Reporting and Abstracting Variability in Technical Standards for Breast Cancer Operations
| Autor: | Sasha Swensen, Eric D. Van Baarsel, Zachary Tran, Sharon S. Lum, EunJee Lee, Ana Jacinto, Jukes P. Namm, June Yoo, Lucyna Kryzwon, Sara M. Grossi, Jacqueline Chen, Ross Mudgway, Jenny H. Chang, Sirivan S. Seng |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Breast surgery medicine.medical_treatment Sentinel lymph node Technical standard Breast Neoplasms Documentation Cancer Care Facilities Mastectomy Segmental Accreditation 03 medical and health sciences 0302 clinical medicine Breast cancer Operative report Humans Medicine Medical physics Breast Practice Patterns Physicians' Quality Indicators Health Care Academic Medical Centers Sentinel Lymph Node Biopsy business.industry Reproducibility of Results medicine.disease Inter-rater reliability 030220 oncology & carcinogenesis Lymph Node Excision Female 030211 gastroenterology & hepatology Surgery Guideline Adherence business |
| Zdroj: | Journal of Surgical Research. 253:79-85 |
| ISSN: | 0022-4804 |
| DOI: | 10.1016/j.jss.2020.03.041 |
| Popis: | Background The American College of Surgeons Commission on Cancer has incorporated documentation of critical elements outlined in Operative Standards for Cancer Surgery into revised standards for cancer center accreditation. This study assessed the current documentation of critical elements in partial mastectomy (PM) and sentinel lymph node biopsy (SLNB) operative reports. Materials and methods Operative reports for PM + SLNB at a single academic institution from 2013 to 2018 were reviewed for compliance and surveyor interobserver reliability with the Oncologic Elements of Operative Record defined in Operative Standards and compared with a nonredundant American Society of Breast Surgeons Mastery of Breast Surgery (MBS) quality measure for specimen orientation. Results Ten reviewers each evaluated 66 PM + SLNB operative reports for 13 Oncologic Elements and one MBS measure. No operative records reported all critical elements for PM + SLNB or PM alone. Residents completed 36.4% of operative reports: Element documentation was similar for PM but varied significantly for SLNB between resident and attending authorship. Combined reporting performance and interrater reliability varied across all elements and was highest for the use of SLNB tracer (97.1% and κ = 0.95, respectively) and lowest for intraoperative assessment of SLNB (30.6%, κ = 0.43). MBS specimen orientation had both high proportion reported (87.0%) and interrater reliability (κ = 0.84). Conclusions Adherence to reporting critical elements for PM and SLNB varied. Whether differential compliance was tied to discrepancies in documentation or reviewer abstraction, clarification of synoptic choices may improve reporting consistency. Evolving techniques or technologies will require continuous appraisal of mandated reporting for breast surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect