{"id":86939,"date":"2018-03-10T00:11:38","date_gmt":"2018-03-10T00:11:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/sa%c2%adndrome-general-aspcectos-cla%c2%adnicos-factores-pronosticos-y-modelos-predictivos\/"},"modified":"2018-03-10T00:11:38","modified_gmt":"2018-03-10T00:11:38","slug":"sa%c2%adndrome-general-aspcectos-cla%c2%adnicos-factores-pronosticos-y-modelos-predictivos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/sa%c2%adndrome-general-aspcectos-cla%c2%adnicos-factores-pronosticos-y-modelos-predictivos\/","title":{"rendered":"S\u00edndrome general: aspcectos cl\u00ednicos, factores pronosticos y modelos predictivos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Luis Hernandez Hernandez <\/strong><\/h2>\n<p>Objetivos:  conocer los aspectos epidemiol\u00f3gicos generales, factores pron\u00f3sticos, modelos predictivos de neoplasia maligna y enfermedad psiqui\u00e1trica, as\u00ed como la supervivencia de los pacientes cons\u00edndrome general solitario sgs, definido como el cuadro cl\u00ednico caracterizado por astenia, anorexia y adelgazamiento superior al 5% del peso corporal en los \u00faltimos 6 meses, no acompa\u00f1ado de otro s\u00edntomo o signo orientador al padecimiento de un determinado \u00f3rgano o sistema y con exploraci\u00f3n f\u00edsica y pruebas complementarias de primer escal\u00f3n (hemogrma, bioqu\u00edmica elemental y radiolog\u00eda simple) no espec\u00edficas de un diagn\u00f3sitco etiol\u00f3gico.  material y metodos:  pacientes con diagn\u00f3stico de sgs estudiados entre enero de 1992 y diciembre de 1996 (fase de seguimiento hasta diciembre de 1997) en un hospital universitario de tercer nivel. An\u00e1lisis est\u00e1distico descriptivo y mediante regresi\u00f3n log\u00edsitca univariada y multivariante para establecer los modelos predictivos, que se validaron en el grupo de pacientes incluidos en el \u00faltimo a\u00f1o del estudio. Se analizan dos m\u00e9todos de aplicaci\u00f3n de los modelos consentido cl\u00ednico (score y raz\u00f3nde verosimilitud para el c\u00e1lculo de probabilidades postest). An\u00e1lisis de la exactitud de los mismos mediante curvas roc.An\u00e1lisis de supervivencia por el m\u00e9todo de kaplan-meier.  resultados:  se estudiaron 328 pacientes (170 varones y 158 mujeres; media de edad, 65,4 +16,6 a\u00f1os), de los cuales 236 eran enfermos hospitalizados 72% y 92 ambulatorios. Las neoplasias malignas representaron la causa m\u00e1s frecuentes de sgs 35% sobre todo las del aparato digestivo, seguidas por los trastornos psiqui\u00e1tricos 24,3%, especialmente la derpesi\u00f3n. Entre las enfermedades no malgnas las m\u00e1s frecuentes fueron las del aparato digestivo y el hipertirodismo. en un 4% de los apcientes no se hall\u00f3 una enfermedad responsable del sgs al finalizar el per\u00edodo de seguimiento (m\u00ednimo de 6 meses). La edad n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>S\u00edndrome general: aspcectos cl\u00ednicos, factores pronosticos y modelos predictivos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 S\u00edndrome general: aspcectos cl\u00ednicos, factores pronosticos y modelos predictivos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Luis Hernandez Hernandez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/10\/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>Jes\u00fas Gonzalez  Macias<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jaime Merino sanchez <\/li>\n<li> Olmos martienz Jos\u00e9 Manuel (vocal)<\/li>\n<li>adolfo Diez perez (vocal)<\/li>\n<li>valentin Del villar sordo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Luis Hernandez Hernandez Objetivos: conocer los aspectos epidemiol\u00f3gicos generales, factores pron\u00f3sticos, modelos predictivos de neoplasia maligna [&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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