Assessing diagnostic skill in dermatology: A comparison between general practitioners and dermatologists.

Autor: Hue Tran, Keng Chen, Lim, Adrian C., Jabbour, James, Shumack, Stephen
Předmět:
Zdroj: Australasian Journal of Dermatology; Nov2005, Vol. 46 Issue 4, p230-234, 5p
Abstrakt: This retrospective study was conducted to assess and compare the diagnostic accuracy between referring general practitioners and dermatologists with regard to skin conditions. Six hundred and fifty-six consecutive general practitioner referrals to a private dermatology practice and a dermatology outpatient department were assessed. The concordance rate in diagnoses from a wide spectrum of dermatological diseases was compared between general practitioners and dermatologists. Referring general practitioners agreed with dermatologists’ clinical diagnosis and histology (when available) in 42% of cases. The concordance between general practitioners and dermatologists in the setting of non-biopsied cases is 45%. One hundred and fifty-one of 656 (23%) conditions had histological confirmation. Overall, general practitioners agreed with the histological diagnosis in 24% of cases and dermatologists agreed with the histological diagnosis in 77% of cases. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index