{"id":135941,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/algoritmo-diagnostico-secuencial-para-el-manejo-del-carcinoma-broncogenico-de-celulas-no-pequenas-cbcnp-analisis-de-coste-efectividad\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"algoritmo-diagnostico-secuencial-para-el-manejo-del-carcinoma-broncogenico-de-celulas-no-pequenas-cbcnp-analisis-de-coste-efectividad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/algoritmo-diagnostico-secuencial-para-el-manejo-del-carcinoma-broncogenico-de-celulas-no-pequenas-cbcnp-analisis-de-coste-efectividad\/","title":{"rendered":"Algoritmo diagnostico secuencial para el manejo del carcinoma broncogenico de celulas no peque\u00f1as (cbcnp). analisis de coste-efectividad."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Soler Catalu\u00f1a Juan  Jose <\/strong><\/h2>\n<p>El objetivo de este estudio ha sido el de construir y validar, empleando criterios de eficiencia, una estrategia diagnostica secuencial para el cbcnp dirigido a reconocer precozmente dos subpoblaciones de enfermos:  1) aquellos que solo reciben tratamiento sintomatico (grupo a); y ii) los que se someten a cirugia sin tratamiento neoadyuvante (grupo b). Se han estudiado 334 enfermos. Inicialmente revisamos 209 casos (fase retrospectiva) y en un segundo paso incluimos consecutivamente 125 pacientes adicionales (fase prospectiva). En cada enfermo se recogieron diversas variables clinicas, analiticas, radiologicas e histopatologicas (pruebas basicas), asi como datos relativos a diferentes exploraciones complementarias. Con todas estas variables se realizo un total de 4 regresiones logisticas. A partir de la combinacion de pruebas basicas (1er escalon diagnostico) se trato de identificar a los pacientes del grupo a (1er. Analisis) o del grupo b (2 analisis). En el 2 escalon, que a\u00f1ade a la informacion anterior la derivada de la tac, de nuevo tratamos de identificar a los enfermos del grupo a (3er.  analisis) y del grupo b (4 analisis). Los enfermos no clasificados en estos grupos siguieron el proceso tradicional de diagnostico. Para clasificar un caso correctamente consideramos una probabilidad individual &#8211; 90%. Las ecuaciones de regresion obtenidas en la fase retrospectiva fueron las siguientes: 1er. Analisis:  ((-1,59 -(sexo x 1,78) + (edad &#8211; 60 x 1,38) + (epoc severa x 1,95) + (ecog2 x 1,91) + (ecog3-4 x 2,39) + (perdida de peso &lt; 10% x 0,11) + (p.Peso &#8211; 10% x 1,4) + (t4 x 1,89) + (m x 2,3)); 2 analisis:  ((-4,29 + (ecog0 x 4,11) + (ecog1 x 2,16) + (f. Alcalinas &lt; 80 u\/l x 1,62) + (tama\u00f1o tumoral &lt;5 cm x 1,44) + (estadio ix2,60)); 3er analisis: ((-4,05+(edad -60 x 1,86) + (epoc severa x 2,11) + (ecog2 x 1,88) + (ecog3-4 x 1,96) + (derr. Pleural no peque\u00f1o x 1,85) + (t4 x 1,50 ) + (m x 1,6)); 4 analisis: ((-19,1 + (<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Algoritmo diagnostico secuencial para el manejo del carcinoma broncogenico de celulas no peque\u00f1as (cbcnp). analisis de coste-efectividad.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Algoritmo diagnostico secuencial para el manejo del carcinoma broncogenico de celulas no peque\u00f1as (cbcnp). analisis de coste-efectividad. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Soler Catalu\u00f1a Juan  Jose <\/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\/01\/1997<\/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>Miguel Perpi\u00f1a Tordera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Julio Mar\u00edn Pardo <\/li>\n<li>Jaime Martinez Gonzalez-rio (vocal)<\/li>\n<li>Esteban Morcillo Sanchez (vocal)<\/li>\n<li>Angel Lopez Encuentra (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Soler Catalu\u00f1a Juan Jose El objetivo de este estudio ha sido el de construir y validar, empleando [&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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