{"id":27095,"date":"2018-03-09T09:19:13","date_gmt":"2018-03-09T09:19:13","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/determinantes-del-retraso-diagnostico-terapeutico-del-cancer-de-mama-en-las-areas-hospitalarias-de-cadiz-y-bahia\/"},"modified":"2018-03-09T09:19:13","modified_gmt":"2018-03-09T09:19:13","slug":"determinantes-del-retraso-diagnostico-terapeutico-del-cancer-de-mama-en-las-areas-hospitalarias-de-cadiz-y-bahia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cadiz\/determinantes-del-retraso-diagnostico-terapeutico-del-cancer-de-mama-en-las-areas-hospitalarias-de-cadiz-y-bahia\/","title":{"rendered":"Determinantes del retraso diagnostico-terapeutico del cancer de mama en las areas hospitalarias de cadiz y bahia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Encarnaci\u00f3n Benitez Rodr\u00edguez <\/strong><\/h2>\n<p>El objetivo de este estudio fue analizar el retraso diagn\u00f3stico-terap\u00e9utico atribuible al paciente y al sistema sanitario del c\u00e1ncer de mama, y sus factores determinantes en c\u00e1diz, espa\u00f1a. Metodolog\u00eda: durante el periodo comprendido entre julio de 1997 y mayo de 2000 se recogieron datos de los 322 casos incidentes de c\u00e1ncer de mama, confirmados histol\u00f3gicamente, identificados en el \u00e1mbito de estudio. Las variables analizadas fueron edad, nivel de educaci\u00f3n, clase social, tipo de primer s\u00edntoma, fecha de aparici\u00f3n del primer s\u00edntoma, reacci\u00f3n ante el primer s\u00edntoma, fecha de la primera consulta m\u00e9dica, tipo de m\u00e9dico consultado en la primera visita, tipo de derivaci\u00f3n al especialista, consulta con un m\u00e9dico privado durante el proceso. Resultados: la mediana del retraso atribuible al paciente en las mujeres sintom\u00e1ticas fue de 7 d\u00edas, y de 52 d\u00edas para el retraso debido al sistema. Las variables predictoras del retraso debido al paciente fueron: bajo nivel de educaci\u00f3n (percentil relativo-pr 1,29 ic 95% 0,82-2,01), presencia de un s\u00edntoma diferente a un bulto en la mama (pr 1,44 ic 95% 0,88-2,34), no dar importancia a su s\u00edntoma (pr 2,34 ic 95% 1,37-4,01), no comentar inmediatamente con nadie su problema (pr 3,31 ic 95% 1,85-5,94), b\u00fasqueda de ayuda m\u00e9dica depende de otra persona (pr 2,31 ic 95% 1,47-3,62). En el caso del retraso debido al sistema los factores predictores fueron: cuando el primer m\u00e9dico que atendi\u00f3 a la paciente fue un m\u00e9dico general (pr1,25 ic 95% 0,99-1,58), la derivaci\u00f3n al especialista se hizo por v\u00eda ordinaria (pr 1,48 ic 95% 1,09-2,02), no consultar con un m\u00e9dico privado durante el proceso (pr 1,47 ic 95% 1,13-1,91), tener 50 a\u00f1os o menos (pr 1,42 ic 95% 1,09-1,84), ser una mujer casada (pr 1,28 ic 95% 1,009-1,63), bajo nivel de educaci\u00f3n (pr 1,23 ic 95% 0,96-1,57). Conclusiones: nuestro estudio sugiere que el retraso diagn\u00f3stico-terap\u00e9utico en el c\u00e1ncer de mama puede ser reducidoa a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Determinantes del retraso diagnostico-terapeutico del cancer de mama en las areas hospitalarias de cadiz y bahia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Determinantes del retraso diagnostico-terapeutico del cancer de mama en las areas hospitalarias de cadiz y bahia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Encarnaci\u00f3n Benitez Rodr\u00edguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/11\/2003<\/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>Inmaculada Failde Mart\u00ednez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaqu\u00edn Fern\u00e1ndez-crehuet navajas <\/li>\n<li>Antonio Lorenzo pe\u00f1uelas (vocal)<\/li>\n<li>Jos\u00e9 Antonio Gir\u00f3n gonz\u00e1lez (vocal)<\/li>\n<li>Jos\u00e9 Francisco Guillen solvas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Encarnaci\u00f3n Benitez Rodr\u00edguez El objetivo de este estudio fue analizar el retraso diagn\u00f3stico-terap\u00e9utico atribuible al paciente y [&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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