{"id":58819,"date":"2007-04-06T00:00:00","date_gmt":"2007-04-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-la-calidad-asistencial-del-tratamiento-quirurgico-de-la-hernia-inguinal-estudio-de-ambito-nacional\/"},"modified":"2007-04-06T00:00:00","modified_gmt":"2007-04-06T00:00:00","slug":"analisis-de-la-calidad-asistencial-del-tratamiento-quirurgico-de-la-hernia-inguinal-estudio-de-ambito-nacional","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-la-calidad-asistencial-del-tratamiento-quirurgico-de-la-hernia-inguinal-estudio-de-ambito-nacional\/","title":{"rendered":"An\u00e1lisis de la calidad asistencial del tratamiento quir\u00fargico de la hernia inguinal. estudio de \u00e1mbito nacional."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Fernando Alcaide Matas <\/strong><\/h2>\n<p>El tratamiento quir\u00fargico de la hernia inguinal (procedimiento m\u00e1s frecuente en cirug\u00eda general) presenta una alta preValencia, con una enorme repercusi\u00f3n social, hospitalaria y econ\u00f3mica. En este trabajo se ha realizado un estudio de \u00e1mbito nacional dirigido a analizar la calidad asistencial del tratamiento quir\u00fargico programado de la hernia inguinal, en el que se eval\u00faa la calidad cientificot\u00e9cnica, la eficiencia, la efectividad, la accesibilidad y la satisfacci\u00f3n del paciente, seg\u00fan una serie de indicadores cl\u00ednicos seleccionados, tras revisar la bibliograf\u00eda cient\u00edfica. Se trata de un estudio prospectivo, longitudinal y descriptivo, desde el diagn\u00f3stico de la enfermedad hasta el seguimiento posterior. Se incluy\u00f3 a pacientes intervenidos por hernia inguinal uni o bilateral, primarias o recidivas. Los criterios de exclusi\u00f3n fueron cirug\u00eda urgente y procedimientos quir\u00fargicos asociados al de la reparaci\u00f3n herniaria, as\u00ed como pacientes menores de 18 a\u00f1os. Participaron 46 hospitales correspondientes a 16 comunidades aut\u00f3nomas que proporcionaron en total 386 casos. El seguimiento medio fue de 18 meses. La informaci\u00f3n recogida ha permitido obtener niveles de referencia nacional, evidenciando oportunidades de mejora, como las siguientes: adhesi\u00f3n a protocolos de evaluaci\u00f3n preoperatoria, aumento de la cirug\u00eda ambulatoria, aumento del uso de anestesia local y sedaci\u00f3n, ajuste del uso de la profilaxis antibi\u00f3tica y tromboemb\u00f3lica a casos seleccionados y disminuci\u00f3n de la estancia media en pacientes ingresados. Se ha constatado un predominio de las t\u00e9cnicas quir\u00fargicas sin tensi\u00f3n y se han detectado diferencias seg\u00fan el nivel hospitalario; se ha evidenciado mejores resultados en unidades especializadas de hernias en t\u00e9rminos de complicaciones, \u00edndice de sustituci\u00f3n y estancia media. La satisfacci\u00f3n de los pacientes ha sido elevada.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis de la calidad asistencial del tratamiento quir\u00fargico de la hernia inguinal. estudio de \u00e1mbito nacional.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis de la calidad asistencial del tratamiento quir\u00fargico de la hernia inguinal. estudio de \u00e1mbito nacional. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Fernando Alcaide Matas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/06\/2007<\/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>Pedro Ruiz L\u00f3pez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  Cantero <\/li>\n<li>Juan  Manuel Bell\u00f3n Caneiro (vocal)<\/li>\n<li>Eduardo Jaurrieta Ras (vocal)<\/li>\n<li>\u00e1ngel Su\u00e1rez Garc\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fernando Alcaide Matas El tratamiento quir\u00fargico de la hernia inguinal (procedimiento m\u00e1s frecuente en cirug\u00eda general) presenta [&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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