{"id":88135,"date":"2018-03-10T00:13:03","date_gmt":"2018-03-10T00:13:03","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/incremento-del-valor-predictivo-positivo-mediante-la-cuantificacion-del-riesgo-semiorradiologico-en-el-cancer-de-mama-no-palpable\/"},"modified":"2018-03-10T00:13:03","modified_gmt":"2018-03-10T00:13:03","slug":"incremento-del-valor-predictivo-positivo-mediante-la-cuantificacion-del-riesgo-semiorradiologico-en-el-cancer-de-mama-no-palpable","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/incremento-del-valor-predictivo-positivo-mediante-la-cuantificacion-del-riesgo-semiorradiologico-en-el-cancer-de-mama-no-palpable\/","title":{"rendered":"Incremento del valor predictivo positivo mediante la cuantificaci\u00f3n del riesgo semiorradiologico en el cancer de mama no palpable"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Sainz Mart\u00ednez Jos\u00e9 M. <\/strong><\/h2>\n<p>El c\u00e1ncer de mama es el tumor maligno m\u00e1s frecuente y la primera causa de muerte por c\u00e1ncer de las mujeres del mundo occidental. La incidencia de esta neoplasia crece de forma constante en las \u00faltimas d\u00e9cadas, estim\u00e1ndose que una de cada diez mujeres desarrollar\u00e1 la enfermedad a lo largo de su vida.  la mortalidad global por c\u00e1ncer de mama se mantiene relativamente constante a pesar de los avances en el tratamiento. La supervivencia relativa a los cinco a\u00f1os ha mejorado, en parte debido al mayor n\u00famero de diagn\u00f3sticos precoces realizados en las campa\u00f1as de cribado mediante mamograf\u00eda.  la mamograf\u00eda muestra una elevada sensibilidad y una baja especialidad, con un valor predictivo positivo (vpp) del 15-30%.  el objetivo del presente estudio es el de aumentar el vpp de la mamograf\u00eda en el c\u00e1ncer de mama cl\u00ednicamente oculto, disminuyendo el n\u00famero de biopsias quir\u00fargicas, conservando un valor predictivo negativo (vpn) del 100% en el carcinoma infiltrante.  el trabajo realizado se bas\u00f3 en un estudio retrospectivo no aleatorio de casos consecutivos en pacientes con lesi\u00f3n sospechosa en la mamograf\u00eda, pertenecientes a la poblaci\u00f3n del \u00e1rea iii del hospital cl\u00ednico universitario de zaragoza, desde octubre de 1991 hasta diciembre de 1999.  se analizaron 502 lesiones mamogr\u00e1ficas no palpables, seg\u00fan m\u00e9todo ciego, ponder\u00e1ndolas con una escala num\u00e9rica de puntuaci\u00f3n que expresa el mayor o menor riesgo de malignidad de cada uno de los signos de las lesiones elementales.  cada lesi\u00f3n elemental se analiz\u00f3 por el modelo estad\u00edstico multivariante de regresi\u00f3n log\u00edstica, compar\u00e1ndolo con el resultado anatomopatol\u00f3gico. se calcularon los \u00edndices de sensibilidad, especificidad, vpp y vpn. La fiabilidad en la lectura mamogr\u00e1fica se calcul\u00f3 por el acuerdo intraobservador, interobservador y el \u00edndice kappa de cohen.  la reducci\u00f3n del n\u00famero de variables de an\u00e1lisis y los altos \u00edndices de kappa obtenidos en<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Incremento del valor predictivo positivo mediante la cuantificaci\u00f3n del riesgo semiorradiologico en el cancer de mama no palpable<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Incremento del valor predictivo positivo mediante la cuantificaci\u00f3n del riesgo semiorradiologico en el cancer de mama no palpable <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Sainz Mart\u00ednez Jos\u00e9 M. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/12\/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>Jos\u00e9 Lucio Villavieja Atance<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alejandro Tres sanchez <\/li>\n<li>faustino P\u00e9rez l\u00f3pez (vocal)<\/li>\n<li> Mart\u00edn urreta Juan  Carlos (vocal)<\/li>\n<li>domingo Grande icaran (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sainz Mart\u00ednez Jos\u00e9 M. El c\u00e1ncer de mama es el tumor maligno m\u00e1s frecuente y la primera [&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":[155,9,2046,13610],"tags":[27351,85452,17868,21541,82007,184072],"class_list":["post-88135","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-radiologia","category-zaragoza","tag-alejandro-tres-sanchez","tag-domingo-grande-icaran","tag-faustino-perez-lopez","tag-jose-lucio-villavieja-atance","tag-martin-urreta-juan-carlos","tag-sainz-Martinez-jose-m"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88135","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=88135"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88135\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88135"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88135"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88135"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}