{"id":17848,"date":"2018-03-09T09:06:07","date_gmt":"2018-03-09T09:06:07","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validez-y-concordancia-diagnostica-dermatologica-entre-los-niveles-de-atencion-primaria-y-especializada-del-area-sanitaria-8-de-madrid\/"},"modified":"2018-03-09T09:06:07","modified_gmt":"2018-03-09T09:06:07","slug":"validez-y-concordancia-diagnostica-dermatologica-entre-los-niveles-de-atencion-primaria-y-especializada-del-area-sanitaria-8-de-madrid","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/validez-y-concordancia-diagnostica-dermatologica-entre-los-niveles-de-atencion-primaria-y-especializada-del-area-sanitaria-8-de-madrid\/","title":{"rendered":"Validez y concordancia diagn\u00f3stica dermatol\u00f3gica entre los niveles de atenci\u00f3n primaria y especializada del \u00e1rea sanitaria 8 de Madrid"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Margarita Mosquera Gonzalez <\/strong><\/h2>\n<p>Introducci\u00f3n  la calidad cient\u00edfico-t\u00e9cnica puede evaluarse en atenci\u00f3n primaria (ap) y especializada (ae). La adecuaci\u00f3n diagn\u00f3stica en patolog\u00eda dermatol\u00f3gica, frente a la histopatolog\u00eda como \u00abgold standart\u00bb, nos indica el grado de capacitaci\u00f3n de los profesionales, lo que puede ser de utilidad como patr\u00f3n de referencia para decidir sobre organizaci\u00f3n y pol\u00edtica sanitaria.  objetivo  estudiar la validez y la concordancia diagn\u00f3stica en pacientes con enfermedades dermatol\u00f3gicas en ap y ae, y compararla entre ambos niveles asistenciales.  material y m\u00e9todos  estudio descriptivo transversal, mediante la revisi\u00f3n de historias cl\u00ednicas de pacientes dermatol\u00f3gicos, en el area sanitaria 8 de la comunidad de Madrid con la fundaci\u00f3n hospital alcorc\u00f3n (fha) como hospital de referencia, de forma retrospectiva desde enero de 1998 a deiciembre del 2000. Se incluyeron aquellos pacientes que consultaran en ap y fuesen referidos a la fha para valoraci\u00f3n especializada, con diagn\u00f3stico histopatol\u00f3gico de entre los seleccionados. Se eligieron los diagn\u00f3sticos m\u00e1s prevalentes en dermatolog\u00eda, con lesi\u00f3n histopatol\u00f3gica definitoria: carcinoma basocelular, carcinoma epidermioide, nevus melanoc\u00edtico, psoriasis, liquen, queratosis seborreica, enfermedade bowen y melanoma. Se estimaron 107 casos para cada diagn\u00f3stico, con una precisi\u00f3n del 10%, confianza del 95%, proporci\u00f3n de acuerdo esperado del 50% y p\u00e9rdidas del 10%. Se realiz\u00f3 estudios descriptivo de la muestra, los \u00edndices de validez en cada nivel asistencial (sensibilidad, especificidad, valor global, valores predictivos y cocientes de probabilidad), comparando la validez global entre ambos niveles mediante la prueba de mc nemar, y el estudio de concordancia diagn\u00f3stica con el \u00edndice kappa.  resultados  se han estudiado 1623 pacientes (de un total de 1791 casos: 9,4% de p\u00e9rdidas). Se han encontrado diferencias significativas al comparar la edad media de todo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validez y concordancia diagn\u00f3stica dermatol\u00f3gica entre los niveles de atenci\u00f3n primaria y especializada del \u00e1rea sanitaria 8 de Madrid<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validez y concordancia diagn\u00f3stica dermatol\u00f3gica entre los niveles de atenci\u00f3n primaria y especializada del \u00e1rea sanitaria 8 de Madrid <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Margarita Mosquera Gonzalez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Rey juan carlos<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/06\/2002<\/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>Gil Rodriguez Caravaca<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: angel Gil de Miguel <\/li>\n<li>Fernando Pinedo moraleda (vocal)<\/li>\n<li>Jos\u00e9 Fereres castiel (vocal)<\/li>\n<li>purificaci\u00f3n Dominguez franjo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Margarita Mosquera Gonzalez Introducci\u00f3n la calidad cient\u00edfico-t\u00e9cnica puede evaluarse en atenci\u00f3n primaria (ap) y especializada (ae). 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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[155,9,97,1086,1686,36610,967],"tags":[4647,54181,55440,55441,55657,55658],"class_list":["post-17848","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-dermatologia","category-epidemiologia","category-medicina-preventiva","category-rey-juan-carlos","category-salud-publica","tag-angel-gil-de-miguel","tag-fernando-pinedo-moraleda","tag-gil-rodriguez-caravaca","tag-jose-fereres-castiel","tag-margarita-mosquera-gonzalez","tag-purificacion-dominguez-franjo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17848","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=17848"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17848\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}