文章基本信息

标题：Competencia diagnóstica de los médicos de atención primaria con distintas técnicas de visualización de radiografías
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作者：Tamara Sigal ; Eduardo Durante
期刊名称：Educación Médica
印刷版ISSN：1575-1813
出版年度：2017
卷号：18
期号：4
页码：262-266
DOI：10.1016/j.edumed.2016.11.002
出版社：Elsevier B.V.
摘要：Objective A study was designed to assess whether there were differences in the diagnostic skills of Primary Care Physicians using different diagnostic techniques. Methods A cross-sectional observational study was conducted that included 10 Family Medicine Residents (FMR), 10 Specialists in Family Medicine (SFM), and 16 Radiology Residents (RR) as a control group. The participants evaluated 7 real Primary Care cases with their respective printed and digital X-rays. Each radiograph had a main finding and several subtle findings, defined by specialist in diagnostic imaging. The intra- and extra-individual agreement was calculated. It was decided to consider the participants of a group as a single observer to calculate an overall Kappa. Results The overall Kappa coefficients between film and screen X- rays for FMR was 0.48 (95% CI; 0.35-0.61), for SFM 0.48 (95% CI; 0.35-0.61), and for the RR Group, 0.58 (95% CI; 0.48-0.69. The mean score (range from 0 to 10) obtained for the printed and digital method was 4.15 and 4.15 for the FMR, 4.2 and 3.77 for SFM, and 7.03 and 7.04 for RR, respectively. Conclusion No significant differences were found in radiological diagnostic skills for the 3 groups in the use of both techniques, although there was a tendency of a better performance with the digital method among medical residents.
关键词：Radiological diagnostic skills ; Radiography ; Primary care