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.
|Organ System||Number of Synoptics Completed||Data Elements|
|Resection for Wilms Tumor||5||88|