{"id":40720,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/determinantes-sociodemograficos-del-tiempo-sintoma-asistencia-sanitaria-en-el-cancer-de-tubo-digestivo\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"determinantes-sociodemograficos-del-tiempo-sintoma-asistencia-sanitaria-en-el-cancer-de-tubo-digestivo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/determinantes-sociodemograficos-del-tiempo-sintoma-asistencia-sanitaria-en-el-cancer-de-tubo-digestivo\/","title":{"rendered":"Determinantes sociodemograficos del tiempo sintoma. asistencia sanitaria en el cancer de tubo digestivo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marcial Mariscal Ortiz <\/strong><\/h2>\n<p>El estudio del intervalo de tiempo que transcurre desde que aparecen los primeros s\u00edntomas de la enfermedad hasta que el paciente recibe la asistencia sanitaria adecuada es de relevancia en los estudios sobre programas de prevenci\u00f3n secundaria y detecci\u00f3n precoz, as\u00ed como en los estudios sobre accesibilidad y calidad de la asistencia.  la demora diagn\u00f3stica y terap\u00e9utica queda definida en la mayor parte de los estudios por la conjunci\u00f3n de tres fases fundamentalmente: (a) el retraso que se atribuye a factores dependientes del paciente; (b) la demora atribuible al facultativo y que abarca desde que el enfermo realiza la primera consulta hasta que se realiza el diagn\u00f3stico definitivo; y (c) la demora institucional, desde que se sospecha el c\u00e1ncer hasta el inicio del tratamiento. La mayor parte de los estudios que han analizado la demora diagn\u00f3stica y terap\u00e9utica presentan varios inconvenientes: falta de potencia estad\u00edstica, dise\u00f1os retrospectivos y basados en la historia cl\u00ednica y un an\u00e1lisis inadecuado. El objetivo general es profundizar en el conocimiento de la influencia de los factores sociodemogr\u00e1ficos sobre la demora en el diagn\u00f3stico de c\u00e1ncer de tubo digestivo. Se ha efectuado un estudio de los pacientes ingresados y sometidos a intervenci\u00f3n quir\u00fargica por c\u00e1ncer del tubo digestivo (n = 217) en el servicio de cirug\u00eda general del hospital \u00abciudad de ja\u00e9n\u00bb en el periodo 1996-1998. Los datos se obtuvieron mediante entrevista al paciente y la historia cl\u00ednica. En el an\u00e1lisis se emple\u00f3 la prueba no param\u00e9trica de kruskal-wallis y el an\u00e1lisis de regresi\u00f3n lineal m\u00faltiple. Como variables dependientes se trabaj\u00f3 con todos los tiempos desde el comienzo de la cl\u00ednica hasta la realizaci\u00f3n de cada actividad asistencial. En la demora atribuible al paciente, el an\u00e1lisis multivariable no revel\u00f3 ning\u00fan predictor entre los factores socioecon\u00f3micos recogidos (clase social, tipo de ocupaci\u00f3n, nivel de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Determinantes sociodemograficos del tiempo sintoma. asistencia sanitaria en el cancer de tubo digestivo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Determinantes sociodemograficos del tiempo sintoma. asistencia sanitaria en el cancer de tubo digestivo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marcial Mariscal Ortiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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 Delgado Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando Rodr\u00edguez artalejo <\/li>\n<li>Ana Almaraz g\u00f3mez (vocal)<\/li>\n<li>Jaime Sanz ortiz (vocal)<\/li>\n<li>daniel Casanova tituerto (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marcial Mariscal Ortiz El estudio del intervalo de tiempo que transcurre desde que aparecen los primeros s\u00edntomas [&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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