Cirugía menor en Atención Primariados años de experiencia y evolución en el tiempo

Abstract

Objectives: To analyse minor surgery in Primary Care including degree of satisfaction. To compare the most recent results with those obtained in the period 1996-2001. Method: Retrospective observational study. Urban healthcare center. Measurements: 275 interventions (2015-2016). Variables: Age, sex, presenting complaint, location of the lesion, waiting time, clinical diagnosis, type of intervention, incidents, type of incidences, histological diagnosis, complications, treatment. Telephone satisfaction survey. Comparison with 276 interventions (1996-2001). Results: 61% of the interventions were performed in women being 57 the median age and the most frequent location head and neck (43%). The most common presenting complaint were pain (43%) and esthetic (34%), the most used intervention sharp/curettage (44%) and the most frequent clinical diagnosis were hyperkeratosic lesions(28%), fibromas (26%) and cysts (22%).In the comparative analysis between periods we found a significant increase on the age of the patients (median of 52 versus 57) and the waiting time (median of 7 versus 12), and a non-significant decrease in the clinical-histological correlation (82% versus 74%) . Conclusion: Minor surgery in our Healthcare center has good results, few incidents and complications and a wide satisfaction among the users surveyed. In recent years the demand has increased a well as the waiting time with a slight decrease in the clinical-histological concordance, which forces us to think about organizational and training measures that allow us to improve our quality care.