[1570] Standardized Checklist/Synoptic Tool for Reporting of Uropathology Neoplasms: Implementation and Experience with 6885 Resected Specimens

Waseem Anani, Anthony Piccoli, Liron Pantanowitz, Anil Parwani. University of Pittsburgh Medical Center, Pittsburgh, PA

Background: Cancer checklists comprising of standardized data elements are valuable tools that clinicians use to guide them in managing patients. We describe our experience with the use of an electronic synoptic worksheet entry tool within our existing workflow for reporting thousands of malignant genitourinary resections.
Design: We used a synoptic reporting tool as part of an existing laboratory information system (LIS), CoPathPlus (Cerner). We modified the CAP checklists into worksheets for genitourinary malignancies. These synoptics have been in use since 2003 in our LIS and have been modified on multiple occasions to incorporate changes in The College of American Pathology checklists (www.CAP.org) or AJCC TNM staging protocols. Data entered into the worksheets are present in reports as discrete data elements with categories such as tumor site and size, histologic type, grade, perineural invasion, angiolymphatic invasion, margins, and TNM staging.
Results: A total of 6885 genitourinary specimens had synoptic reports, including in-house and consultation cases. Separate templates for prostate (4398), kidney (1862), renal pelvis (239), testis (229), ureter (116), penis (21), urinary bladder (8), urethra (7), and resection for Wilms tumor (5) have been created. The synoptic templates can be attached to a specimen at any point in the workflow before completion of the case with a greater than 95% compliance rate. Minimal technical support is needed to maintain the program and accuracy of the checklists.

Number of Worksheets Completed By Organ System
Organ System Number of Synoptics CompletedData Elements
Prostate 4398112
 Renal Pelvis23988
 Resection for Wilms Tumor588
Testis 22988
Ureter 11684
Penis 2159
Urinary Bladder 8106
Urethra 7123

Conclusions: Use of an electronic synoptic report within the existing LIS is recommended because of the benefits it provides to its users. The intuitive interface and streamlined format allows a user of any experience level to input information into standardized worksheets. This is essential to maintaining the efficiency of workflow in high volume centers such as ours. Infrequent updates and program maintenance minimizes interruptions and provides a reliable tool in creating synoptic reports. The data collected represents a rich source of highly annotated biospecimens that can now be harnessed for clinical outcomes, cancer registry, research and patient safety databases.
Category: Informatics

Wednesday, March 6, 2013 1:00 PM

Poster Session VI # 259, Wednesday Afternoon


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