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Poor agreement between self-reported and dermatologists’ diagnoses for five common dermatoses: Comparison of self-reported and dermatologists’ diagnoses
Abstract
Background Few epidemiological studies assessing the prevalence of chronic dermatosis are available in France and most of these studies have used biased samples drawn from specific subpopulations. As several recent studies have mentioned that self-reported diagnosis either underestimates or overestimates disease prevalence, the validity of such data is questionable. Objectives To evaluate the agreement between self-reported and dermatologists' diagnoses for five chronic dermatoses: acne, eczema, fungal infection, psoriasis and seborrhoeic dermatitis, and to analyse the factors associated with patients' diagnosis knowledge. Patients/methods A cross-sectional study was conducted on the national day of skin tumour screening in April 2003. A self-administered questionnaire was completed by patients and a standard form was completed by dermatologists after clinical examination. A total of 4,622 adults were examined by a dermatologist in 134 screening centres across France. The agreement between self-reported and dermatologists' diagnoses was analysed using the kappa index. Characteristics of patients who were aware of their diagnosis were compared with those of patients who were not, by using multivariate logistic regression models. Results The demographic characteristics of the sample differed from those of the French population. The self-reported prevalence was significantly lower than the actual prevalence for all diseases except eczema. Underestimations ranging from 23% to 35%…
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“Low agreement between self-report measures and clinical assessment is a phenomenon that has been widely reported in other healthcare settings (e.g.Jagou et al., 2006;Jeong et al., 2018).”
From Autism in the context of joint hypermobility, hypermobility spectrum disorders, and Ehlers–Danlos syndromes: A systematic review and prevalence meta-analyses (2025) · cites this paper as Jagou et al., 2006
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Baeza-Velasco, C., Vergne, J., Poli, M., Kalisch, L., & Calati, R. (2025) · Autism · doi:10.1177/13623613251328059 · Cited by 16
Metadata
- Authors
- Jagou, M., Bastuji-Garin, S., Bourdon-Lanoy, E., Penso-Assathiany, D., Roujeau, J.-C., & (RED), T. R. D. E. D.
- Affiliations
- Assistance Publique – Hôpitaux de Paris (FR)
- Hôpitaux Universitaires Henri-Mondor (FR)
- Corresponding author
- Roujeau, J-C.
- ORCID
- Penso-Assathiany, D.
- Venue
- British Journal of Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-06-28
- Volume
- 155
- Issue
- 5
- Pages
- 1006-1012
- ISSN
- 0007-0963 (ISSN-L)
- OpenAlex
- W2085662081
- Cited by
- 43
- References
- 1
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2016: 2 · 2015: 1 · 2014: 5 · 2013: 3 · 2012: 2
- FWCI
- 5.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- British Journal of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Société Française de Dermatologie et de Pathologie Sexuellement Transmissible
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Dermatology › Contact Dermatitis and Allergies
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Keywords
- chronic dermatoses, self-reported diagnosis, dermatologist diagnosis, diagnostic agreement, underestimation of prevalence, acne, atopic dermatitis, psoriasis, seborrheic dermatitis, fungal skin infection
- MeSH terms
- Adolescent, Adult, Aged, Chronic Disease, Diagnostic Errors, Epidemiologic Methods, Female, France, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Self Care, Skin Diseases, Social Class, Observer Variation, Age Distribution
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