Synoptic report: Interests of structured standardized operative report in renal surgery

The synoptic operative report (SOR) is a model with several advantages but still not enough adopted. We studied the performance of a SOR template (FileMaker Pro®, FMP) versus the usual narrative operative report (NOR) template on DxCare® software (DXC) of the urology department at the Georges-Pompidou European Hospital by comparing the number of completed data, the completeness rate, the writing time, and the writing speed and by analyzing the learning curve. Over an 11-week period between March and June 2021, 118 case-control OR for 59 laparoscopic or open, partial or total nephrectomy procedures, for all indications were prospectively created. The number of completed data was higher on FMP (113, IQR: 92-122 vs. 59, IQR: 54-70). SOR done on FMP were more complete (95.1%±4.1 vs. 85.5%±6.1; P<0.001). Creation time was longer on FMP (9.07±2.94 vs. 7.66±2.88min; P=0.008). However, FMP generated a database and an OR faster than NOR (9.07±2.94 vs. 12.9±3.2min; P<0.001). The speed of data-filling was higher on FMP (12.9±3.5 vs. 9.2±3.7 data/min; P<0.001). There was a progressive improvement in SOR creation with a Pearson correlation coefficient of -0.313 (P=0.044) independent of the writer. The use of the SOR FMP template seems to be more efficient on data recording but an improvement of the template to make it faster to use should be sought through recommendations from a panel of experts. LEVEL OF EVIDENCE: 3.