{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:01:36Z","timestamp":1790168496556,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"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":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe the development and implementation of electronic health record (EHR)\u2010integrated synoptic operative templates for head and neck oncologic surgery and to evaluate documentation adherence and performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Single\u2010institution retrospective quality improvement study of extirpative oncologic resections (mucosal, cutaneous, thyroid, salivary gland, and skull base) performed at a tertiary academic cancer center from January 2025 through April 2026. Tumor\u2010specific adaptive synoptic templates were developed through literature review, professional society guidance, and subspecialty consensus and integrated into the EHR. Adherence was defined as synoptic template use for eligible cases; performance was defined as the proportion of cases with complete and internally consistent synoptic data, with an acceptable rate set at 90% or higher. The first 253 consecutive cases with synoptic documentation underwent detailed performance review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Departmental adherence increased from 49% to 69%\u201378% over the final 6\u2009months and varied among surgeons (range, 7%\u2013100%). Surgeons who personally completed operative reports adhered more often than those delegating to trainees (85% vs. 56%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), as did high\u2010volume surgeons (85% vs. 56%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Among 253 reviewed cases, 239 (94.5%) met the completeness and consistency target. Missing data exceeded inaccuracies (12 vs. two cases). Performance failures were more frequent with the thyroid template than with all other templates combined (10.8% vs. 1.8%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EHR\u2010integrated synoptic operative templates for head and neck oncologic surgery demonstrate acceptable documentation performance but variable uptake. The underlying structured data framework may support multicenter standardization, registry\u2010based outcomes research, and AI\u2010enabled surgical documentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70936","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:10:35Z","timestamp":1790165435000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>EHR<\/scp>\n                    \u2010Integrated Synoptic Operative Reporting for Head and Neck Oncologic Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0736-7473","authenticated-orcid":false,"given":"Miriam N.","family":"Lango","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avery","family":"Sinnathamby","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9295-0174","authenticated-orcid":false,"given":"Marc\u2010Elie","family":"Nader","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3706-8781","authenticated-orcid":false,"given":"Paul W.","family":"Gidley","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7081-0653","authenticated-orcid":false,"given":"Karen Y.","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Zafereo","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carly E. A.","family":"Barbon","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"},{"name":"Department of Plastic Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen B.","family":"Pytynia","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasios","family":"Maniakas","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Hessel","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3291-841X","authenticated-orcid":false,"given":"Ryan P.","family":"Goepfert","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal I.","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery MD Anderson Cancer Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahil K.","family":"Kapur","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery MD Anderson Cancer Center  Houston Texas 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