Evidence map›Paper›PMID 39918752›Full record

ArticleAnnals of surgical oncology2025

Development and Validation of a Synoptic Operative Report as a Quality Indicator for Thyroid Surgery: A Canadian Study.

Akie Watanabe, Susan Yao, Eitan Prisman, Gary Groot, Elliot Mitmaker, G Ross Walker, Jonn Wu, Jesse Pasternak, Chi Kien Lai, Antoine Eskander and 11 more

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Akie WatanabeDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Susan YaoDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Eitan PrismanDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Gary GrootDivision of General Surgery, University of Saskatchewan, Saskatoon, SK, Canada.
Elliot MitmakerDepartment of Surgery, McGill University, Montreal, QC, Canada.
G Ross WalkerDepartment of Surgery, Queen's University, Kingston, ON, Canada.
Jonn WuDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.
Jesse PasternakDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Chi Kien LaiDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
Antoine EskanderDepartment of Otolaryngology, University of Toronto, Toronto, ON, Canada.
Jonathan D WassermanDivision of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada.
Frederic MercierDepartment of Surgery, University of Montreal, Montreal, QC, Canada.
Kathryn RothDepartment of Otolaryngology, Western University, London, ON, Canada.
Sabrina GillDivision of Endocrinology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Carlos VillamilDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
David GoldsteinDepartment of Otolaryngology, University of Toronto, Toronto, ON, Canada.
Vicki MunroDivision of Endocrinology & Metabolism, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Alok PathakDepartment of Surgery, University of Manitoba, Winnipeg, MB, Canada.
Debon LeeDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Anne NguyenDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada.
Sam M WisemanDepartment of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, BC, Canada. smwiseman@providencehealth.bc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNarrative operative reports (NORs) often lack key information that can guide postoperative management of thyroid disease. We aimed to develop and validate a nationally standardized synoptic operative report (SOR) for thyroid surgery. MATERIALS AND

methodsSurgeons were surveyed for their opinions of current operative reporting practices. Reportable elements from thyroidectomy NORs were ranked by thyroid disease specialists and reviewed by a national advisory committee to develop a standardized SOR using the Modified Delphi Method. Six thyroid surgeons piloted the SOR. Completeness and reporting frequencies of SOR elements were compared with pre-pilot NORs using Wilcoxon rank sum, chi-squared, and Fisher's exact analyses. A post-pilot survey assessed provider satisfaction.

resultsAmong 42 Canadian thyroid surgeons from 9 provinces, 31% expressed dissatisfaction with current reporting practices and 100% expressed interest in a SOR. In total, 109 reportable thyroidectomy elements were collected from 142 NORs and ranked by 46 thyroid disease specialists. Consensus agreed upon a 21-element SOR by a national advisory committee. Among 172 NORs and 170 piloted SORs, SORs had higher median overall completeness (100% [100-100%]) than NORs (65% [47-70%], p < 0.001). SORs improved reporting of cancer-specific elements, including the presence of gross extrathyroidal cancer extension (SOR: 100%, NOR: 43%, p < 0.001) and residual gross disease (SOR: 100%, NOR: 16%, p < 0.001). More than half of users and readers reported improved reporting completeness and impact on patient care with SORs.

conclusionsImplementation of a nationally developed thyroid surgery SOR enhanced completeness, delivery of cancer-specific information, and provider satisfaction, which can improve quality of patient care.

Indexed as

Quality Indicators, Health CareSurgeonsThyroidectomyThyroid NeoplasmsCanadaHumansSurveys and QuestionnairesElectronic health recordsMixed-methods studyNarrative operative reportStandardized reportingSynoptic operative reportThyroid surgery

Identifiers

PMID39918752

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.