{"id":65327,"date":"2018-03-09T22:53:25","date_gmt":"2018-03-09T22:53:25","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-del-tratamiento-con-alendronato-mas-calcio-y-vitamina-d-versus-calcio-y-vitamina-d-en-pacientes-osteoporoticos-que-han-sufrido-una-fractura-de-cadera\/"},"modified":"2018-03-09T22:53:25","modified_gmt":"2018-03-09T22:53:25","slug":"impacto-del-tratamiento-con-alendronato-mas-calcio-y-vitamina-d-versus-calcio-y-vitamina-d-en-pacientes-osteoporoticos-que-han-sufrido-una-fractura-de-cadera","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-del-tratamiento-con-alendronato-mas-calcio-y-vitamina-d-versus-calcio-y-vitamina-d-en-pacientes-osteoporoticos-que-han-sufrido-una-fractura-de-cadera\/","title":{"rendered":"Impacto del tratamiento con alendronato m\u00e1s calcio y vitamina d versus calcio y vitamina d, en pacientes osteopor\u00f3ticos que han sufrido una fractura de cadera."},"content":{"rendered":"<h2>Tesis doctoral de <strong> David Cecilia L\u00f3pez <\/strong><\/h2>\n<p>La fractura de cadera es la fractura osteopor\u00f3tica m\u00e1s importante por sus consecuencias desde el punto de vista cl\u00ednico y de salud p\u00fablica. El objetivo de este estudio es evaluar el efecto de un tratamiento con alendronato en la evoluci\u00f3n de la densi dad mineral \u00f3sea, marcadores de remodelado \u00f3seo y situaci\u00f3n funcional en pacientes con fractura de cadera tratada quir\u00fargicamente. Se realiz\u00f3 un estudio prospectivo aleatorizado en el que se incluyeron 239 pacientes, que se trataron con alendronato ( 70 mg\/ semana) m\u00e1s calcio y vitamina (600 mg\/d\u00eda y 400 ui respectivamente) o con calcio y vitamina d (600 mg\/d\u00eda y 400 ui respectivamente). Los grupos fueron comparables en todo momento en todos los par\u00e1metros estudiados; tanto a nivel de caracter\u00edst icas basales, como en el seguimiento y en la tasa de abandonos. 147 pacientes completaron el estudio. El tratamiento precoz con alendronato  m\u00e1s calcio y vitamina d produjo aumentos significativos de densidad mineral \u00f3sea de cadera total (2,57  y 4,0 1 ), trocant\u00e9rea (2,96  y 4,35 ) e intertrocant\u00e9rea (2,32  y 3,65 ) en el an\u00e1lisis por intenci\u00f3n de tratar y por protocolo respectivamente comparado con los pacientes que solo recibieron calcio y vitamina d. El tratamiento precoz con alendronato m\u00e1s cal\u00f1cio y vitamina d  produjo una reducci\u00f3n del remodelado \u00f3seo que se detect\u00f3 por reducciones significativas de osteocalcina y telop\u00e9ptidos carboxiterminales del col\u00e1geno tipo i del 44,5  y 40,34  respectivamente en relaci\u00f3n con los que solo recibie ron calcio y vitamina d. La situaci\u00f3n funcional mejor\u00f3 en el grupo con alendronato respecto al grupo control, aunque las diferencias no fueron significativas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto del tratamiento con alendronato m\u00e1s calcio y vitamina d versus calcio y vitamina d, en pacientes osteopor\u00f3ticos que han sufrido una fractura de cadera.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto del tratamiento con alendronato m\u00e1s calcio y vitamina d versus calcio y vitamina d, en pacientes osteopor\u00f3ticos que han sufrido una fractura de cadera. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 David Cecilia L\u00f3pez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/06\/2008<\/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>Jos\u00e9 Esteban Jodar Gimeno<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Mar\u00eda Ferrandez portal <\/li>\n<li>Jos\u00e9 Cordero ampuero (vocal)<\/li>\n<li>Antonio L\u00f3pez alonso (vocal)<\/li>\n<li>Jos\u00e9 Couceiro follente (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de David Cecilia L\u00f3pez La fractura de cadera es la fractura osteopor\u00f3tica m\u00e1s importante por sus consecuencias desde [&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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