[Diagnostic agreement between primary and hospital care in the assessment of basal cell carcinoma].
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.
Rodríguez Caravaca
G
G
Unidad de Medicina Preventiva. Fundación Hospital Alcorcón, FHA, Madrid, Spain. grodriguez@fhalcorcon.es
Villar Del Campo
M
M
González Mosquera
M
M
García-Cruces Méndez
J
J
López Bran
E
E
Pombo Liria
N
N
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