%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.