Elena Pastrana-Arellano, Sofía Valdés-Loperena, Yaneli Vargas-Flores, Carola Durán-McKinster, María T García-Romero
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引用次数: 0
摘要
背景:血管畸形(VaM)是由血管畸形引起的一组异质性疾病。虽然正确的分类与根据循证医学提供适当的治疗有关，但诊断术语可能被误用或需要澄清。方法:采用Fleiss kappa (κ)一致性分析对435例新转诊到多学科血管异常诊所(VAC)的VaM患儿进行回顾性研究，以衡量其转诊与最终确诊诊断的一致性。结果:我们发现VaM的转诊与确诊之间具有良好的一致性(κ 0.306, p < 0.001)。淋巴畸形(LM)和VaM与其他异常的诊断一致性中等(κ 0.593, p < 0.001和κ 0.469, p < 0.001)。结论:需要继续医学教育策略来提高医生对VaM的知识和诊断准确性。
Concordance between referral and final diagnoses of pediatric patients with vascular malformations.
Background: Vascular malformations (VaM) are a heterogeneous group of disorders resulting from the dysmorphogenesis of blood vessels. Although correct classification is relevant to providing adequate treatment according to evidence-based medicine, diagnostic terminology may be misused or need clarification.
Methods: We conducted a retrospective study to measure agreement and concordance between referral and final confirmed diagnoses of 435 pediatric patients with VaM newly referred to the multidisciplinary Vascular Anomalies Clinic (VAC) using Fleiss kappa (κ) concordance analysis.
Results: We found fair concordance between referral and confirmed diagnoses of VaM (κ 0.306, p < 0.001). Lymphatic malformations (LM) and VaM associated with other anomalies showed moderate diagnostic concordance (κ 0.593, p < 0.001 and κ 0.469, p < 0.001, respectively).
Conclusions: Continuing medical education strategies are required to improve physician knowledge and diagnostic accuracy in patients with VaM.
期刊介绍：
The Boletín Médico del Hospital Infantil de México is a bimonthly publication edited by the Hospital Infantil de México Federico Gómez. It receives unpublished manuscripts, in English or Spanish, relating to paediatrics in the following areas: biomedicine, clinical, public health, clinical epidemology, health education and clinical ethics. Articles can be original research articles, in-depth or systematic reviews, clinical cases, clinical-pathological cases, articles about public health, letters to the editor or editorials (by invitation).
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