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. 2025 Jul;49(7):1831-1839.
doi: 10.1002/wjs.12673. Epub 2025 Jun 20.

Design of a Consensus Derived Synoptic Operative Report for Thyroid Surgery

Edwina C Moore  1 , Carolyn Garner  2 , Jonathan Serpell  1   3 , Mark Sywak  4   5 , Jeremy Millar  6 , Liane Ioannou  7 , Rasa Ruseckaite  7 , Susannah Ahern  7
Affiliations

Design of a Consensus Derived Synoptic Operative Report for Thyroid Surgery

Edwina C Moore et al. World J Surg. 2025 Jul.

Abstract

Background: The aim of this study was to develop a template for a synoptic operative report (SOR), for thyroid surgical data, and improve interdisciplinary communication and collaboration.

Methods: Twenty-five expert endocrine surgeons, endocrinologists, surgical oncology, and ear-nose-and-throat surgeons were invited to participate in a modified Delphi process. Initial domains for consideration were determined from literature review and were compatible with domains previously endorsed by the American Thyroid Association. Consensus for individual variables was predefined as mean > 70th percentile and a low disagreement index (< 1.0). An academic working party reviewed the indeterminate domains to reach a final consensus.

Results: Of 25 invited, 24 participated in the study. Two rounds of questionnaires were conducted. Consensus was reached for 39 data elements across five domains and were included in the final SOR template. A further eight data elements were shortlisted for inclusion in a secondary list of desirable but optional data elements.

Conclusion: We developed a consensus-derived SOR for thyroid surgery. Future studies are required to review the uptake and utility of this template in a clinical setting. There is a literary void regarding the role of SOR for parathyroid and adrenal surgery and this could be approached with similar methodology.

Keywords: operative reports; synoptic; thyroid surgery.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Flow diagram of the modified Delphi process to establish a consensus‐derived template for SOR for thyroid surgery. R1 = round 1, R2 = round 2, and WP = working party.
FIGURE 2
FIGURE 2
Example of completed SOR for thyroid surgery.
See this image and copyright information in PMC

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References

    1. Albert J. M. and Das P., “Quality Assessment in Oncology,” International Journal of Radiation Oncology, Biology, Physics 83, no. 3 (2012): 773–781, 10.1016/j.ijrobp.2011.12.079. - DOI - PubMed
    1. Murphy J. G. and Dunn W. F., “Medical Errors and Poor Communication,” Chest 138, no. 6 (2010): 1292–1293, 10.1378/CHEST.10-2263. - DOI - PubMed
    1. Mack L. A., Bathe O. F., Hebert M. A., et al., “Opening the Black Box of Cancer Surgery Quality: WebSMR and the Alberta Experience,” Journal of Surgical Oncology 99, no. 8 (2009): 525–530, 10.1002/JSO.21266. - DOI - PubMed
    1. Novitsky Y. W., Sing R. F., and Kercher K., “Prospective, Blinded Evaluation of Accuracy of Operative Reports Dictated by Surgical Residents,” American Journal of Surgery 71, no. 8 (2005): 627–631. PubMed. - PubMed
    1. Harvey A., Zhang H., Nixon J., and Brown C. J., “Comparison of Data Extraction From Standardized Versus Traditional Narrative Operative Reports for Database‐Related Research and Quality Control,” Surgery 141, no. 6 (2007): 708–714, 10.1016/J.SURG.2007.01.022. - DOI - PubMed