{"id":84158,"date":"2000-10-04T00:00:00","date_gmt":"2000-10-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validez-del-diagnostico-clinico-en-dermatologia\/"},"modified":"2000-10-04T00:00:00","modified_gmt":"2000-10-04T00:00:00","slug":"validez-del-diagnostico-clinico-en-dermatologia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/validez-del-diagnostico-clinico-en-dermatologia\/","title":{"rendered":"Validez del diagnostico clinico en dermatolog\u00eda"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Gil Rodriguez Caravaca <\/strong><\/h2>\n<p>Objetivo: estudiar la validez diagnostica de los diagn\u00f3sticos m\u00e1s prevalentes en las consultas externas de dermatolog\u00eda del hospital cl\u00ednico san carlos de Madrid.  dise\u00f1o: estudio descriptivo transversal de evaluaci\u00f3n del diagn\u00f3stico cl\u00ednico.  material y metodos: se ha incluido a cualquier paciente diagnostico histopatol\u00f3gicamente de uno de los siguientes diagn\u00f3sticos: carcinoma basocelular (cb), carcinoma epidermoide (ce), lupus eritematosol (le), liquen plano (lp), granuloma anular (ga), psoriasis (psor), queratosis seborreica (qs), penifigo (penf), penfigoide (pgoide), melanoma (mel), queratoacantoma (qa), esclerodermia (escl), nevus melanocitico (nm) micosis fungoide (mf) y enfermedad de bowen (eb). Se han revisado las historias cl\u00ednicas de los pacientes. Los diagn\u00f3sticos se han codificado con la clasificaci\u00f3n cie-9mc. Se ha hecho una estimaci\u00f3nmuestral teniendo en cuenta un confianza del 95%, una precisi\u00f3ndel 5% y una sensibilidad y especificidad diagnostica del 85%, estim\u00e1ndose adecuados 392 casos para cada diagn\u00f3stico. Se han estudiado los \u00edndices de validez (sensibilidad, especificidad, valor global, cocientes de probabilidad y valores predictivos).  resultados: se han estudiado 2188 pacientes 962 (44%) hombres y 12265 (56%) mujeres (p-0,0001). Se ha obtenido una validez diagn\u00f3stica muy alta, con\u00edndices de validez 80% en el carcinoma basocelular, nevus melanoc\u00edtico, penfigoide y esclerodermia. Se ha obtenido una vlidez diagn\u00f3sitca baja en la enfermedad de bowen (sensibilidad =22,8%, especificidad=96,5% y valor global=77,8%). el penifigoide, queratoacantoma y carcinoma epidermoide han prevalecido en la edad senil y los nuevos melanoc\u00edticos j\u00f3venes. La localizaci\u00f3n m\u00e1s frecuente de las lesiones ha sido la cara y el tronco.  conclusiones: la validez del diagn\u00f3stico cl\u00ednico, exceptuando la enfermedad de bowen, ha sido alta. La patolog\u00eda dermatol\u00f3gica ha predominado en el sexo femenino.  palabras clave<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validez del diagnostico clinico en dermatolog\u00eda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validez del diagnostico clinico en dermatolog\u00eda <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Gil Rodriguez Caravaca <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/04\/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>Eduardo Lopez Bran<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: aguila Alfredo robledo <\/li>\n<li>moraleda Fernando pinedo (vocal)<\/li>\n<li>angel Gil de Miguel (vocal)<\/li>\n<li>corral Emilio ucar (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gil Rodriguez Caravaca Objetivo: estudiar la validez diagnostica de los diagn\u00f3sticos m\u00e1s prevalentes en las consultas externas [&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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