RESUMO
OBJETIVO: Conocer el grado de correlación entre el diagnóstico clínico previo al proceso de cirugía menor y su concordancia con los resultados de anatomía patológica, al igual que conocer los datos de cirugía de escasa trascendencia clínica frente a la realmente necesaria y coste-efectiva. MATERIAL Y MÉTODO: Para ello realizamos un estudio descriptivo, observacional, retrospectivo y transversal de las actividades de cirugía menor de una consulta del Centro de Salud Ciudad Real I. RESULTADOS: Se remiten 124 piezas para su diagnóstico histológico, de las cuales los principales diagnósticos clínicos son: nevus melanocíticos intradérmicos (34,67%), queratosis seborreica (11,30%) y quistes epidermoides o sebáceos (10,48%). Se obtiene una correlación clinicopatológica del 68%. Se han seguido los protocolos del centro de trabajo para la realización de este estudio en relación con la confidencialidad de los datos. CONCLUSIONES: Analizamos estos resultados y los comparamos con otros trabajos similares realizados en el ámbito de la cirugía menor en atención primaria, pudiendo afirmar que existe una buena correlación entre el diagnóstico clínico inicial y los resultados anatomopatológicos
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
Assuntos
Humanos , Masculino , Feminino , Competência Clínica , Procedimentos Cirúrgicos Dermatológicos/economia , Erros de Diagnóstico/estatística & dados numéricos , Procedimentos Cirúrgicos Menores/economia , Atenção Primária à Saúde/normas , Indicadores de Qualidade em Assistência à Saúde/estatística & dados numéricos , Dermatopatias/diagnóstico , Tomada de Decisão Clínica/métodos , Análise Custo-Benefício , Estudos Transversais , Diagnóstico Diferencial , Atenção Primária à Saúde/economia , Atenção Primária à Saúde/métodos , Estudos Retrospectivos , Dermatopatias/economia , Dermatopatias/patologia , Dermatopatias/cirurgiaRESUMO
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.
Assuntos
Competência Clínica , Procedimentos Cirúrgicos Dermatológicos , Erros de Diagnóstico/estatística & dados numéricos , Procedimentos Cirúrgicos Menores , Atenção Primária à Saúde/normas , Indicadores de Qualidade em Assistência à Saúde/estatística & dados numéricos , Dermatopatias/diagnóstico , Tomada de Decisão Clínica/métodos , Análise Custo-Benefício , Estudos Transversais , Procedimentos Cirúrgicos Dermatológicos/economia , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Procedimentos Cirúrgicos Menores/economia , Atenção Primária à Saúde/economia , Atenção Primária à Saúde/métodos , Estudos Retrospectivos , Dermatopatias/economia , Dermatopatias/patologia , Dermatopatias/cirurgia , EspanhaRESUMO
No disponible
Assuntos
Humanos , Medicina de Família e Comunidade/tendências , Relações Médico-Paciente , Assistência Centrada no Paciente/tendências , IncertezaRESUMO
No disponible
