title: [Diagnostic agreement between primary and hospital care in the assessment of basal cell carcinoma].
abstract: OBJECTIVE
  To evaluate the diagnostic agreement between primary and hospital care.
  
  
  METHODS
  Cross-sectional study. 491 patients who sought primary care for symptoms of suspected basal cell carcinoma and were referred to a dermatologist. The Kappa index was used to evaluate diagnostic concordance between primary and hospital care.
  
  
  RESULTS
  The more frequent site of diagnosis was face (73.9%). The most frequent differential diagnosis in primary care was nevi (5.9%) while that in specialist care was actinic keratoses (2.2%). The diagnostic agreement was very low (kappa = 0.071; 95% IC = 0.0-0.15).
  
  
  CONCLUSIONS
  The degree of agreement between primary and specialist care was low.
authors: Unidad de Medicina Preventiva. Fundación Hospital Alcorcón, FHA, Madrid, Spain. grodriguez@fhalcorcon.es
authors: G
authors: G
authors: Rodríguez Caravaca
authors: M
authors: M
authors: Villar Del Campo
authors: M
authors: M
authors: González Mosquera
authors: J
authors: J
authors: García-Cruces Méndez
authors: E
authors: E
authors: López Bran
authors: N
authors: N
authors: Pombo Liria
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008511:Medicine; D011320:Primary Health Care; D013038:Specialization