To assess the reliability of the diagnosis given to rheumatic disease patients at the primary care level, the clinical records of 612 patients at the outpatient clinic of rheumatology of the main General Hospital in Alicante (Spain) were studied.
The accuracy indices (sensitivity, specificity), the predictive values of tentative diagnosis made by the referring physicians and the degree of agreement (Kappa statistics) with the final diagnoses made by rheumatologists at the outpatient clinic of rheumatology were calculated.
There were differences in diagnosis agreement depending on the age of the referring doctor, with a greater degree of concordance among younger ones.
More than 50% of the referral diagnoses were modified at the rheumatology outpatient clinic.
Mots-clés Pascal : Arthropathie, Rhumatisme inflammatoire, Homme, Diagnostic, Soin santé primaire, Fiabilité, Etude statistique, Echelon provincial, Espagne, Europe, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Arthropathy, Inflammatory joint disease, Human, Diagnosis, Primary health care, Reliability, Statistical study, Provincial scope, Spain, Europe, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0097469
Code Inist : 002B15I. Création : 09/06/1995.