{"id":86545,"date":"2018-03-10T00:11:07","date_gmt":"2018-03-10T00:11:07","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/lumbalgia-cronica-evaluacion-de-la-secuencia-dignostica-y-configuracion-de-la-decision-cla%c2%adnica-impacto-socio-labora\/"},"modified":"2018-03-10T00:11:07","modified_gmt":"2018-03-10T00:11:07","slug":"lumbalgia-cronica-evaluacion-de-la-secuencia-dignostica-y-configuracion-de-la-decision-cla%c2%adnica-impacto-socio-labora","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/lumbalgia-cronica-evaluacion-de-la-secuencia-dignostica-y-configuracion-de-la-decision-cla%c2%adnica-impacto-socio-labora\/","title":{"rendered":"Lumbalgia cr\u00f3nica: evaluacion de la secuencia dignostica y configuraci\u00f3n de la decisi\u00f3n cl\u00ednica. impacto socio labora."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco P\u00e9rez Torres <\/strong><\/h2>\n<p>Estudio observacional longitudinal de pacientes con dolor lumbar cr\u00f3nico.  objetivos  estudio preValencia anual. Caracterizar pacientes e identificar grupos de riesgo. Analizar variables de anamnesis y exploraci\u00f3n f\u00edsica y su aportaci\u00f3n a clasificaci\u00f3n de pacientes. Rendimiento diagn\u00f3stico de los par\u00e1metros de laboratorio y estudios radiol\u00f3gicos. Impacto sociolaboral. Construcci\u00f3n de algoritmo diagn\u00f3stico.  conclusiones  preValencia anual fue de 850\/100,000 habitantes. Predomina en mujer raz\u00f3n de masculinidad 0,43 entre los 45-65 a\u00f1os, detect\u00e1ndose grupos de riesgo conla variables edad, sexo y tiempo de evoluci\u00f3n del proceso. La anamnesis y exploraci\u00f3n f\u00edsica son fundamentales en secuencia diagn\u00f3stica, la tipificaci\u00f3n del dolor y sus caracter\u00edsticas junto a os datos de las maniobras exploratorias no rientan enla clasificai\u00f3nde pacientes, realiz\u00e1ndose test de evaluaci\u00f3n de cada uno de los par\u00e1metros. Los estudios de laboratorio no son \u00fatiles para la clasificaci\u00f3n de pacientes y los radiol\u00f3gicos son \u00fatiles en las enfermedades inflamatorias y anomal\u00edas del desarrollo, tienen valor orientativo en las espondiloartropat\u00edas degenerativas y enfemedades \u00f3seas metab\u00f3licas, no tenindo ninguna utilidad en los trastornos funcionales y alteraciones por agentes f\u00edsicos. Los signos radiol\u00f3gicos que permiten clasificar pacientes son la presencia esp\u00f3ndilosis-espondilolistesis, en aumento del espacio discal por aplastamientos vertebrales y la sacroileitis. el 70% de los pacientes tiene preocupaci\u00f3n por el dolor y las limitaciones f\u00edsicas, pero adm\u00e1s tiene otras implicaciones laborales, familiares, deportivas, sociales y econ\u00f3micas, siendo los episodios mas frecuentes en los grupos laborales de menor cualifiaci\u00f3n, y son los boreros industriales y de construcci\u00f3n los que presentan un factor de riesgo.  se construye un algoritmo diagn\u00f3sitco constituyendo grupos homog\u00e9neos basado el los datos que aportan la anamne<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Lumbalgia cr\u00f3nica: evaluacion de la secuencia dignostica y configuraci\u00f3n de la decisi\u00f3n cl\u00ednica. impacto socio labora.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Lumbalgia cr\u00f3nica: evaluacion de la secuencia dignostica y configuraci\u00f3n de la decisi\u00f3n cl\u00ednica. impacto socio labora. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco P\u00e9rez Torres <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/09\/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>varela M. Mar Morales Suarez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando Rodr\u00edguez artalejo <\/li>\n<li> Rom\u00e1n iborra Jos\u00e9 a. (vocal)<\/li>\n<li>Miguel Pay\u00e1 peris (vocal)<\/li>\n<li>desamparados Iba\u00f1ez Garc\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco P\u00e9rez Torres Estudio observacional longitudinal de pacientes con dolor lumbar cr\u00f3nico. objetivos estudio preValencia anual. Caracterizar [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,435,139,877,7395,967],"tags":[181616,12656,181613,63235,181615,181614],"class_list":["post-86545","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-medicina-del-trabajo","category-medicina-interna","category-reumatologia","category-salud-laboral","category-salud-publica","tag-desamparados-ibanez-garcia","tag-fernando-rodriguez-artalejo","tag-francisco-perez-torres","tag-miguel-paya-peris","tag-roman-iborra-jose-a","tag-varela-m-mar-morales-suarez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/86545","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=86545"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/86545\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=86545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=86545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=86545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}