Combined Military Hospital, Bahawalpur,Pakistan.
J Pak Med Assoc. 2023 Sep;73(9):1852-1856. doi: 10.47391/JPMA.8220.
To compare the clinical diagnostic accuracy of dermatologists and non- dermatologists in the diagnosis of dermatological diseases.
The descriptive, cross-sectional study was conducted at the Dermatopathology department of a tertiary healthcare hospital in the Punjab province of Pakistan from January 1 to December 31, 2019, and comprised biopsy specimens of patients with diseases of the skin and subcutaneous tissue. The clinical diagnoses of general surgeons, otolaryngologists, dental/maxillofacial surgeons, plastic surgeons and gynaecologists were noted and compared with those of dermatologists in the light of histopathological findings. Data was analysed using SPSS 16.
Of the 386 specimens submitted, 113(29.3%) were sent by dermatologists and 273(70.7%) by non-dermatologists. Clinical diagnostic accuracy of dermatologists 92(81.4%) compared to non-dermatologists 137(50.2%) (p<0.005). The dermatologists diagnosed significantly more cases belonging to inflammatory and miscellaneous cutaneous diseases category accurately than non-dermatologists (p<0.005). Similarly, the dermatologists diagnosed significantly more cases of neoplastic disorders accurately than the non-dermatologists (p= 0.018). There was no significant difference in the clinical diagnostic accuracy of dermatologists and non-dermatologists in cases of cystic lesions (p>0.05). In the neoplastic category, no significant difference was found in the clinical accuracy of dermatologists and plastic surgeons (p=0.347).
The specialised skills of dermatologists could not be matched by any other group of physicians.
比较皮肤科医生和非皮肤科医生在皮肤科疾病诊断中的临床诊断准确性。
本研究为描述性、横断面研究，于 2019 年 1 月 1 日至 12 月 31 日在巴基斯坦旁遮普省一家三级医疗机构的皮肤病理科进行，纳入了患有皮肤和皮下组织疾病的患者的活检标本。记录了普通外科医生、耳鼻喉科医生、口腔颌面外科医生、整形外科医生和妇科医生的临床诊断，并根据组织病理学发现与皮肤科医生的诊断进行了比较。数据采用 SPSS 16 进行分析。
在提交的 386 份标本中，113 份（29.3%）由皮肤科医生送检，273 份（70.7%）由非皮肤科医生送检。皮肤科医生的临床诊断准确率为 92%（81.4%），而非皮肤科医生的准确率为 137%（50.2%）（p<0.005）。皮肤科医生准确诊断出的炎症性和其他皮肤疾病类别病例明显多于非皮肤科医生（p<0.005）。同样，皮肤科医生准确诊断出的肿瘤性疾病病例也明显多于非皮肤科医生（p=0.018）。在囊性病变病例中，皮肤科医生和非皮肤科医生的临床诊断准确率无显著差异（p>0.05）。在肿瘤性疾病类别中，皮肤科医生和整形外科医生的临床准确率无显著差异（p=0.347）。
皮肤科医生的专业技能是其他任何医生群体都无法比拟的。
