{"id":69169,"date":"2004-08-07T00:00:00","date_gmt":"2004-08-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/variaciones-regionales-en-las-tasas-de-histerectoma%c2%ada-en-espana\/"},"modified":"2004-08-07T00:00:00","modified_gmt":"2004-08-07T00:00:00","slug":"variaciones-regionales-en-las-tasas-de-histerectoma%c2%ada-en-espana","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/variaciones-regionales-en-las-tasas-de-histerectoma%c2%ada-en-espana\/","title":{"rendered":"Variaciones regionales en las tasas de histerectom\u00edaen espa\u00f1a"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Irene Morales Lor\u00f3 <\/strong><\/h2>\n<p>Introducci\u00f3n:  la falta de consenso sobre las indicaciones de la histerectomia , sus abordajes y la ooforectom\u00eda bilateral concomitante, supone un escenario propio para las variaciones en la pr\u00e1ctiva m\u00e9dida de este procedimiento , habi\u00e9ndose planteado como objetivo en este estudio el determinar las tasas de histerectom\u00eda en espa\u00f1a en los hospitales cubierto por el cmbd entre los a\u00f1\u00f3s 1997 y 2000 y describir las variaciones seg\u00fan la edad, en el tiempo,geogr\u00e1ficas y seg\u00fan el tipo de hospitales , en las tasas de histerectom\u00eda , sus abordajes, ooforectom\u00eda bilateral, indicaciones, estadisticas ,estancia y complicaciones.  material y m\u00e9todos:  estudios observaciones transversales descriptivo con componentes anal\u00edticos,de todas las mujeres alas que se les hizo una histerectomia, realizando a partir del cmbd y del cat\u00e1logo nacional de hospitales.  resultados:  139.458 histerectom\u00edas , tasa anual:172\/10-5 mujeres;v\u00eda  :68% abdominal y 27% vaginal ;48% con obc;indicaciones m\u00e1s frecuentes:liomioma (41%),prolapso (24%) y neoplasias malignas (14%);estancia media 9,38 d\u00edas,de 6,34; complicaciones :12%.  hubo variaciones en las tasas de histerectomia , abordajes , ooforectomia biliateral concomitante, indicaciones,complicaciones y estancia , en relaci\u00f3n con la edad, entre 1997 y 2000 , por hospitales y por ccaa (componente sistem\u00e1tico de variaci\u00f3n de las tasas de histerectom\u00edas: 1,32 y 2,54 en las  aquellas por neoplasias melignas).  discusi\u00f3n y conclusiones:  la existencia de variaciones geogr\u00e1ficas y por hospitales podr\u00eda ser reflejo de desigualdades en la eficiencia y equidad del sistema nacional de salud, pudiendo sugerir un uso inapropiado de la histerectom\u00eda y problemas en el proceso de toma de decisiones cl\u00ednicas.Hace falta profundizar en la investigaci\u00f3n sobre resultados de salusd en el abordaje de la patolog\u00eda ginecolog\u00edaca,alcanza un mayor consenso sobre el uso apropiado de la histerectom\u00eda y su a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Variaciones regionales en las tasas de histerectom\u00edaen espa\u00f1a<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Variaciones regionales en las tasas de histerectom\u00edaen espa\u00f1a <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Irene Morales Lor\u00f3 <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/07\/2004<\/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>Vicente Dominguez Nojas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Clavero mu\u00f1oz Jos\u00e9 Antonio <\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Irene Morales Lor\u00f3 Introducci\u00f3n: la falta de consenso sobre las indicaciones de la histerectomia , sus abordajes [&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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