{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:01:56Z","timestamp":1790172116331,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp;amp; Cancer"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Precision in surgical documentation is crucial for minimizing communication discrepancies and preventing errors in patient care. Synoptic operative reports (SR) offer greater accuracy than narrative operative reports (NR); however, their adoption in pediatric surgical oncology remains limited. To enhance documentation practices, a standardized operative report was developed. This study assessed its effectiveness through a two\u2010phase approach. Phase 1 retrospectively evaluated the completeness of NR for pediatric patients undergoing solid tumor resection at major pediatric cancer centers across diverse regions and resource settings. In Phase 2, following the implementation of SR at these institutions, we prospectively analyzed the completeness of operative documentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a multi\u2010regional pre\u2010 and post\u2010implementation study in five pediatric oncology reference centers. Eligible cases included primary malignant solid tumor resections. Pulmonary or other metastatic resections, benign tumors, and biopsies were excluded. Phase 1 consisted of a retrospective review of NR over 6\u00a0months in 2023. Phase 2 prospectively evaluated SR over 6\u00a0months post\u2010implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 165 operative reports were analyzed (73 NR, 92 SR). SR demonstrated significantly higher completeness in documenting key intraoperative elements, including completeness of resection, locoregional spread, tumor spillage, vascular involvement, lymph node sampling, and specimen naming. End\u2010user surveys (\n                      <jats:italic>n<\/jats:italic>\n                      = 17) showed that 94% agreed SR captured key intraoperative details and improved documentation clarity. Seventy\u2010seven percent agreed SR supported treatment decision\u2010making, 71% agreed they enhanced communication during multidisciplinary team (MDT) meetings, and 82% agreed SR improved workflow efficiency. The mean System Usability Scale score was 81.1, reflecting excellent usability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SR enhances completeness, data extraction, and communication compared to NR. Their integration into pediatric oncology practice may improve both documentation quality and multidisciplinary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70075","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:56:07Z","timestamp":1767678967000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of Synoptic Reports in Enhancing Documentation Practices in Pediatric Surgical Oncology: A Pilot Multiregional Implementation Study and Global Perspective"],"prefix":"10.1002","volume":"73","author":[{"given":"Abdelhafeez H.","family":"Abdelhafeez","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery University of Rochester Medical Center, Golisano Children's Hospital  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek","family":"Harrison","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Chris Hani Baragwanath Academic Hospital, School of Clinical Medicine, University of Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amos","family":"Loh","sequence":"additional","affiliation":[{"name":"Children's Blood and Cancer Centre Department of Paediatric Surgery KK Women's and Children's Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayesha","family":"Saleem","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Children's Health Ireland at Crumlin Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israel","family":"Fernandez\u2010Pineda","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Children's Health Ireland at Crumlin Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ermer I.","family":"Guevara\u2010Elizondo","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery ABC Cancer Center Anahuac University  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Shalkow","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery ABC Cancer Center Anahuac University  Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone de Campos Vieira","family":"Abib","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Pediatric Oncology Institute \u2010 GRAACC \u2010 Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"issue":"2","key":"e_1_2_8_2_1","article-title":"Synoptic Operative Reports for Pediatric Surgical Oncology","volume":"72","author":"Baertschiger R. M.","year":"2024","journal-title":"Pediatric Blood & Cancer"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.30650"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.31269"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.31259"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2025.162186"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2023.01.003"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-022-11330-9"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-024-04613-y"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.32031"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/37290"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.30766"},{"key":"e_1_2_8_13_1","unstructured":"Children's Oncology Group \u201cAREN2231 A Study Using Risk Factors to Determine Treatment for Children with Favorable Histology Wilms Tumors (FHWT) \u201dNIH last updated October2025 https:\/\/clinicaltrials.gov\/study\/NCT06401330."}],"container-title":["Pediatric Blood &amp; Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/1545-5017.70075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/1545-5017.70075","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/1545-5017.70075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:14:46Z","timestamp":1790169286000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/1545-5017.70075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,5]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/1545-5017.70075"],"URL":"https:\/\/doi.org\/10.1002\/1545-5017.70075","archive":["Portico"],"relation":{},"ISSN":["1545-5009","1545-5017"],"issn-type":[{"value":"1545-5009","type":"print"},{"value":"1545-5017","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,5]]},"assertion":[{"value":"2025-10-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70075"}}