title: [Description of clinical pathological concordance and patient satisfaction in minor surgery in a Primary Care centre].
abstract: OBJECTIVE
  To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction.
  
  
  METHODS
  Descriptive and retrospective study.
  
  
  METHODS
  Primary Care, urban health care centre, Almería, Spain.
  
  
  METHODS
  The population were the patients belonging to urban Primary Health Care centre, referred by their family physicians or paediatricians for the performing of MS during year 2013, and who consented to the intervention. A sample of 223 patients was obtained.
  
  
  METHODS
  Variables analysed were: sex, age, locations of the lesions, type of intervention, clinical diagnosis, histopathology diagnosis, complications, and patient satisfaction. The data were extracted from the medical history, the histopathology reports, and by using a satisfaction questionnaire completed by post or telephone by the patients.
  
  
  RESULTS
  The population consisted of 53.8% males, and had a mean age of 51.12 years (SD 19.02). The location of the most intervened lesions was in the head (35.4%). Electro-surgery was the most used procedure (62.8%), with only 16.9% of the lesions being biopsied, of which the most frequent was fibroids (32.3%). The clinical pathological concordance was >80% and the Kappa index was 0.783 (P<.001). The complications presented were low. The patient's satisfaction was high.
  
  
  CONCLUSIONS
  Although a simple MS technique like electro-surgery has become more extensive, MS in PC remains safe and satisfactory for the user.
authors.affiliation: Medicina Familiar y Comunitaria, Distrito Almería, Almería, España. Electronic address: crisnati1702@gmail.com.
authors.forename: María Gabriela
authors.initials: MG
authors.lastname: Ramírez Arriola
authors.affiliation: Medicina Familiar y Comunitaria, Distrito Poniente, Almería, España.
authors.forename: Naima
authors.initials: N
authors.lastname: Hamido Mohamed
authors.affiliation: Medicina de Familia, Centro de Salud Almería Centro, Almería, España.
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Abad Vivás-Pérez
authors.affiliation: Medicina de Familia, Centro de Salud Almería Centro, Almería, España.
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Bretones Alcaráz
authors.affiliation: Medicina de Familia, Hospital Torrecárdenas, Almería, España.
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: García Torrecillas
authors.affiliation: Pediatría, Centro de Salud Almería Centro, Almería, España.
authors.forename: Evelyn
authors.initials: E
authors.lastname: Huber
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013511:Minor Surgical Procedures; D017060:Patient Satisfaction; D011320:Primary Health Care; D012189:Retrospective Studies
keywords: Atención primaria; Cirugía menor; Clinical pathological concordance; Correlación clinicopatológica; Minor surgery; Patient satisfaction; Primary care; Satisfacción del paciente