{"id":13081,"date":"2001-01-10T00:00:00","date_gmt":"2001-01-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estrategias-de-optimizacion-para-la-utilizacion-de-epoetina-en-la-insuficiencia-reanal-cronica\/"},"modified":"2001-01-10T00:00:00","modified_gmt":"2001-01-10T00:00:00","slug":"estrategias-de-optimizacion-para-la-utilizacion-de-epoetina-en-la-insuficiencia-reanal-cronica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estrategias-de-optimizacion-para-la-utilizacion-de-epoetina-en-la-insuficiencia-reanal-cronica\/","title":{"rendered":"Estrategias de optimizaci\u00f3n para la utilizaci\u00f3n de epoetina en la insuficiencia reanal cr\u00f3nica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marta Hermenegildo Caudevilla <\/strong><\/h2>\n<p>Se analizan, en t\u00e9rminos de repercusi\u00f3n cl\u00ednica y coste-efectividad, las diversas estrategias de optimizaci\u00f3n para la utilizaci\u00f3n de la epoetina implantas en los centros de di\u00e1lisis adscritos al hospital universitario doctro peset de Valencia, a lo largo delperiodo 1992-1999.  as\u00ed, el cambio de la v\u00eda de administraci\u00f3n intravenosa a la v\u00eda subcut\u00e1nea se asocia a una reducci\u00f3n media en la dosis de epoetina adminsitrada del 28%, lo que expresa una mayor efectividad de la v\u00eda de administraci\u00f3n subcut\u00e1nea. esta intervencion resulta ser coste-efectiva con una probabilidad superior al 95%.  el aumento medio del hematocrito en 4.64 puntos potcentuales a lo largo de los cinco a\u00f1os analizados, como consecuencia de la evoluci\u00f3n en la evidencia cient\u00edfica acerca de cu\u00e1l debe ser el hematocrito diana del tratamiento con epoetina, se asocia a un incremento medio del 100% en la dosis de epoetina adminsitrada por v\u00eda sc y, por tanto, en los costes directos implicados.En este caso,la valoraci\u00f3n de la coste-efectividad de esta intervenci\u00f3n depender\u00e1 del m\u00e1ximo coste que se est\u00e9 dispuesto a asumir para incrementar en una unidad la efectividad del tratamiento con epoetina.  el cambio de la isoforma alfa de epoetina a la beta representa una intervenci\u00f3n coste-efectiva en su valor medio, puesto que se alcanza un hematocrito 1.3 puntos porcentuales superior con la mol\u00e9cula beta con una discreta reducci\u00f3n en sus costes directos asociados.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estrategias de optimizaci\u00f3n para la utilizaci\u00f3n de epoetina en la insuficiencia reanal cr\u00f3nica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estrategias de optimizaci\u00f3n para la utilizaci\u00f3n de epoetina en la insuficiencia reanal cr\u00f3nica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marta Hermenegildo Caudevilla <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/10\/2001<\/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> Jimen\u00e9s Torres Nicol\u00e1s V\u00edctor<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente german Casabo alos <\/li>\n<li>joaquin Giraldez deiro (vocal)<\/li>\n<li>sebastian Balasch parisi (vocal)<\/li>\n<li> Mart\u00edn algarra Rafael vicente (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marta Hermenegildo Caudevilla Se analizan, en t\u00e9rminos de repercusi\u00f3n cl\u00ednica y coste-efectividad, las diversas estrategias de optimizaci\u00f3n [&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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