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Semergen ; 45(3): 164-168, 2019 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-30415882

RESUMO

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 , Espanha
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