Recognition of actinic keratosis. A retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists. Experience in Mexico
Background. Actinic keratoses (AK) are dysplastic keratinocytic lesions confined to the epidermis. Currently, the standard screening method for detecting AK is performed by a health professional. Objectives. We seek to determine if were differences in diagnosis of AK by dermatologists (DL) and prima...
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| Format: | Article |
| Language: | English |
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Our Dermatology Online
2011-10-01
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| Series: | Nasza Dermatologia Online |
| Subjects: | |
| Online Access: | http://www.odermatol.com/wp-content/uploads/file/5_%20Recognition%20of%20actinic%20keratosis.pdf |
| _version_ | 1811327394484584448 |
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| author | Andrés Tirado-Sánchez Rosa María Ponce-Olivera Daniela Sierra-Téllez |
| author_facet | Andrés Tirado-Sánchez Rosa María Ponce-Olivera Daniela Sierra-Téllez |
| author_sort | Andrés Tirado-Sánchez |
| collection | DOAJ |
| description | Background. Actinic keratoses (AK) are dysplastic keratinocytic lesions confined to the epidermis. Currently, the standard screening method for detecting AK is performed by a health professional. Objectives. We seek to determine if were differences in diagnosis of AK by dermatologists (DL) and primary care physicians (PCP) in Mexico. Material and Methods. The clinical diagnoses of PCP and DL were correlated with histopathologic diagnoses. In total, 285 cases were analyzed. Results. DL diagnosed 90% (256/285) of the cases compared with 36% (102/285) of PCP (P= .001). Primary care physicians were the group with the lowest diagnostic accuracy rate. Conclusion: Primary care physician needs to acquire sufficient knowledge of basic dermatology as well as dermatopathology. The overall accuracy of the clinical diagnosis, mainly in hyperplastic AK, depends on the clinicopathologic correlation. |
| first_indexed | 2024-04-13T15:06:51Z |
| format | Article |
| id | doaj.art-ca7296308e0a43e7823e0020bac62709 |
| institution | Directory Open Access Journal |
| issn | 2081-9390 |
| language | English |
| last_indexed | 2024-04-13T15:06:51Z |
| publishDate | 2011-10-01 |
| publisher | Our Dermatology Online |
| record_format | Article |
| series | Nasza Dermatologia Online |
| spelling | doaj.art-ca7296308e0a43e7823e0020bac627092022-12-22T02:42:08ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902011-10-0124196198Recognition of actinic keratosis. A retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists. Experience in MexicoAndrés Tirado-SánchezRosa María Ponce-OliveraDaniela Sierra-TéllezBackground. Actinic keratoses (AK) are dysplastic keratinocytic lesions confined to the epidermis. Currently, the standard screening method for detecting AK is performed by a health professional. Objectives. We seek to determine if were differences in diagnosis of AK by dermatologists (DL) and primary care physicians (PCP) in Mexico. Material and Methods. The clinical diagnoses of PCP and DL were correlated with histopathologic diagnoses. In total, 285 cases were analyzed. Results. DL diagnosed 90% (256/285) of the cases compared with 36% (102/285) of PCP (P= .001). Primary care physicians were the group with the lowest diagnostic accuracy rate. Conclusion: Primary care physician needs to acquire sufficient knowledge of basic dermatology as well as dermatopathology. The overall accuracy of the clinical diagnosis, mainly in hyperplastic AK, depends on the clinicopathologic correlation.http://www.odermatol.com/wp-content/uploads/file/5_%20Recognition%20of%20actinic%20keratosis.pdfactinic keratosisclinicopathologic correlationdermatologistdiagnostic accuracyprimary care physician |
| spellingShingle | Andrés Tirado-Sánchez Rosa María Ponce-Olivera Daniela Sierra-Téllez Recognition of actinic keratosis. A retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists. Experience in Mexico Nasza Dermatologia Online actinic keratosis clinicopathologic correlation dermatologist diagnostic accuracy primary care physician |
| title | Recognition of actinic keratosis. A retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists. Experience in Mexico |
| title_full | Recognition of actinic keratosis. A retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists. Experience in Mexico |
| title_fullStr | Recognition of actinic keratosis. A retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists. Experience in Mexico |
| title_full_unstemmed | Recognition of actinic keratosis. A retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists. Experience in Mexico |
| title_short | Recognition of actinic keratosis. A retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists. Experience in Mexico |
| title_sort | recognition of actinic keratosis a retrospective biopsy study of the clinical diagnostic accuracy by primary care physicians compared with dermatologists experience in mexico |
| topic | actinic keratosis clinicopathologic correlation dermatologist diagnostic accuracy primary care physician |
| url | http://www.odermatol.com/wp-content/uploads/file/5_%20Recognition%20of%20actinic%20keratosis.pdf |
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