Do generalists and specialists agree on descriptive acne morphology?
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Do generalists and specialists agree on descriptive acne morphology? / Yazdanyar, S; Bryld, L E; Heidenheim, M; Jemec, G B E.
In: Journal of the European Academy of Dermatology and Venereology, Vol. 27, No. 1, 01.2013, p. 116-20.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Do generalists and specialists agree on descriptive acne morphology?
AU - Yazdanyar, S
AU - Bryld, L E
AU - Heidenheim, M
AU - Jemec, G B E
N1 - © 2011 The Authors. Journal of the European Academy of Dermatology and Venereology © 2011 European Academy of Dermatology and Venereology.
PY - 2013/1
Y1 - 2013/1
N2 - BACKGROUND: Acne is a common skin disease, which is treated by many different specialities. Clinical guidelines for treatment are based on the recognition of acne morphology. The assessment of acne morphology is therefore an important element of the proper diagnosis and treatment of acne.OBJECTIVE: To evaluate the level of congruence in the assessment of acne morphology in General Practitioners (GPs) and Dermatologists compared to the assessment of an expert.METHODS: The study was conducted during 2008-2009. Randomly selected GP and Dermatologists Practitioners, (DPs) from Denmark were invited to complete an on-line questionnaire. The questionnaire was based on seven cases, each presented with digital photos and a short history. The respondents were asked to identify the morphology by marking their answer on a closed list. Congruence, variation and the participants' assessment were compared with a priori expert assessment using odds ratios, Fishers exact test and Index of Qualitative Variation.RESULTS: Of the 1700 GPs and 110 DPs invited, 355 GPs and 99 DPs participated. In all seven cases, DPs were more in accordance with expert opinion than were GPs. In addition, the GPs had a greater variation in the distribution of answers.CONCLUSION: GPs described acne morphology recognized clinical hallmarks of severity in acne less well than dermatologists and were far less consistent.
AB - BACKGROUND: Acne is a common skin disease, which is treated by many different specialities. Clinical guidelines for treatment are based on the recognition of acne morphology. The assessment of acne morphology is therefore an important element of the proper diagnosis and treatment of acne.OBJECTIVE: To evaluate the level of congruence in the assessment of acne morphology in General Practitioners (GPs) and Dermatologists compared to the assessment of an expert.METHODS: The study was conducted during 2008-2009. Randomly selected GP and Dermatologists Practitioners, (DPs) from Denmark were invited to complete an on-line questionnaire. The questionnaire was based on seven cases, each presented with digital photos and a short history. The respondents were asked to identify the morphology by marking their answer on a closed list. Congruence, variation and the participants' assessment were compared with a priori expert assessment using odds ratios, Fishers exact test and Index of Qualitative Variation.RESULTS: Of the 1700 GPs and 110 DPs invited, 355 GPs and 99 DPs participated. In all seven cases, DPs were more in accordance with expert opinion than were GPs. In addition, the GPs had a greater variation in the distribution of answers.CONCLUSION: GPs described acne morphology recognized clinical hallmarks of severity in acne less well than dermatologists and were far less consistent.
KW - Acne Vulgaris
KW - Adolescent
KW - Adult
KW - Clinical Competence
KW - Confidence Intervals
KW - Denmark
KW - Dermatology
KW - Female
KW - General Practice
KW - Humans
KW - Male
KW - Medical History Taking
KW - Odds Ratio
KW - Photography
KW - Questionnaires
KW - Sampling Studies
KW - Specialization
KW - Young Adult
U2 - 10.1111/j.1468-3083.2011.04224.x
DO - 10.1111/j.1468-3083.2011.04224.x
M3 - Journal article
C2 - 21923662
VL - 27
SP - 116
EP - 120
JO - Journal of the European Academy of Dermatology and Venereology
JF - Journal of the European Academy of Dermatology and Venereology
SN - 0926-9959
IS - 1
ER -
ID: 120835741