{"id":83965,"date":"2018-03-10T00:08:08","date_gmt":"2018-03-10T00:08:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-coste-efectividad-de-dos-alternativas-de-tratamiento-para-mujeres-con-cancer-de-mama-de-alto-riesgo-quimioterapia-convencional-vs-quimioterapia-a-altas-dosis\/"},"modified":"2018-03-10T00:08:08","modified_gmt":"2018-03-10T00:08:08","slug":"analisis-coste-efectividad-de-dos-alternativas-de-tratamiento-para-mujeres-con-cancer-de-mama-de-alto-riesgo-quimioterapia-convencional-vs-quimioterapia-a-altas-dosis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-coste-efectividad-de-dos-alternativas-de-tratamiento-para-mujeres-con-cancer-de-mama-de-alto-riesgo-quimioterapia-convencional-vs-quimioterapia-a-altas-dosis\/","title":{"rendered":"An\u00e1lisis coste-efectividad de dos alternativas de tratamiento para mujeres con c\u00e1ncer de mama de alto riesgo: quimioterapia convencional vs quimioterapia a altas dosis"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M\u00aa Pilar Astier Pe\u00f1a <\/strong><\/h2>\n<p>Introduccion  los avances en tecnolog\u00eda sanitaria condicionan la evoluci\u00f3n del sector sanitario por su potencial de cambio en el abordaje de los problemas de sano, por la numeros\u00edsimas incorporaciones de nuevas tecnolog\u00edas que se suceden y por los costes a ellas asociados. C\u00f3mo medir la aportaci\u00f3n de estos avances en t\u00e9rminos de efectividad y costes es el reto actual. Toda intervenci\u00f3n consume recursos que no se dedican a otras cosas. Hay que elegir y por tanto, evaluar en el c\u00e1ncer de mama, el m\u00e1s frecuente entre mujeres de edad media en pa\u00edses desarrollados, los nuevos y caros tratamientos se van incorporando de manera trepidante.  objetivo  analizar el coste-efectividad de la quimioterapia a altas dosis contrasplante de c\u00e9lulas progenitorias de sangre perif\u00e9rica (qad+taspe) vs la quimioterapia convencional (qtc) en el tratamiento de mujeres con c\u00e1ncer de mama de alto riesgo en un hospital del sistema sanitario p\u00fablico con el fin de que pueda utilizarse como un elemento m\u00e1s en la toma de decisiones de la pr\u00e1ctica c\u00fanica diaria.  material y m\u00e9todos  mujeres tratadas de c\u00e1ncer de mama en el hospital cl\u00ednico universitario de zaragoza (mcuz) entre 1990 y 1998. Criterios de inclusi\u00f3n: &lt;65 a\u00f1os, tumor estad\u00edo iia \u00f3 iib con &gt; 3 g\u00e1nglios axilares positivos, estad\u00edo iia \u00f3 iib con o sin ganglios, no met\u00e1stasis a distancia, tratamiento qtc \u00f3 qad y seguimiento de al menos 2 a\u00f1os. Informaci\u00f3n de costes directos: tiempo de dedicaci\u00f3n de personal, farmacia, pruebas complementarias (en historia c\u00fanica), costes indirectos, estancias hospital, consultas, hospital de d\u00eda. Costes en pesetas de 31\/12\/96. Medida de efectividad: supervivencia global y cibre de enfermedad. Horizonte temporal de costes: dos primeros a\u00f1os.  resultados  grupo qtc: 85 mujeres de 634 revisadas, qad: 35 mujeres. No hay diferencias estad\u00edsticamente significativas en las variables c\u00fanicas de los dos grupos excepto para n\u00c2\u00ba ganglios<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis coste-efectividad de dos alternativas de tratamiento para mujeres con c\u00e1ncer de mama de alto riesgo: quimioterapia convencional vs quimioterapia a altas dosis<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis coste-efectividad de dos alternativas de tratamiento para mujeres con c\u00e1ncer de mama de alto riesgo: quimioterapia convencional vs quimioterapia a altas dosis <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M\u00aa Pilar Astier Pe\u00f1a <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/03\/2000<\/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> G\u00f3mez L\u00f3pez Luis Ignacio<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Vi\u00f1es rueda Jos\u00e9 javier <\/li>\n<li>concepcion Tomas aznar (vocal)<\/li>\n<li>angel Gil de Miguel (vocal)<\/li>\n<li> Maroto rey Jos\u00e9 pablo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M\u00aa Pilar Astier Pe\u00f1a Introduccion los avances en tecnolog\u00eda sanitaria condicionan la evoluci\u00f3n del sector sanitario por 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