{"id":115703,"date":"2018-03-11T10:44:21","date_gmt":"2018-03-11T10:44:21","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilizacion-de-agentes-estimulantes-de-la-eritropoyesis-en-el-tratamiento-de-la-anemia-secundaria-a-enfermedad-renal-cronica\/"},"modified":"2018-03-11T10:44:21","modified_gmt":"2018-03-11T10:44:21","slug":"utilizacion-de-agentes-estimulantes-de-la-eritropoyesis-en-el-tratamiento-de-la-anemia-secundaria-a-enfermedad-renal-cronica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/farmacologia\/utilizacion-de-agentes-estimulantes-de-la-eritropoyesis-en-el-tratamiento-de-la-anemia-secundaria-a-enfermedad-renal-cronica\/","title":{"rendered":"Utilizaci\u00f3n de agentes estimulantes de la eritropoyesis en el         tratamiento de la anemia secundaria a enfermedad renal cr\u00f3nica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Dami\u00e1n Escudero Vilaplana <\/strong><\/h2>\n<p>Objetivos analizar el perfil de utilizaci\u00f3n de los agentes estimulantes de la eritropoyesis aee en el tratamiento de la anemia secundaria a enfermedad renal cr\u00f3nica erc en la pr\u00e1ctica cl\u00ednica habitual, y evaluar su efectividad, seguridad, coste y factores que influyen en la resistencia a estos f\u00e1rmacos.Material y m\u00e9todos: estudio descriptivo, transversal, en el que se incluyeron pacientes adultos con anemia secundaria a erc a los que se les dispens\u00f3 aee durante marzo de 2011. Se analizaron las caracter\u00edsticas de los pacientes en funci\u00f3n del aee utilizado epoetina , darbepoetina  y cera desde el punto de vista de la efectividad niveles \u00f3ptimos de hb, seguridad niveles elevados de hb y coste coste paciente mes seg\u00fan posolog\u00eda y pvl. Se evaluaron las dosis equipotentes utilizadas de los aee y los factores que influ\u00edan en la resistencia a estos f\u00e1rmacos. Resultados se incluyeron 333 pacientes 23,4 epoetina , 41,5 darbepoetina  y 35,1 cera. Los pacientes tratados con cera ten\u00edan mejores valores de creatinina s\u00e9rica, prote\u00edna c reactiva, alb\u00famina y paratohormona, y el 94 de ellos no estaban sometidos a di\u00e1lisis. La mediana p25 p75 de hb fue 11,9 11,1 12,7 g dl y en el 16,5 de los casos la hb era superior a 13 g dl, sin encontrarse diferencias estad\u00edsticamente significativas entre los tipos de aee. Las dosis paciente mes fueron  epoetina  12.857,1  8.571,0 21.714,3  ui, darbepoetina  85,7  42,9 128,6 mcg y cera 75,0  50,0 100,0  mcg. La mayor necesidad de dosis y, por tanto, el coste se relacionaron con el tipo de paciente: predi\u00e1lisis  trasplante renal funcionante  di\u00e1lisis. Un menor \u00edndice de saturaci\u00f3n de la transferrina ist se correlacion\u00f3 con una mayor dosis de aee.Conclusiones no se encontraron diferencias entre los aee en efectividad y seguridad, aunque los pacientes tratados con cera presentaban mejores caracter\u00edsticas cl\u00ednicas. La di\u00e1lisis, la presencia de trasplante renal y el bajo ist fueron los principales factores relacionados con la resistencia a aee y, por tanto, con su eficiencia.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilizaci\u00f3n de agentes estimulantes de la eritropoyesis en el         tratamiento de la anemia secundaria a enfermedad renal cr\u00f3nica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilizaci\u00f3n de agentes estimulantes de la eritropoyesis en el         tratamiento de la anemia secundaria a enfermedad renal cr\u00f3nica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Dami\u00e1n Escudero Vilaplana <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/05\/2014<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Irene Iglesias Peinado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan a Benedi gonzalez <\/li>\n<li>silvia Manrique rodr\u00edguez (vocal)<\/li>\n<li>rosa M\u00aa Romero jim\u00e9nez (vocal)<\/li>\n<li>Mar\u00eda  almudena Vega Martinez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Dami\u00e1n Escudero Vilaplana Objetivos analizar el perfil de utilizaci\u00f3n de los agentes estimulantes de la eritropoyesis [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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