{"id":71095,"date":"2004-05-11T00:00:00","date_gmt":"2004-05-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/auditoria-de-siete-anos-de-nuestra-experiencia-en-el-tratamiento-quirurgico-del-cancer-de-mama-buscando-una-gua%c2%ada-de-calidad\/"},"modified":"2004-05-11T00:00:00","modified_gmt":"2004-05-11T00:00:00","slug":"auditoria-de-siete-anos-de-nuestra-experiencia-en-el-tratamiento-quirurgico-del-cancer-de-mama-buscando-una-gua%c2%ada-de-calidad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/auditoria-de-siete-anos-de-nuestra-experiencia-en-el-tratamiento-quirurgico-del-cancer-de-mama-buscando-una-gua%c2%ada-de-calidad\/","title":{"rendered":"Auditoria de siete a\u00f1os de nuestra experiencia en el tratamiento quir\u00fargico del c\u00e1ncer de mama: buscando una gu\u00edade calidad"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Mu\u00f1oz Madero <\/strong><\/h2>\n<p>Introducci\u00f3n  la filosof\u00eda actual, en el tratamiento quir\u00fargico del c\u00e1ncer mamario, lleva a emprender un intento de rehabilitaci\u00f3n total de la paciente, basado en la prevenci\u00f3n de secuelas y en la conservaci\u00f3n \u00f3 reconstrucci\u00f3n pl\u00e1stica del seno, as\u00ed como el tratamiento conservador de la axila. Pero el principal objetivo, continua siendo el control de la enfermedad oncol\u00f3gica, cuya persistencia se debe a tres fen\u00f3menos biol\u00f3gicos. Recidiva-met\u00e1stasis, inestabilidad tisular oncogen\u00e9tica y enfermedad residual inadvertida. Tratando de establecer una gu\u00eda de actuaci\u00f3n al respecto, emprendemos, siguiendo el m\u00e9todo de browman una actuaci\u00f3n basada, en el conocimiento existente y su evoluci\u00f3n con una tarea paralela de auditor\u00eda.  pacientes y m\u00e9todo  siguiendo procedimientos t\u00e9cnicos, con la adecuada evidencia cient\u00edfica de idoneidad, existentes en el conocimiento y aparecidos en el desarrollo de nuestro trabajo, operamos, dentro de un esfuerzo de coordinaci\u00f3n multidisciplinaria, 243 pacientes, con diferentes procedimientos oncopl\u00e1sticos conservadores y reconstructivos. Efectuamos peri\u00f3dicamente, una evaluaci\u00f3n oncol\u00f3gica (recidiva locorregional, met\u00e1stasis y mortalidad oncol\u00f3gica) y est\u00e9tica (tama\u00f1o, proyecci\u00f3n y simetr\u00eda) introduciendo los cambios que esta auditor\u00eda y el conocimiento aparecido aconsejaban. Finalmente, se efectu\u00f3 un estudio multivariable, incluyendo como variables dependientes, recidiva, met\u00e1stasis y mortalidad y como covariables, diversas circunstancias cl\u00ednicas y biol\u00f3gicas entre las que destaca el tipo de cirug\u00eda.  resultados  7 pacientes desarrollaron recid\u00edva local, 21 enfermedad metast\u00e1sica y 15 murieron de progresi\u00f3n neopl\u00e1sica, para recidiva y met\u00e1stasis, tuvieron significaci\u00f3n estad\u00edstica la permeaci\u00f3n linfovascular, para la mortalidad, adem\u00e1s el estadio cl\u00ednico al diagn\u00f3stico. Los procedimientos con un mejor resultado est\u00e9tico reciente y de evoluci\u00f3n, fueron la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Auditoria de siete a\u00f1os de nuestra experiencia en el tratamiento quir\u00fargico del c\u00e1ncer de mama: buscando una gu\u00edade calidad<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Auditoria de siete a\u00f1os de nuestra experiencia en el tratamiento quir\u00fargico del c\u00e1ncer de mama: buscando una gu\u00edade calidad <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Mu\u00f1oz Madero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/11\/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> Cuesta Valentin Miguel Angel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jaime Arias cuesta <\/li>\n<li>Juan  Manuel San roman teran (vocal)<\/li>\n<li>carla V\u00e1zquez albaladejo (vocal)<\/li>\n<li>Jos\u00e9 Palacios gonz\u00e1lez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Mu\u00f1oz Madero Introducci\u00f3n la filosof\u00eda actual, en el tratamiento quir\u00fargico del c\u00e1ncer mamario, lleva a emprender [&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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