%0 Journal Article
%T Performance of a Web-based Method for Generating Synoptic Reports.
%A Renshaw MA
%A Renshaw SA
%A Mena-Allauca M
%A Carrion PP
%A Mei X
%A Narciandi A
%A Gould EW
%A Renshaw AA
%J J Pathol Inform
%V 8
%N 0
%D 2017
%M 28382227
暂无%R 10.4103/jpi.jpi_91_16
%X BACKGROUND: The College of American Pathologists (CAP) requires synoptic reporting of all tumor excisions.
OBJECTIVE: To compare the performance of different methods of generating synoptic reports.
METHODS: Completeness, amendment rates, rate of timely ordering of ancillary studies (KRAS in T4/N1 colon carcinoma), and structured data file extraction were compared for four different synoptic report generating methods.
RESULTS: Use of the printed tumor protocols directly from the CAP website had the lowest completeness (84%) and highest amendment (1.8%) rates. Reformatting these protocols was associated with higher completeness (94%, P < 0.001) and reduced amendment (1%, P = 0.20) rates. Extraction into a structured data file was successful 93% of the time. Word-based macros improved completeness (98% vs. 94%, P < 0.001) but not amendment rates (1.5%). KRAS was ordered before sign out 89% of the time. In contrast, a web-based product with a reminder flag when items were missing, an embedded flag for data extraction, and a reminder to order KRAS when appropriate resulted in improved completeness (100%, P = 0.005), amendment rates (0.3%, P = 0.03), KRAS ordering before sign out (100%, P = 0.23), and structured data extraction (100%, P < 0.001) without reducing the speed (P = 0.34) or accuracy (P = 1.00) of data extraction by the reader.
CONCLUSIONS: Completeness, amendment rates, ancillary test ordering rates, and data extraction rates vary significantly with the method used to construct the synoptic report. A web-based method compares favorably with all other methods examined and does not reduce reader usability.