Synoptic reporting increases quality of upper gastrointestinal cancer pathology reports

Nikolaj S. Baranov, Iris D. Nagtegaal, Nicole C. T. van Grieken, Rob H. A. Verhoeven, Quirinus J. M. Voorham, Camiel Rosman, Rachel S. van der Post

Research output: Contribution to journalArticleAcademicpeer-review

20 Citations (Scopus)


Introduction: Traditionally, surgical pathology reports are narrative. These report types are prone to error and missing data; therefore, structured standardized reporting was introduced. However, the effect of synoptic reporting on the completeness of esophageal and gastric carcinoma pathology reports is not yet established. Materials and methods: A population-based retrospective nationwide cohort study in the Netherlands was conducted over a period of 2012–2016, utilizing the Netherlands Cancer Registry for patient data and the nationwide network and registry of histology for pathology data. Results: In total, 1148 narrative and 1311 synoptic pathology reports were included. Completeness was achieved in 56.4% of the narrative reports versus 97.0% of the synoptic reports (p < 0.01). Out of 21 standard items, 15 were significantly more frequently reported in synoptic reports. Conclusion: Synoptic reporting improves surgical pathology reporting quality and should be implemented in standard patient care.

Original languageEnglish
Pages (from-to)255-259
Number of pages5
JournalVirchows Archiv
Issue number2
Publication statusPublished - 1 Aug 2019


  • Narrative
  • Pathology report
  • Surgical pathology
  • Synoptic

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