3386ec241c2f44e9077c
Notes:	The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Pamela Causa Andrieu -- Source: Scopus