|| Checking for direct PDF access through Ovid
The aim was to analyze the value of clinical symptoms in the diagnostic accuracy by specialists of benign anorectal pathology and its relationship with years ofprofessional experience.Seven typical cases were selected. In an interview, participants were shown images and asked toprovide a diagnosis. Afterwards, the images with additional information (clinical symptoms) have been used. The specialists (Gr.1 = General Surgery and Gr.2 = Medical specialities) fulfilled the two phases of the study in order to analyze the value of clinical symptoms in the final diagnosis.Forty-four specialists were interviewed (Gr.1 n = 13 and Gr.2 n = 31). The resolution for case1 (Perianal abscess) was: Gr.1:100% vs Gr.2:80.6%, (P = 0.157), case2 (Fissure): Gr.1:92.3% vs Gr.2:51.6% (P = 0.015), case3 (Thrombosed hemorrhoid): Gr.1:92.3% vs Gr.2:74.2% (P = 0.321), case4 (Anal condyloma): Gr.1:100% vs Gr.2:87.1% (P = 0.302), case5 (Rectalprolapse): Gr.1:100% vs Gr.2:83.9% (P = 0.301), case6 (Prolapsed haemorrhoid): Gr.1:92.3% vs Gr.2:29% (P = 0.001), case7 (Fistula): Gr.1: 100% vs Gr.2:67.7% (P = 0.021). There were significant differences regarding the number of resolved cases among groups (P < 0.001). Information about clinical symptoms increased significantly the overall and specific accuracy. There was no correlation between experience and accuracy.Clinical symptoms are relevant for diagnostic accuracy in anorectal pathology. Training in anorectal pathology among medical specialities is warranted.