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Template-based synoptic reports improve the quality of pathology reports of prostatectomy specimens.
MedLine Citation:
PMID:  22276642     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aumann K, Amann D, Gumpp V, Hauschke D, Kayser G, May A M, Wetterauer U & Werner M (2012) Histopathology Template-based synoptic reports improve the quality of pathology reports of prostatectomy specimens Aims:  Traditionally, pathology reports have been textual, with a high degree of variability. In part, they miss some of the information needed, e.g. for therapy decisions. To meet all requirements, it would be helpful to have a tool providing reminders of the necessary data and facilitating the transfer of these data into a pathology information system (PIS). Here, we describe a TNM-adapted toolset including a PIS-integrated structured template that contributes to improving pathology reports of prostatectomy specimens. Methods and results:  All prostatectomy reports between January 2002 and August 2010 (n = 1049) were classified into descriptive reports (DRs) (n = 411), structured reports (SRs) arranged according to tumour spread, lymph node status, and surgical margin status (n = 333), and template-based synoptic reports (TBSRs) (n = 305). The report types were compared with regard to the content of 11 organ-specific essential data (ED) items crucial for exact TNM classification, therapy decisions, or prognostication. All 11 ED items were included in 2.7% of DRs, 43.5% of SRs and 97.2% of TBSRs, with a statistically highly significant difference (P < 0.001). Conclusions:  SRs, and particularly TBSRs, are advantageous as compared with DRs regarding the content of ED and the clarity of the data layout. The use of TBSRs leads to a reduction in failed data transfer and therefore to an increase in the quality of pathology reports.
Authors:
Konrad Aumann; Dominic Amann; Vera Gumpp; Dieter Hauschke; Gian Kayser; Annette M May; Ulrich Wetterauer; Martin Werner
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-25
Journal Detail:
Title:  Histopathology     Volume:  -     ISSN:  1365-2559     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704136     Medline TA:  Histopathology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Affiliation:
Institute of Pathology, Comprehensive Cancer CentreDepartment of Medical Biometry and Medical InformaticsDepartment of Urology, University Medical Centre Freiburg, Freiburg, Germany.
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