Is it Appropriate for Nondermatologist Physicians to Perform Skin Biopsies?
Identifieur interne : 008329 ( Main/Exploration ); précédent : 008328; suivant : 008330Is it Appropriate for Nondermatologist Physicians to Perform Skin Biopsies?
Auteurs : K. Sellheyer [États-Unis] ; W. F. Bergfeld [États-Unis]Source :
- Journal of Cutaneous Pathology [ 0303-6987 ] ; 2005-01.
Abstract
Physicians of various specialties submit cases for histopathological examination. Using the dermatopathology report as an objective verification tool of clinical diagnostic accuracy we assessed the diagnostic abilities of nondermatologist physicians, who performed various types of skin biopsies, and compared them with those of dermatologists. In total, 4,451 cases were analyzed. Dermatologists diagnosed twice the number of neoplastic and cystic skin lesions correctly (75%) than nondermatologists (40%). The clinical diagnosis rendered by family practitioners matched only in 26% the histopathological diagnosis. Plastic surgeons did better than family physicians but still had a diagnostic accuracy rate of only 45% for skin tumors. Inflammatory skin diseases were correctly diagnosed in 71% of the cases by dermatologists but in only 34% of the cases by nondermatologists. In our view, it is appropriate for nondermatologists to perform skin biopsies only, if they have required sufficient knowledge in basic dermatology and dermatopathology. A skin biopsy consists not only of the technical aspects of the actual procedure but necessitates an understanding of basic dermatology and dermatopathology to facilitate clinicopathological correlation.
Url:
DOI: 10.1111/j.0303-6987.2005.320gu.x
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 005D79
- to stream Istex, to step Curation: 005D79
- to stream Istex, to step Checkpoint: 001B05
- to stream Main, to step Merge: 008552
- to stream Main, to step Curation: 008329
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is it Appropriate for Nondermatologist Physicians to Perform Skin Biopsies?</title><author><name sortKey="Sellheyer, K" sort="Sellheyer, K" uniqKey="Sellheyer K" first="K." last="Sellheyer">K. Sellheyer</name></author><author><name sortKey="Bergfeld, W F" sort="Bergfeld, W F" uniqKey="Bergfeld W" first="W. F." last="Bergfeld">W. F. Bergfeld</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:C82463630856F307C12EFDEF1FD17D6130562B91</idno><date when="2005" year="2005">2005</date><idno type="doi">10.1111/j.0303-6987.2005.320gu.x</idno><idno type="url">https://api.istex.fr/document/C82463630856F307C12EFDEF1FD17D6130562B91/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">005D79</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">005D79</idno><idno type="wicri:Area/Istex/Curation">005D79</idno><idno type="wicri:Area/Istex/Checkpoint">001B05</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001B05</idno><idno type="wicri:doubleKey">0303-6987:2005:Sellheyer K:is:it:appropriate</idno><idno type="wicri:Area/Main/Merge">008552</idno><idno type="wicri:Area/Main/Curation">008329</idno><idno type="wicri:Area/Main/Exploration">008329</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Is it Appropriate for Nondermatologist Physicians to Perform Skin Biopsies?</title><author><name sortKey="Sellheyer, K" sort="Sellheyer, K" uniqKey="Sellheyer K" first="K." last="Sellheyer">K. Sellheyer</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Dermatology and Pathology, The Cleveland Clinic Foundation, Cleveland, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Bergfeld, W F" sort="Bergfeld, W F" uniqKey="Bergfeld W" first="W. F." last="Bergfeld">W. F. Bergfeld</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Dermatology and Pathology, The Cleveland Clinic Foundation, Cleveland, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Cutaneous Pathology</title><title level="j" type="alt">JOURNAL OF CUTANEOUS PATHOLOGY</title><idno type="ISSN">0303-6987</idno><idno type="eISSN">1600-0560</idno><imprint><biblScope unit="vol">32</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="116">116</biblScope><biblScope unit="page" to="116">116</biblScope><biblScope unit="page-count">1</biblScope><publisher>Blackwell Publishing Ltd/Inc.</publisher><pubPlace>Oxford, UK; Malden, USA</pubPlace><date type="published" when="2005-01">2005-01</date></imprint><idno type="ISSN">0303-6987</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0303-6987</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Physicians of various specialties submit cases for histopathological examination. Using the dermatopathology report as an objective verification tool of clinical diagnostic accuracy we assessed the diagnostic abilities of nondermatologist physicians, who performed various types of skin biopsies, and compared them with those of dermatologists. In total, 4,451 cases were analyzed. Dermatologists diagnosed twice the number of neoplastic and cystic skin lesions correctly (75%) than nondermatologists (40%). The clinical diagnosis rendered by family practitioners matched only in 26% the histopathological diagnosis. Plastic surgeons did better than family physicians but still had a diagnostic accuracy rate of only 45% for skin tumors. Inflammatory skin diseases were correctly diagnosed in 71% of the cases by dermatologists but in only 34% of the cases by nondermatologists. In our view, it is appropriate for nondermatologists to perform skin biopsies only, if they have required sufficient knowledge in basic dermatology and dermatopathology. A skin biopsy consists not only of the technical aspects of the actual procedure but necessitates an understanding of basic dermatology and dermatopathology to facilitate clinicopathological correlation.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Ohio"><name sortKey="Sellheyer, K" sort="Sellheyer, K" uniqKey="Sellheyer K" first="K." last="Sellheyer">K. Sellheyer</name></region><name sortKey="Bergfeld, W F" sort="Bergfeld, W F" uniqKey="Bergfeld W" first="W. F." last="Bergfeld">W. F. Bergfeld</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 008329 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 008329 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:C82463630856F307C12EFDEF1FD17D6130562B91
|texte= Is it Appropriate for Nondermatologist Physicians to Perform Skin Biopsies?
}}
| This area was generated with Dilib version V0.6.31. |  |