Is synoptic operative reporting necessary for Crohn's disease surgery? Variability in surgical reports across inflammatory bowel disease referral centres
| Autor: | Frédéric Morin, Phillip Fleshner, Karen Zaghiyan, Angela Mujukian, Amy L. Lightner, Anthony de Buck van Overstraeten, Vaidya Prashansha, Emily Steinhagen, Adam Truong |
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| Rok vydání: | 2021 |
| Předmět: |
Selection bias
medicine.medical_specialty Crohn's disease Referral business.industry media_common.quotation_subject General surgery Gastroenterology Psychological intervention Retrospective cohort study Disease medicine.disease Inflammatory Bowel Diseases Inflammatory bowel disease Crohn Disease Operative report medicine Humans business Referral and Consultation Colectomy media_common Retrospective Studies |
| Zdroj: | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and IrelandREFERENCES. 23(11) |
| ISSN: | 1463-1318 |
| Popis: | AIM Ileocolic resection (ICR) is the most commonly performed operation in Crohn's disease (CD) patients. The surgical report is a vital tool for accessing information to gauge a patient's long-term prognosis and guide treatment decisions. Dictated narrative reports are the traditional method for surgical documentation but often lack essential information. The objective was to assess the quality of operation note in CD patients undergoing ICR. METHOD This was a multi-institutional retrospective cohort collaborative study involving four tertiary inflammatory bowel disease referral centres in the USA and Canada. The patients were consecutive CD patients undergoing ICR between 2014 and 2020. There were no interventions. The main outcome measures were the variability and frequency of 28 critical items in the operation note. RESULTS An analysis of 400 consecutive operation reports in four institutions (n = 100/institution) revealed significant variability in almost all variables. The initial surgical approach and wound protector use were the most consistently or frequently reported across all inflammatory bowel disease centres. The limitation was that this was a retrospective cohort study with inevitable selection bias. CONCLUSIONS This study highlights the need for synoptic reporting in CD patients undergoing ICR. |
| Databáze: | OpenAIRE |
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