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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 3/2011

01-03-2011 | Endocrine Tumors

Electronic Synoptic Operative Reporting for Thyroid Surgery using an Electronic Data Management System: Potential for Prospective Multicenter Data Collection

Authors: N. Gopalakrishna Iyer, MD, PhD, Iain J. Nixon, MD, Frank Palmer, BA, Ian Ganly, MD, PhD, Snehal G. Patel, MD, Ashok R. Shaha, MD

Published in: Annals of Surgical Oncology | Issue 3/2011

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Abstract

Background

Electronic synoptic operative reports ensure systematic documentation of all critical components and findings during complex surgical procedures. Thyroid surgery lends itself to synoptic reporting, because there are a predefined number of essential intraoperative events and findings that every endocrine surgeon invariably records.

Methods

An electronic web-based form (e-form) was designed and implemented to record operative data in a synoptic structure for thyroid surgery. The e-form was implemented as a pilot study from January 2008 to October 2009 for use by three attending surgeons.

Results

During this period, 514 e-forms were completed with 100% compliance, which recorded data from 384 total thyroidectomies and 130 thyroid lobectomies. All users found the e-form to be easy to use, comprehensive, and took less than 5 min to complete.

Conclusions

The main advantages of a web-based e-form for synoptic recording of thyroid surgery are that it is user-friendly and easy to complete, yet comprehensive. Because it is based on a system available across institutions, it can be used as a minimum dataset and could be considered a national and international standard for wider use, especially if endorsed by the American or International Association for Endocrine Surgeons.
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Metadata
Title
Electronic Synoptic Operative Reporting for Thyroid Surgery using an Electronic Data Management System: Potential for Prospective Multicenter Data Collection
Authors
N. Gopalakrishna Iyer, MD, PhD
Iain J. Nixon, MD
Frank Palmer, BA
Ian Ganly, MD, PhD
Snehal G. Patel, MD
Ashok R. Shaha, MD
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 3/2011
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-010-1361-0

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