Goldenberg Gary, Camacho Fabian, Gildea Jacob, Golitz Loren E
Department of Dermatology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
J Cutan Pathol. 2008 Jul;35(7):658-61. doi: 10.1111/j.1600-0560.2007.00869.x. Epub 2008 Jan 14.
Dermatopathologists, dermatologists and pathologists interpret skin pathology specimens.
To examine dermatopathology referral patterns of dermatologists, pathologists and dermatopathologists.
We retrospectively reviewed diagnoses rendered by one dermatopathologist to 916 primary interpretation cases (543 from university dermatologists and 373 from private practice dermatologists) and 517 consultations (450 from dermatologists, 52 from pathologists and 15 from dermatopathologists). Each diagnosis was assigned into one of six categories. Chi-square tests were used to compare referral types pairwise and correspondence analysis was performed.
All profile comparisons tested significantly from each other (p-value < 0.01) except the comparison between dermatopathologists and pathologists. Correspondence analysis suggested that consultation profile of dermatopathologists was most dissimilar from other profiles and tended to associate more with the presence of malignant and benign melanocytic referral types. Referral pattern of pathologists was more similar to that of dermatologists who interpret skin pathology specimens than that of dermatopathologists.
Small sample size, referral bias, difficulty classifying certain lesions.
Referral pattern of dermatopathologists was most dissimilar from other profiles and tended to associate more with malignant and benign melanocytic referral types. Referral pattern of pathologists was more similar to that of dermatologists who interpret skin pathology specimens than that of dermatopathologists.
皮肤病理学家、皮肤科医生和病理学家解读皮肤病理标本。
研究皮肤科医生、病理学家和皮肤病理学家的皮肤病理转诊模式。
我们回顾性分析了一位皮肤病理学家对916例初次解读病例（543例来自大学皮肤科医生，373例来自私人执业皮肤科医生）和517例会诊病例（450例来自皮肤科医生，52例来自病理学家，15例来自皮肤病理学家）做出的诊断。每个诊断被归入六个类别之一。采用卡方检验对转诊类型进行两两比较，并进行对应分析。
除皮肤病理学家和病理学家之间的比较外，所有特征比较相互之间均有显著差异（p值<0.01）。对应分析表明，皮肤病理学家的会诊特征与其他特征最不相似，并且往往与恶性和良性黑素细胞转诊类型的存在更多相关。病理学家的转诊模式与解读皮肤病理标本的皮肤科医生的转诊模式比与皮肤病理学家的转诊模式更相似。
样本量小、转诊偏倚、某些病变分类困难。
皮肤病理学家的转诊模式与其他特征最不相似，并且往往与恶性和良性黑素细胞转诊类型的存在更多相关。病理学家的转诊模式与解读皮肤病理标本的皮肤科医生的转诊模式比与皮肤病理学家的转诊模式更相似。
