{"id":84751,"date":"2018-03-10T00:09:08","date_gmt":"2018-03-10T00:09:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-economico-del-trasplante-autologo-de-progenitores-hematopoyeticos-en-pacientes-pediatricos\/"},"modified":"2018-03-10T00:09:08","modified_gmt":"2018-03-10T00:09:08","slug":"analisis-economico-del-trasplante-autologo-de-progenitores-hematopoyeticos-en-pacientes-pediatricos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-economico-del-trasplante-autologo-de-progenitores-hematopoyeticos-en-pacientes-pediatricos\/","title":{"rendered":"Analisis economico del trasplante autologo de progenitores hematopoyeticos en pacientes pediatricos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marta Gonzalez Vicent <\/strong><\/h2>\n<p>Introducci\u00f3n: en la \u00faltima d\u00e9cada, la m\u00e9dula \u00f3sea que era la fuente cl\u00e1sica de progenitores en el trasplante aut\u00f3logo, ha sido sustituida por la sangre perif\u00e9rica. Las ventajas de la sangre perif\u00e9rica se derivan de una mayor rapidez en la reconstruci\u00f3n hematol\u00f3gica, lo que determina una disminuci\u00f3n de las necesidades de hemoderivados y antibioterapia y un acortamiento de la estancia hospitalaria. La consecuencia es una disminuci\u00f3n de los costes.  objetivos: comparar la reconstituci\u00f3n hematol\u00f3gica y evaluar los recursos econ\u00f3micos empleados con ambas fuentes de progenitores. Valorar el impacto de las diferentes cl\u00ednicas en el coste econ\u00f3mico y realizar un an\u00e1lisis coste-efectividad del trasplante aut\u00f3logo de sangre perif\u00e9rica y m\u00e9dula \u00f3sea en las leucemias agudas en pacientes pedi\u00e1tricos.  pacientes y m\u00e9todos: se trata de un estudio retrospectivo que abarce 131 trasplantes aut\u00f3logos llevados a cabo en 124 pacientes pedi\u00e1tricos en el periodo comprendido entre enero del 89 y diciembre del 98 en la unidad de trasplante del hospital ni\u00f1o jesus de Madrid. La fuente de progenitores ha sido la m\u00e9dula \u00f3sea en 29 casos y sangre perif\u00e9rica en 102 casos, siendo la mediana de edad 8 a\u00f1os y la de peso 30 kg. Las indicaciones de trasplante han sido neoplasias hematol\u00f3gicas en 61 casos y tumores s\u00f3lidos en 70 casos.  resultados: la movilizaci\u00f3n fue con g-csf en el 80% y con g-csf + gm-csf en el 20%. La recolecci\u00f3n se llev\u00f3 a cabo mediante leucoaf\u00e9resis de grandes vol\u00famenes a trav\u00e9s de un separador celular de flujo continuo cobe spectra, siendo la mediana de 1 af\u00e9resis y recolect\u00e1ndose 2,8 +10 6 cd34+ \/ kg. el injerto leucocitario con m\u00e9dula \u00f3sea y desglosando la sangre perif\u00e9rica, seg\u00fan se infundieran &lt;5\u00f3&gt;-5&#215;10 6 cd34+ \/ kg, fue de 14,10 y 9 d\u00edas respectivamente. en el injerto plaquetar precoz (&gt;20 x10 9 \/l) y tard\u00edo (&gt;100&#215;10 9 \/ l) se mantienen las diferencias entre tamo y taspe con 21 y 55 d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis economico del trasplante autologo de progenitores hematopoyeticos en pacientes pediatricos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis economico del trasplante autologo de progenitores hematopoyeticos en pacientes pediatricos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marta Gonzalez Vicent <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/05\/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>Luis Madero Lopez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Hern\u00e1ndez rodr\u00edguez <\/li>\n<li>Rafael Fern\u00e1ndez-delgado cerd\u00e1 (vocal)<\/li>\n<li>Rafael Matesanz acedos (vocal)<\/li>\n<li>Alberto Gra\u00f1ena batijia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marta Gonzalez Vicent Introducci\u00f3n: en la \u00faltima d\u00e9cada, la m\u00e9dula \u00f3sea que era la fuente cl\u00e1sica 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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