Table 7.
Diagnostic concordance.
| GP-Dermatologist Concordance | |||||
| Variable |
Matched SSC
n = 528 (%) |
2020 VLC
n = 172 (%) |
p-Value |
2016 VLC
n = 601 (%) |
p-Value |
| Benign/malignant: | |||||
| Concordant | 305 (58) | 38 (22) | 194 (32) | ||
| Not concordant | 223 (42) | 134 (78) | 407 (68) | ||
| <0.001 | <0.001 | ||||
| Specific diagnosis: | |||||
| Completely concordant | 183 (35) | 37 (22) | 101 (17) | ||
| Partially concordant | 60 (11) | 16 (9) | 39 (7) | ||
| Not concordant | 285 (54) | 119 (69) | 461 (77) | ||
| <0.001 | <0.001 | ||||
| Dermatologist-Histology Concordance | |||||
| Variable |
Matched SSC
n = 114 (%) |
2020 VLC
n= 32 * (%) |
p-Value |
2016 VLC
n = 112 (%) |
p-Value |
| Benign/malignant: | |||||
| Concordant | 80 (70) | 20 (63) | 86 (71) | ||
| Not concordant | 34 (30) | 12 (38) | 36 (30) | ||
| 0.41 | 0.96 | ||||
| Specific diagnosis: | |||||
| Completely concordant | 60 (53) | 19 (59) | 70 (57) | ||
| Partially concordant | 15 (13) | 2 (6) | 0 (0) | ||
| Not concordant | 39 (34) | 11 (34) | 52 (43) | ||
| 0.54 | <0.001 | ||||
| GP-Histology Concordance | |||||
| Variable |
Matched SSC
n = 114 (%) |
2020 VLC
n = 17 (%) |
p-Value |
2016 VLC
n = 98 (%) |
p-Value |
| Benign/malignant: | |||||
| Concordant | 68 (60) | 2 (12) | 48 (49) | ||
| Not concordant | 46 (40) | 15 (88) | 50 (51) | ||
| <0.001 | <0.001 | ||||
| Specific diagnosis: | |||||
| Completely concordant | 46 (40) | 1 (6) | 40 (41) | ||
| Partially concordant | 9 (8) | 1 (6) | 5 (5) | ||
| Not concordant | 59 (52) | 15 (88) | 53 (54) | ||
| 0.02 | 0.71 | ||||
SSC—suspected skin cancer pathway; VLC—virtual lesion clinic. * Includes extra lesions identified by nurse specialist during VLC.