[Diagnostic consistency between primary care physicians and rheumatologists].
OBJECTIVE
To assess the concordance between the diagnoses on referral from Primary Care to the Rheumatology Clinic and the final diagnoses made by the Rheumatologist.


METHODS
Crossover study.


METHODS
Rheumatology clinic in a specialist centre.


METHODS
The study covered the first 308 patients referred consecutively from Primary Care by Family or General practitioners after the opening of the clinic in 1989.


METHODS
A form for referring the patient to the Rheumatologist and filling in the basic data was composed. The referring doctor was also asked to classify the patient in one of five possible diagnostic categories. These diagnoses were compared with the opinion of the Rheumatologist.


RESULTS
The Family Doctor referred 105 patients and the General Practitioner, 203. The concordance between diagnoses as measured by the Kappa index was 0.61 (C.I. 0.81-0.41) for Family Doctors and 0.38 (C.I. 0.23-0.53) for General Practitioners.


CONCLUSIONS
The concordance of diagnoses between Family Doctors and Rheumatologists is good, whereas it was only regular/moderate for General Practitioners, which seems to indicate a superior objective training of Family Doctors in the diagnosis of these patients.
Hospital y Centro de Especialidades, Elche.
M
M
Sánchez Mollá
J
J
Tovar
M A
MA
Medina
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012017:Referral and Consultation; D015203:Reproducibility of Results; D012216:Rheumatic Diseases / Q000175:diagnosis*; D012219:Rheumatology
Concordancia diagnóstica entre los médicos de atención primaria y los reumatólogos.