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Semergen ; 45(3): 164-168, 2019 Apr.
Artículo en Español | MEDLINE | ID: mdl-30415882

RESUMEN

OBJECTIVE: To determine the degree of correlation between the clinical diagnosis prior to the minor surgery process and its concordance with the results of histopathology report, as well as to determine the surgical data of little clinical importance compared to that which is really necessary and cost-effective. MATERIAL AND METHOD: A descriptive, observational, retrospective and transversal study was conducted of the Minor Surgery Activities of a clinic in the Ciudad Real Health Centre I. RESULTS: A total of 124 surgical specimens were sent for clinical diagnostic comparison, of which, the main clinical diagnoses were: intradermal melanocytic nevi (34.67%), seborrheic keratosis (11.30%), and epidermoid or sebaceous cysts (10.48%). A correlation of 68% was obtained. The protocols of the work centre have been followed to carry out this study in relation to the confidentiality of the data. CONCLUSIONS: These results were analysed and compared with other similar works performed in the field of minor surgery in Primary Care, being able to affirm that there is a good correlation between the initial clinical diagnosis and the histopathology results.


Asunto(s)
Competencia Clínica , Procedimientos Quirúrgicos Dermatologicos , Errores Diagnósticos/estadística & datos numéricos , Procedimientos Quirúrgicos Menores , Atención Primaria de Salud/normas , Indicadores de Calidad de la Atención de Salud/estadística & datos numéricos , Enfermedades de la Piel/diagnóstico , Toma de Decisiones Clínicas/métodos , Análisis Costo-Beneficio , Estudios Transversales , Procedimientos Quirúrgicos Dermatologicos/economía , Diagnóstico Diferencial , Femenino , Humanos , Masculino , Procedimientos Quirúrgicos Menores/economía , Atención Primaria de Salud/economía , Atención Primaria de Salud/métodos , Estudios Retrospectivos , Enfermedades de la Piel/economía , Enfermedades de la Piel/patología , Enfermedades de la Piel/cirugía , España
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