title: [The degree of agreement of the clinical and the histopathological diagnoses in a tertiary medical care pediatric hospital].
abstract: In Pediatric Hospital, from the National Medical Center, of the Mexican Institute of Social Security were analyzed 96 histological pieces: 59 biopsies, 21 surgical material and 16 slides. There were showed the agreement rate between clinical diagnosis and the end histopathological report from the Pathology Department. The higher correlation rate were with biopsies (83%) and surgical material (81%) and the lowest rate were with slides samples (69%). There were not statistical difference in the 3 study groups (P greater than 0.05). The overall concordance with the clinical diagnosis were 82%. The overall concordance with the 3 study groups were 80%. It is concluded what agreement rate was satisfactory in biopsies and surgical material and the agreement rate measure is an actual parameter in evaluation of clinical competence and also in the evaluation of medical care quality.
authors.affiliation: Departamento de Anatomía Patológica, Hospital de Pediatría, Instituto Mexicano del Seguro Social, México, D.F.
authors.forename: P
authors.initials: P
authors.lastname: Alemán-Velázquez
authors.forename: J
authors.initials: J
authors.lastname: Garduño-Espinosa
authors.forename: O
authors.initials: O
authors.lastname: Ortiz-Alvarez
authors.forename: M del C
authors.initials: Mdel C
authors.lastname: Martínez-García
authors.forename: D
authors.initials: D
authors.lastname: González-Lara
authors.forename: L
authors.initials: L
authors.lastname: Jasso-Gutiérrez
mesh_terms: D001706:Biopsy / Q000592:standards / Q000706:statistics & numerical data; D002648:Child; D003933:Diagnosis; D003951:Diagnostic Errors; D003949:Diagnostic Techniques, Surgical / Q000592:standards / Q000706:statistics & numerical data; D005069:Evaluation Studies as Topic; D006776:Hospitals, Pediatric / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D008800:Mexico; D011787:Quality of Health Care / Q000706:statistics & numerical data; D012680:Sensitivity and Specificity
vernacular_title: Grado de concordancia del diagnóstico clínico con el histopatológico en un hospital pediátrico de tercer nivel de atención médica.