Author of 1 Presentation
SS 3.6 - Audit and service evaluation: improving outcomes in pancreatic cancer surgery: does the use of a standardised reporting template improve report quality in pancreatic and peri-ampullary malignant tumours in a tertiary referral centre? (ID 425)
Abstract
Purpose
At our tertiary hepato-pancreatico-biliary surgical centre, imaging of pancreatic and periampullary malignancy is performed and reported at patients’ local hospitals before referral, and reviewed for multi-disciplinary team meeting (MDTM) by specialist GI radiologists at our centre. There is resultant heterogeneity of imaging and reporting practice. We assess whether using a reporting template reduces heterogeneity and improves report quality and, ultimately, patient outcomes.
Material and methods
This audit was registered with our centre’s audit and assurance team; ethical approval was not required. A surgical database search identified all surgically managed patients with confirmed diagnosis of pancreatic/peri-ampullary malignancy over 18 months. The CT imaging available at time of decision to operate was anonymised; reports were audited against a modified National Comprehensive Cancer Network® (NCCN) reporting template. New reports were produced by two experienced GI radiologists utilising the same template and compared to the original reports. κ-values for interobserver relatability were calculated, and statistical significance assessed using Student's t test.
Results
59 consecutive patients (37 male, 22 female), mean age 66 (36-83), were managed surgically during this period. Histology confirmed 49 adenocarcinoma (ductal 25, periampullary 8, unspecified 19), 6 neuroendocrine tumour, and 1 mixed adenocarcinoma/neuroendocrine. Original reports (n=59) contained mean key features ± standard deviation of 5.05±1.94 (range 1-9). Template reports (incomplete data, n=13) contained 13.69±0.63 features (range 12-14), P<0.005). κ-values and full results to follow.
Conclusion
Use of template reporting resulted in more complete and accurate disease evaluation and is likely to have improved interobserver relatability. It is, therefore, likely to facilitate better surgical planning and improve patient outcomes.