+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effectiveness of primary care physicians and dermatologists in the diagnosis of skin cancer: a comparative study in the same geographic area



Effectiveness of primary care physicians and dermatologists in the diagnosis of skin cancer: a comparative study in the same geographic area



Actas Dermo-Sifiliograficas 102(1): 48-52



skin cancer is the most common malignant tumor in white individuals. Early diagnosis and treatment are key factors in reducing morbidity. We performed a prospective observational study throughout 2008 to assess the ability of primary care physicians to diagnose nonmelanoma skin cancer. the study was undertaken in a single geographic area corresponding to the region served by a primary health care center. Patients who were referred to a dermatologist were included if the primary care physician indicated skin cancer in the differential diagnosis on the referral form. Patients were also included if the dermatologist suspected skin cancer even if the referral from primary care had not indicated it. primary care physicians had a sensitivity of 0.45 and a specificity of 0.16 for the diagnosis of skin cancer, whereas dermatologists had a sensitivity of 0.97 and a specificity of 0.75. The α statistic as a measure of agreement was -0.56. The ability of primary care physicians to diagnose skin cancer was appreciably lower than that of dermatologists. This may result in substantial delays in the provision of appropriate care for patients with skin cancer considering the role played by primary care physicians in screening for the disease in the Spanish national health system.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052844737

Download citation: RISBibTeXText

PMID: 21315861

DOI: 10.1016/j.ad.2010.06.020


Related references

Primary care physicians as gatekeepers in managed care. Primary care physicians' and dermatologists' skills at secondary prevention of skin cancer. Archives of Dermatology 132(9): 1030-1038, 1996

Is an online skin cancer toolkit an effective way to educate primary care physicians about skin cancer diagnosis and referral?. Journal of the European Academy of Dermatology and Venereology 29(11): 2152-2159, 2015

Diagnostic agreement between primary care physicians and dermatologists in the health area of a referral hospital. Actas Dermo-Sifiliograficas 99(3): 207-212, 2008

Comparison of melanoma diagnosis and management decisions between dermatologists and primary care physicians. Journal of Investigative Dermatology 114(4): 775, 2000

Dermatologists are the primary treating physicians of skin cancer in the United States Medicare population. Journal of the American Academy of Dermatology 79(3): 578-580, 2018

The effectiveness of an Internet-based tutorial in improving primary care physicians' skin cancer triage skills. Journal of Cancer Education 17(1): 7, 2002

What the USPSTF "Insufficient" Skin Cancer Screening Recommendation Means for Primary Care Clinicians and Dermatologists. JAMA Dermatology 152(9): 973-975, 2016

Decision support software to help primary care physicians triage skin cancer: a pilot study. Archives of Dermatology 136(2): 187-192, 2000

Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health Care System. JAMA Dermatology 154(5): 569-573, 2018

Factors associated with the number of lesions excised for each skin cancer: a study of primary care physicians in Queensland, Australia. Archives of Dermatology 144(11): 1468-1476, 2008

Factors Associated With the Number of Lesions Excised for Each Skin Cancer: A Study of Primary Care Physicians in Queensland, Australia. Yearbook of Dermatology and Dermatologic Surgery 2009: 470-471, 2009

Characteristics of office-based visits for skin cancer. Dermatologists have more experience than other physicians in managing malignant and premalignant skin conditions. Dermatologic Surgery 24(9): 981-985, 1998

Diagnosis of skin cancer by dermatologists in the French West Indies: a prospective study. Annales de Dermatologie et de Venereologie 138(1): 11-16, 2011

Skin cancer diagnosis by dermatologists in the region of Champagne-Ardenne: a prospective study. Annales de Dermatologie et de Venereologie 128(8-9): 883-887, 2001

New psoriasis guidelines for primary care physicians and dermatologists. Managed Care 3(2): 50-51, 1994