Analysis of Dermatology referrals and diagnostic accuracy in a medical college
Background: Dermatology referrals play a vital role in patient care as well as in training for non-dermatologists. In present scenario of changing health care need and delivery, it would be of interest to doctors and policy makers to know the magnitude and reasons for dermatology consultations and i...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2021-02-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/31353 |
| _version_ | 1818379884062310400 |
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| author | Ajay Kumar Saujan Subedi Jenny Pun Binamra Basnet Raja Babu Giri Mohammad Asim Brijesh Sathian |
| author_facet | Ajay Kumar Saujan Subedi Jenny Pun Binamra Basnet Raja Babu Giri Mohammad Asim Brijesh Sathian |
| author_sort | Ajay Kumar |
| collection | DOAJ |
| description | Background: Dermatology referrals play a vital role in patient care as well as in training for non-dermatologists. In present scenario of changing health care need and delivery, it would be of interest to doctors and policy makers to know the magnitude and reasons for dermatology consultations and its impact on patient care.
Aims and Objectives: This study was conducted to describe demography of dermatology referrals and to analyse diagnostic accuracy of non-dermatologists and its impact on patient care.
Materials and Methods: This cross-sectional study was conducted at Manipal College of Medical Sciences, Pokhara. Preformed proforma having demographic data and details of referrals were recorded. Analysis of diagnostic accuracy by non-dermatologist was carried out.
Results: Out of 174 referrals, men and women were equal in number with Mean age of 35.6 ± 22.3 years. Referrals were more frequent from Internal medicine 40 (23%). The most common complaint in referral sheet was skin rashes of different types in 85 (48.9%). Primary department didn’t offer treatment for skin lesions/symptoms in 73 (42%) of cases. After receiving referrals, dermatologists were able to diagnose clinically in 110 (63.2%) cases, in the rest, help of laboratory, imaging techniques and histopathology were needed. Cutaneous viral infections were the commonest dermatological diagnosis in 30 (17.2%) cases, followed by eczema/dermatitis in 174 (2.3%) cases. Primary department made correct diagnosis in only 83 (47.7%) cases.
Conclusions: Non-dermatologists do have difficulties in identifying and addressing skin lesions and symptoms and there is benefit from dermatology consultations. Furthermore, dermatology consultations do have high educational value for non-dermatologists. |
| first_indexed | 2024-12-14T02:09:52Z |
| format | Article |
| id | doaj.art-3207f115ee574eb2bb04b3c380908671 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-14T02:09:52Z |
| publishDate | 2021-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-3207f115ee574eb2bb04b3c3809086712022-12-21T23:20:47ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762021-02-011227174https://doi.org/10.3126/ajms.v12i2.31353Analysis of Dermatology referrals and diagnostic accuracy in a medical collegeAjay Kumar 0https://orcid.org/0000-0002-4900-055XSaujan Subedi 1https://orcid.org/0000-0001-5390-9304Jenny Pun 2https://orcid.org/0000-0002-1388-7355Binamra Basnet 3https://orcid.org/0000-0002-2498-6519Raja Babu Giri4https://orcid.org/0000-0002-7734-3082Mohammad Asim 5https://orcid.org/0000-0001-9947-8730Brijesh Sathian 6https://orcid.org/0000-0003-0851-4762Associate Professor, Department of Dermatology, Manipal College of Medical Sciences, Pokhara, Nepal Lecturer, Department of Dermatology, Gandaki Medical College, Pokhara Nepal Lecturer, Department of Dermatology, Manipal College of Medical Sciences, Pokhara, Nepal Assistant Professor, Department of Dermatology, Manipal College of Medical Sciences, Pokhara, Nepal Intern, Manipal College of Medical Sciences, Pokhara, Nepal Academic Research Associate, Clinical Research, Trauma & Vascular Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar Scientist, Geriatric Medicine Department, Rumailah Hospital, Hamad Medical Corporation, Doha, Qatar Background: Dermatology referrals play a vital role in patient care as well as in training for non-dermatologists. In present scenario of changing health care need and delivery, it would be of interest to doctors and policy makers to know the magnitude and reasons for dermatology consultations and its impact on patient care. Aims and Objectives: This study was conducted to describe demography of dermatology referrals and to analyse diagnostic accuracy of non-dermatologists and its impact on patient care. Materials and Methods: This cross-sectional study was conducted at Manipal College of Medical Sciences, Pokhara. Preformed proforma having demographic data and details of referrals were recorded. Analysis of diagnostic accuracy by non-dermatologist was carried out. Results: Out of 174 referrals, men and women were equal in number with Mean age of 35.6 ± 22.3 years. Referrals were more frequent from Internal medicine 40 (23%). The most common complaint in referral sheet was skin rashes of different types in 85 (48.9%). Primary department didn’t offer treatment for skin lesions/symptoms in 73 (42%) of cases. After receiving referrals, dermatologists were able to diagnose clinically in 110 (63.2%) cases, in the rest, help of laboratory, imaging techniques and histopathology were needed. Cutaneous viral infections were the commonest dermatological diagnosis in 30 (17.2%) cases, followed by eczema/dermatitis in 174 (2.3%) cases. Primary department made correct diagnosis in only 83 (47.7%) cases. Conclusions: Non-dermatologists do have difficulties in identifying and addressing skin lesions and symptoms and there is benefit from dermatology consultations. Furthermore, dermatology consultations do have high educational value for non-dermatologists.https://www.nepjol.info/index.php/AJMS/article/view/31353dermatologyreferrals and concultationsskin diseases |
| spellingShingle | Ajay Kumar Saujan Subedi Jenny Pun Binamra Basnet Raja Babu Giri Mohammad Asim Brijesh Sathian Analysis of Dermatology referrals and diagnostic accuracy in a medical college Asian Journal of Medical Sciences dermatology referrals and concultations skin diseases |
| title | Analysis of Dermatology referrals and diagnostic accuracy in a medical college |
| title_full | Analysis of Dermatology referrals and diagnostic accuracy in a medical college |
| title_fullStr | Analysis of Dermatology referrals and diagnostic accuracy in a medical college |
| title_full_unstemmed | Analysis of Dermatology referrals and diagnostic accuracy in a medical college |
| title_short | Analysis of Dermatology referrals and diagnostic accuracy in a medical college |
| title_sort | analysis of dermatology referrals and diagnostic accuracy in a medical college |
| topic | dermatology referrals and concultations skin diseases |
| url | https://www.nepjol.info/index.php/AJMS/article/view/31353 |
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