{"id":73990,"date":"2018-03-09T23:18:57","date_gmt":"2018-03-09T23:18:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-factores-pronosticos-del-cancer-vesical-superficial-seguimiento-en-funcion-de-grupos-de-riesgo\/"},"modified":"2018-03-09T23:18:57","modified_gmt":"2018-03-09T23:18:57","slug":"analisis-de-factores-pronosticos-del-cancer-vesical-superficial-seguimiento-en-funcion-de-grupos-de-riesgo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-de-factores-pronosticos-del-cancer-vesical-superficial-seguimiento-en-funcion-de-grupos-de-riesgo\/","title":{"rendered":"Analisis de factores pronosticos del cancer vesical superficial. seguimiento en funcion de grupos de riesgo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jorge Garcia Rodriguez <\/strong><\/h2>\n<p>Se ha realizado un estudio restrospectivo sobre 419 tumores vesicales, en los que analizamos 24 variables de cada tumor para conocer los factores cl\u00ednicopatol\u00f3gicos que determinan la evoluci\u00f3n posterior del tumor en cuanto a recurrencia y progresi\u00f3n.  tras el an\u00e1lisis estad\u00edstico, resultaron independientes para explicar mayor tiempo libre hasta la recurrencia superficial los siguientes factores: recidiva tras el 1\u00c2\u00ba a\u00f1o, ausencia de multiplicidad, t\u00e9cnica quir\u00fargica, empleo de lavados endovesicales, tratamiento con dosis altas de bcg y terapia de mantenimiento frente a inducci\u00f3n. As\u00ed mismo, resultaron como factores independientes que explicaban un menor tiempo libre hasta la progresi\u00f3n: recurrencia en los primeros 6 meses, grado (gardo 2 y grado 3+tis) y empleo de terapia de mantenimiento frente a inducci\u00f3n.  a partir de los resultados obtenidos, nos hemos planteado establecer tres grupos de riesgo, seg\u00fan el peso de los factores independientes en la evoluci\u00f3n del tumor. Para ello, nos hemos basado en la odds ratio de cada uno de ellos, encontradas en el estudio multivariable, quedando finalmente as\u00ed estructurados:  a) grupo de mal pron\u00f3stico (alto riesgo).  Tumores de alto grado (g3), tis aislado o asociado y tumores de grado 2 m\u00faltiples o recurrentes que hubieran recidivadoen menos de 6 meses.  b) grupo de pron\u00f3stico intermedio. Tumores tag1 m\u00faltiples, as\u00ed como neoplasias tag2 y t1g1 no m\u00faltiples (menos de 3 tumores).  c) grupo de bajo riesgo . Tumores tag1 \u00fanicos.  la inclusi\u00f3n de los pacientes en cada grupo de riesgo, permitir\u00e1 a partir de ahora prededir la evoluci\u00f3n que tendr\u00e1 el tumor y de esta manera optimizar los protocolos de tratamiento y seguimiento, as\u00ed como evitar pruebas o terap\u00e9uticas innecesarias en nuestros pacientes con carcinoma superficial de vejiga.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis de factores pronosticos del cancer vesical superficial. seguimiento en funcion de grupos de riesgo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis de factores pronosticos del cancer vesical superficial. seguimiento en funcion de grupos de riesgo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jorge Garcia Rodriguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/05\/2005<\/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>Safwan Escaf Barmadah<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Paz jimenez <\/li>\n<li>angel Silmi moyano (vocal)<\/li>\n<li> Alvarez menendez Francisco vicente (vocal)<\/li>\n<li>bernardo Martin garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jorge Garcia Rodriguez Se ha realizado un estudio restrospectivo sobre 419 tumores vesicales, en los que analizamos [&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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