{"id":38675,"date":"1998-06-10T00:00:00","date_gmt":"1998-06-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-clinico-radiologica-de-las-metastasis-vertebrales-factores-pronostico-y-seguimiento\/"},"modified":"1998-06-10T00:00:00","modified_gmt":"1998-06-10T00:00:00","slug":"valoracion-clinico-radiologica-de-las-metastasis-vertebrales-factores-pronostico-y-seguimiento","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-clinico-radiologica-de-las-metastasis-vertebrales-factores-pronostico-y-seguimiento\/","title":{"rendered":"Valoracion clinico-radiologica de las metastasis vertebrales: factores pronostico y seguimiento."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Angel Bohollo De Austria <\/strong><\/h2>\n<p>En esta tesis se realiza un estudio retrospectivo de 272 pacientes con met\u00e1stasis \u00f3seas vertebrales, observando el diagn\u00f3stico y la evoluci\u00f3n que presentan. Al mismo tiempo se ha intentado identificar factores pron\u00f3tico en el momento del diagn\u00f3stico de las met\u00e1stasis vertebrales, que nos orienten sobre la agresividad y supervivencia de los pacientes, y nos permitan elegir el tratamiento m\u00e1s adecuado. Se han analizado distintos par\u00e1metros, tratando de identificar aquellos que pudieran influir en su supervivencia. para esto se aplic\u00f3 un an\u00e1lisis univariante por el m\u00e9todo kaplan-meier, comparando las curvas actuariales de supervivencia mediante las pruebas de mantel-cox, breslow y tarone-ware. Con las variables que fueron estad\u00edsticamente significativas se realiz\u00f3 un an\u00e1lisis multivariante por el m\u00e9todo de regresi\u00f3n de cox.  se analizaron 15 variables, de las cuales no influyeron sobre la supervivencia en ninguno de los an\u00e1lisis realizados las siguientes: presencia de met\u00e1stasis extra\u00f3seas, met\u00e1stasis pulmonares, met\u00e1stasis en tejidos blandos y localizaci\u00f3n \u00f3sea de las met\u00e1stasis por gammagraf\u00eda \u00f3sea. Se encontr\u00f3 influencia en la supervivencia, \u00fanicamente en el an\u00e1lisis univariante en las siguientes variables: met\u00e1stasis cerebrales, s\u00edntomas al diagn\u00f3stico, diseminaci\u00f3n \u00f3sea, e intervalo desde el diagn\u00f3stico del tumor hasta el diagn\u00f3stico de la met\u00e1stasis vertebrales.  por \u00faltimo, en el an\u00e1lisis multivariante de la supervivencia analizada, presentaron valor pron\u00f3stico independiente el tipo de tumor analizado, \u00edndice de karnofsky, beneficio cl\u00ednico tras el primer tratamiento, y nivel s\u00e9rico de fosfatasa alcalina en el momento de diagn\u00f3stico de las met\u00e1stasis vertebrales.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoracion clinico-radiologica de las metastasis vertebrales: factores pronostico y seguimiento.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoracion clinico-radiologica de las metastasis vertebrales: factores pronostico y seguimiento. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Angel Bohollo De Austria <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/10\/1998<\/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>Idelfonso Gonzalez Barrios<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Collantes estevez <\/li>\n<li>Jos\u00e9 Andr\u00e9s Moreno noguera (vocal)<\/li>\n<li>Miguel Torres avisbal (vocal)<\/li>\n<li>Manuel e. Codes Manuel de villena (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Angel Bohollo De Austria En esta tesis se realiza un estudio retrospectivo de 272 pacientes con [&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":[155,9,973,347,213],"tags":[2277,100232,100233,100235,100234,100231],"class_list":["post-38675","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-cordoba","category-oncologia-clinica","category-osteopatologia","tag-eduardo-collantes-estevez","tag-idelfonso-gonzalez-barrios","tag-jose-andres-moreno-noguera","tag-manuel-e-codes-manuel-de-villena","tag-miguel-torres-avisbal","tag-rafael-angel-bohollo-de-austria"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38675","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=38675"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38675\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=38675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=38675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=38675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}