{"id":74891,"date":"2018-03-09T23:20:00","date_gmt":"2018-03-09T23:20:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evalucion-del-uso-de-medidas-de-calidad-de-vida-en-la-practica-cla%c2%adnica-aplicacion-a-pacientes-con-cataratas\/"},"modified":"2018-03-09T23:20:00","modified_gmt":"2018-03-09T23:20:00","slug":"evalucion-del-uso-de-medidas-de-calidad-de-vida-en-la-practica-cla%c2%adnica-aplicacion-a-pacientes-con-cataratas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evalucion-del-uso-de-medidas-de-calidad-de-vida-en-la-practica-cla%c2%adnica-aplicacion-a-pacientes-con-cataratas\/","title":{"rendered":"Evaluci\u00f3n del uso de medidas de calidad de vida en la pr\u00e1ctica cl\u00ednica. aplicaci\u00f3n a pacientes con cataratas"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Valderas Mart\u00ednez Jos\u00e9 Mar\u00eda <\/strong><\/h2>\n<p>Evaluar el impacto en la atenci\u00f3n m\u00e9dica del uso sistem\u00e1tico de instrumentos de medida de la cvrs y del suministro de la informaci\u00f3n a los profesionales de la salud, en general y espec\u00edficamente para el \u00edndice de funci\u00f3n visual vf-14, una medida de funci\u00f3n visual percibida para pacientes con cataratas. m\u00e9todos: se realiz\u00f3 una revisi\u00f3n sistem\u00e1tica y metan\u00e1lisis de ensayos cl\u00ednicos que evaluaran intervenciones consistentes en el suministro de informaci\u00f3n (feed-back) sobre cvrs a profesionales sanitarios se desarroll\u00f3 un m\u00e9todo para la interpretaci\u00f3n de las puntuaciones basado en teor\u00eda de respuesta al \u00edtem (an\u00e1lisis de rasch) y se aplic\u00f3 al \u00edndice vf-14. Se dise\u00f1\u00f3 un estudio antes-despu\u00e9s en el que se midi\u00f3 la funci\u00f3n visual de 833 pacientes con cataratas que acudieron de forma consecutiva a las consultas de 19 oftalm\u00f3logos en centros hospitalarios y de atenci\u00f3n primaria, p\u00fablicos y privados de cinco ciudades catalanas. Resultados: en la revisi\u00f3n sistem\u00e1tica y metan\u00e1lsis se observaron cambios en el diagnostico (or combinado = 1,91; ic 95% [1,28;2,83]), pero no en el tratamiento (or combinado =1,15; ic 95% [0,76;1,75]). Las herramientas de ayuda a la interpretaci\u00f3n desarrolladas para el vf-14 demostraron una concordancia suficiente entre las respuestas predichas y las observadas. en el estudio de intervenci\u00f3n antes-despu\u00e9s, el coeficiente de regresi\u00f3n ajustado de la puntuaci\u00f3n en el \u00edndice vf14 se increment\u00f3 significativamente tras laintervenci\u00f3n como predictor de la valoraci\u00f3n realizada por el oftalm\u00f3logo (coeficiente beta: control 0.10 vs intervenci\u00f3n 0.35, p&lt; 0.05). La intervenci\u00f3n no increment\u00f3 la adecuaci\u00f3n de la decisi\u00f3n m\u00e9dica (or = 0.90; ic 95% [0.42; 2,69]) ni modific\u00f3 la satisfacci\u00f3n con la atenci\u00f3n sanitaria.Conclusiones: los resultados de la revisi\u00f3n sistem\u00e1tica y del meta-an\u00e1lisis indican que la administraci\u00f3n de informaci\u00f3n sobre cvrs y salud percibida a los profesionales<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluci\u00f3n del uso de medidas de calidad de vida en la pr\u00e1ctica cl\u00ednica. aplicaci\u00f3n a pacientes con cataratas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluci\u00f3n del uso de medidas de calidad de vida en la pr\u00e1ctica cl\u00ednica. aplicaci\u00f3n a pacientes con cataratas <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Valderas Mart\u00ednez Jos\u00e9 Mar\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pompeu fabra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/06\/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>Jorge Alonso Caballero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ildefonso Fern\u00e1ndez aguado <\/li>\n<li>gaieta Permanyer miralda (vocal)<\/li>\n<li>montserrat Ferrer for\u00e9s (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 Valderas Mart\u00ednez Jos\u00e9 Mar\u00eda Evaluar el impacto en la atenci\u00f3n m\u00e9dica del uso sistem\u00e1tico de instrumentos de [&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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