{"id":13131,"date":"2001-03-10T00:00:00","date_gmt":"2001-03-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-cla%c2%adnicos-biologicos-e-inmunologicos-con-caracter-pronostico-en-el-enfermo-con-cancer-en-situacion-de-enfermedad-terminal\/"},"modified":"2001-03-10T00:00:00","modified_gmt":"2001-03-10T00:00:00","slug":"factores-cla%c2%adnicos-biologicos-e-inmunologicos-con-caracter-pronostico-en-el-enfermo-con-cancer-en-situacion-de-enfermedad-terminal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-cla%c2%adnicos-biologicos-e-inmunologicos-con-caracter-pronostico-en-el-enfermo-con-cancer-en-situacion-de-enfermedad-terminal\/","title":{"rendered":"Factores cl\u00ednicos biol\u00f3gicos e inmunol\u00f3gicos con car\u00e1cter pron\u00f3stico en el enfermo con c\u00e1ncer en situaci\u00f3n de enfermedad terminal"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Nabal Vicu\u00f1a <\/strong><\/h2>\n<p>Objetivos  1,- conocer la capacidad pron\u00f3stica de variables anal\u00edticas procedentes de una muestra de sangre perif\u00e9rica relativas a funci\u00f3n renal, hep\u00e1tica estado nutricional, anemia, estado inmunitario y plaquetas en el paciente con c\u00e1ncer en situaci\u00f3n terminal.  2,- determinar la capacidad pron\u00f3stica del estado funcional, el tratamiento y la impresi\u00f3n cl\u00ednica.  3,- generar y validar una ecuaci\u00f3n log\u00edstica que defina un modelo predictivo.  material y m\u00e9todos  pacientes mayores de 18 a\u00f1os afectos de neoplasias s\u00f3lidas en situaci\u00f3n de enfermedad terminal remitidos al equipo de cuidados paliativos del hospital arnau de vilanova.  variable dependiente: supervivencia inferior a igual a 30 d\u00edas.  variable independiente: edad, sexo, variables anal\u00edticas relativas a funci\u00f3n renal estado nutricional, funci\u00f3n hep\u00e1tica, anemia, estado inmunitario, situaci\u00f3n funcional y tratamiento.  test estad\u00edstico: an\u00e1lisis univariable mediante el test de chi cuadrado o t de student. An\u00e1lisis multivariable mediante el sistema escalonado hacia atr\u00e1s del programa spss-windows 2000.  resultados  en la generaci\u00f3n del modelo fueron incluidos 75 pacientes con un total de 130 registros. El 60% de los cuales fueron varones. La edad media fue de 65 a\u00f1os; la supervivencia media fue de 89 d\u00edas.  las variables seleccionadas por el an\u00e1lisis univariables como significativas fueron: urea, prote\u00ednas totales, alb\u00famina plasm\u00e1tica, prealb\u00famina, beta-globulina, hierro s\u00e9rico ferritina, hematocrito, hemoglobina, ldh, leucocitos, neutr\u00f3filos linfocitos sodio, calcio, \u00edndice de karnofsky, tratamiento con corticoides.  las variables con car\u00e1cter pron\u00f3stico independiente seleccionadas por el modelo  multivariable fueron: tratamiento con corticoides, leucocitos, neutr\u00f3filos, linfocitos cd8, urea, ldh, hierro plasm\u00e1tico, estado funcional seg\u00fan escala de karnovsky y alb\u00famina.  este modelo describe un \u00e1rea bajo la curva roc del 92%;<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores cl\u00ednicos biol\u00f3gicos e inmunol\u00f3gicos con car\u00e1cter pron\u00f3stico en el enfermo con c\u00e1ncer en situaci\u00f3n de enfermedad terminal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores cl\u00ednicos biol\u00f3gicos e inmunol\u00f3gicos con car\u00e1cter pron\u00f3stico en el enfermo con c\u00e1ncer en situaci\u00f3n de enfermedad terminal <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Nabal Vicu\u00f1a <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/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>Rogelio Altisent Trota<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Cia gomez <\/li>\n<li>josep Porta sales (vocal)<\/li>\n<li>Juan Vi\u00f1as (vocal)<\/li>\n<li>Carlos Centeno cortes (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Nabal Vicu\u00f1a Objetivos 1,- conocer la capacidad pron\u00f3stica de variables anal\u00edticas procedentes de una muestra de [&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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