{"id":139139,"date":"2026-01-12T17:41:57","date_gmt":"2026-01-12T17:41:57","guid":{"rendered":""},"modified":"2026-01-12T17:41:57","modified_gmt":"2026-01-12T17:41:57","slug":"influencia-de-co-morbilidad-en-la-toma-de-decisiones-terapeuticas-en-el-carcinoma-broncogenico-cb-su-importancia-y-critica-de-un-metodo-para-la-prediccion-de-la-expectativa-de-vida-dependiente-de-d","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/influencia-de-co-morbilidad-en-la-toma-de-decisiones-terapeuticas-en-el-carcinoma-broncogenico-cb-su-importancia-y-critica-de-un-metodo-para-la-prediccion-de-la-expectativa-de-vida-dependiente-de-d\/","title":{"rendered":"Influencia de co-morbilidad en la toma de decisiones terapeuticas en el carcinoma broncogenico (cb). su importancia y critica de un metodo para la prediccion de la expectativa de vida dependiente de diferentes terapeuticas alternativas."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel Lopez Encuentra <\/strong><\/h2>\n<p>La asociacion de enfermedades (co-morbilidad) puede repercutir sobre las decisiones, en relacion a la terapeutica quirurgica del cb, en dos sentidos: en la declaracion de inoperabilidad del paciente o en la prediccion de un mal pronostico global del paciente, a largo plazo. En una serie consecutiva de 598 pacientes diagnosticados de cb entre 1985 y 1988, se detecto que un 81% de los casos inoperables lo fueron por la asociacion con otras enfermedades.  para conocer la prediccion de supervivencia de casos con cb, operables y resecables, asociados a obstruccion cronica al flujo aereo (ocfa), se utilizo el metodo deale (am j med 1982; 73:883), que combina los datos de media de mortalidad anual dependiente de la edad, del estadio del cb y del grado de afectacion funcional por su ocfa, para cada paciente. Aplicando este metodo, se observo que, entre un 25 y un 35% de los pacientes con esta co-morbilidad (cb-ocfa), la indicacion de toracotomia con intentos curativos es incierta en terminos de utilidad terapeutica. Analizados estos hallazgos, y las limitaciones de esta prediccion, se concluye con la necesidad de introducir la co-morbilidad como factor pronostico diferenciado en las futuras bases de datos de supervivencia del cb, para validar prospectivamente el estudio presente.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Influencia de co-morbilidad en la toma de decisiones terapeuticas en el carcinoma broncogenico (cb). su importancia y critica de un metodo para la prediccion de la expectativa de vida dependiente de diferentes terapeuticas alternativas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Influencia de co-morbilidad en la toma de decisiones terapeuticas en el carcinoma broncogenico (cb). su importancia y critica de un metodo para la prediccion de la expectativa de vida dependiente de diferentes terapeuticas alternativas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel Lopez Encuentra <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1992<\/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>Pedro Martin Escribano<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Monturiol Rodriguez Jos\u00e9 Mar\u00eda <\/li>\n<li>Jos\u00e9 Villamor Leon (vocal)<\/li>\n<li>Jaime Martinez Gonzalez-rio (vocal)<\/li>\n<li>Felix Serrano Mu\u00f1oz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel Lopez Encuentra La asociacion de enfermedades (co-morbilidad) puede repercutir sobre las decisiones, en relacion a la [&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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