What the study found
The study found that robotic process automation (RPA, software that automates repeated computer tasks) reduced the time needed to abstract cancer registry data in a tertiary hospital electronic health record (EHR, digital patient record) system. The size of the time savings differed by registry complexity.
Why the authors say this matters
The authors conclude that RPA can improve efficiency in clinical data workflows when it is matched with organizational readiness and strong monitoring. They also suggest the findings are relevant because evidence for RPA in real-world, EHR-integrated cancer registries has been limited.
What the researchers tested
The researchers implemented RPA for gastric and breast cancer registries in a production EHR system at a tertiary hospital. They compared per-patient data extraction time before and after implementation, manually verified all RPA outputs against source records, and interviewed 14 participants using semi-structured interviews analyzed with the PARiHS framework.
What worked and what didn't
RPA was applied to 70 gastric cancer variables and 83 breast cancer variables. Mean abstraction time per patient fell by 74% for the gastric cancer registry, from 19.5 ± 3.0 minutes to 5.1 ± 1.8 minutes, and by 30% for the breast cancer registry, from 25.4 ± 6.9 minutes to 17.8 ± 5.5 minutes. Based on 2024 surgical volumes, the authors estimate this could save more than 260 hours of manual labor per year.
What to keep in mind
The abstract says that formal quantitative assessments of data accuracy were not performed. The findings come from a single tertiary hospital, and the authors note that time savings varied with registry complexity and depended on clinician cooperation and continuous output monitoring.
Key points
- RPA reduced mean abstraction time for gastric cancer registry data by 74%.
- RPA reduced mean abstraction time for breast cancer registry data by 30%.
- The system was used in a production EHR environment for 70 gastric and 83 breast cancer variables.
- Researchers manually verified all RPA-extracted outputs against source records.
- Participants viewed RPA as suitable for repetitive tasks, but said implementation depended on clinician cooperation and monitoring.
Disclosure
- Research title:
- RPA reduced cancer registry abstraction time in a hospital EHR system
- Authors:
- Se Young Jung, Jong Soo Han, Kihyuk Lee, Ho-Young Lee
- Institutions:
- Seoul National University, Seoul National University, Seoul National University, Seoul National University Bundang Hospital, Seoul National University Bundang Hospital, Seoul National University Bundang Hospital, Seoul National University Bundang Hospital
- Publication date:
- 2026-03-31
- OpenAlex record:
- View
Get the weekly research newsletter
Stay current with peer-reviewed research without reading academic papers — one filtered digest, every Friday.

