{"id":53065,"date":"2006-12-06T00:00:00","date_gmt":"2006-12-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-farmacoepidemiologico-y-economico-de-la-utilizacion-de-analgesicos-opioides-en-espana-periodo-1992-2003\/"},"modified":"2006-12-06T00:00:00","modified_gmt":"2006-12-06T00:00:00","slug":"analisis-farmacoepidemiologico-y-economico-de-la-utilizacion-de-analgesicos-opioides-en-espana-periodo-1992-2003","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-farmacoepidemiologico-y-economico-de-la-utilizacion-de-analgesicos-opioides-en-espana-periodo-1992-2003\/","title":{"rendered":"An\u00e1lisis farmacoepidemiol\u00f3gico y econ\u00f3mico de la utilizaci\u00f3n de analg\u00e9sicos opioides en espa\u00f1a. periodo 1992-2003"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Viloria Hernando Jos\u00e9 Mar\u00eda <\/strong><\/h2>\n<p>En la \u00faltima d\u00e9cada, el tratamiento farmacol\u00f3gico del dolor moderado e intenso ha experimentado notables avances. Entre estos cabe citar la implantaci\u00f3n de medidas reguladoras tendentes a facilitar la prescripci\u00f3n y dispensaci\u00f3n de analg\u00e9sicos opioides o la aparici\u00f3n en el mercado de nuevos f\u00e1rmacos y v\u00edas de administraci\u00f3n. El presente trabajo se ha planteado como un estudio farmacoepidemiol\u00f3gico con dos partes bien diferenciadas. Por un lado, se ha planteado un estudio de utilizaci\u00f3n de medicamentos que permitiera conocer la oferta, el consumo y los costes de los analg\u00e9sicos opioides en espa\u00f1a para el periodo 1992-2003. Por otra parte, se ha tratado de estudiar la seguridad de estos medicamentos a partir de las sospechas de reacciones adversas notificadas al sistema espa\u00f1ol de farmacovigilancia (sefv). Los datos de la oferta se obtuvieron de los correspondientes cat\u00e1logos de especialidades farmac\u00e9uticas editados por el consejo general de colegios oficiales de farmac\u00e9uticos. Los datos de consumo y costes fueron extraidos de la base de datos ecom del ministerio de sanidad y consumo y se expresaron en dosis diarias definidas por 1.000 habitantes y d\u00eda. Los datos de seguridad se obtuvieron de la base de datos del sefv. para el periodo estudiado, la incorporaci\u00f3n de fentanilo y buprenorfina por v\u00eda transd\u00e9rmica, y del fentanilo por v\u00eda oral transmucosa pueden considerarse como los cambios en la oferta m\u00e1s relevantes. Durante estos a\u00f1os, el consumo de analg\u00e9sicos opioides ha experimentado un incremento considerable, multiplic\u00e1ndose por diez y pasando de 0,317 ddd\/ 1.000 hab. Y d\u00eda en 1992 a 3,225 en 2003. Se puede distinguir un patr\u00f3n hasta el a\u00f1o 1999 y otro para ese a\u00f1o y posteriores, sin que parezca que se haya alcanzado el techo de consumo.  la aparici\u00f3n a partir del a\u00f1o 1998 de especialidades de fentanilo por v\u00eda transd\u00e9rmica ha modificado el patr\u00f3n de uso de estos analg\u00e9sicos en cuanto a las v\u00edas de administraci\u00f3n: cerca d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis farmacoepidemiol\u00f3gico y econ\u00f3mico de la utilizaci\u00f3n de analg\u00e9sicos opioides en espa\u00f1a. periodo 1992-2003<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis farmacoepidemiol\u00f3gico y econ\u00f3mico de la utilizaci\u00f3n de analg\u00e9sicos opioides en espa\u00f1a. periodo 1992-2003 <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Viloria Hernando Jos\u00e9 Mar\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/06\/2006<\/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> Garc\u00eda Del Pozo Javier<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Carbajal Garc\u00eda-pando <\/li>\n<li>asunci\u00f3n Mor\u00e1n benito (vocal)<\/li>\n<li> Ar\u00e9valo alonso Jos\u00e9 Miguel (vocal)<\/li>\n<li>ramona Mateos campos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Viloria Hernando Jos\u00e9 Mar\u00eda En la \u00faltima d\u00e9cada, el tratamiento farmacol\u00f3gico del dolor moderado e intenso ha 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