{"id":88706,"date":"2001-02-02T00:00:00","date_gmt":"2001-02-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ecografia-transrectal-tacto-rectal-y-psa-en-el-diagnostico-del-cancer-de-prostata-en-el-area-11-de-madrid-analisis-de-efectividad\/"},"modified":"2001-02-02T00:00:00","modified_gmt":"2001-02-02T00:00:00","slug":"ecografia-transrectal-tacto-rectal-y-psa-en-el-diagnostico-del-cancer-de-prostata-en-el-area-11-de-madrid-analisis-de-efectividad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ecografia-transrectal-tacto-rectal-y-psa-en-el-diagnostico-del-cancer-de-prostata-en-el-area-11-de-madrid-analisis-de-efectividad\/","title":{"rendered":"Ecografia transrectal, tacto rectal y psa en el diagnostico del cancer de prostata en el area 11 de Madrid. analisis de efectividad."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alfredo Rodriguez Antolin <\/strong><\/h2>\n<p>El diagn\u00f3stico del c\u00e1ncer de pr\u00f3stata (cp) est\u00e1 basado en la tripleta diagn\u00f3stica tacto rectal (tr), psa y ecograf\u00eda transrectal (etr). Se efect\u00faa an\u00e1lisis de efectividad y rendim\u00f1iento diagn\u00f3stico de estos tests en poblaci\u00f3n refereida del \u00e1rea sanitaria 11 de Madrid. Se realiza modelo logistico predictivo que ayude en la toma de decisi\u00f3n de biopsia para el diagnosticoprecor del cp. Se realizan 1016 biopsias transrectales ecodirigidas de pr\u00f3stata siendo los criterios de indicaci\u00f3nd e biopsia: psa mayor o igual a 10ng\/ml, densidad de psa supeior a 0,15, tacto rectal sospechoso o ecograf\u00eda transrectal positiva con cualquier cifra de psa. Se efect\u00faa an\u00e1lisis estad\u00edstico descriptivo, anal\u00edtico y de regresi\u00f3n log\u00edstica uni y multivariante.  la incidencia de cp en la serie es de 38,62%. La mediana de volumenprost\u00e1tico para el grupode cp es de 412 cc y de 56,7 cc para el grupo de no cp. La mediana de psa es de 23ng\/ml y de 13ng\/ml para los grupos cp y no cp. La curva de rendimiento digan\u00f3sitco para el psa muestra un \u00e1rea de 0,700, mientras que si ajustamos el psa al volumen prot\u00e1tico (dpsa) el \u00e1rea obtenida es de 0,789. El tacto rectal se muestra como el test con el mayor valor predictivo positivo, seguido de la ecograf\u00eda transrectal, siendo en ambos casos muy superior al del psa.  el an\u00e1lisis de regresin univariante el modelo compuesto por el tacto rectal muestra la mayor verosimilitud con un or de 12,24 seguido por el modelo la ecograf\u00eda transrectal conun or de 5,96. El psa sin categorizar por su parte tiene un or de 1,044. El modelo logiatico multivariante propuesto es el que incluye las variables psa, tanto rectal y planimetr\u00eda, sin categorizar, que tiene una excelente versomilitud (-2 log likelihood=969) y un \u00e1rea bajo la curva de 0,850.  en colusi\u00f3n, el psa muestra un pobre rendimiento diagn\u00f3stico, que mejora cuando es ajustado al volumen prot\u00e1tico. El tacto recta es el test con el mayor vpp y el mode<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ecografia transrectal, tacto rectal y psa en el diagnostico del cancer de prostata en el area 11 de Madrid. analisis de efectividad.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ecografia transrectal, tacto rectal y psa en el diagnostico del cancer de prostata en el area 11 de Madrid. analisis de efectividad. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alfredo Rodriguez Antolin <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/02\/2001<\/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>Oscar Leiva Galvis<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Resel esteve <\/li>\n<li>Jes\u00fas Casti\u00f1eiras fern\u00e1ndez (vocal)<\/li>\n<li>Manuel S\u00e1nchez chapado (vocal)<\/li>\n<li>armando Zuluaga gomez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alfredo Rodriguez Antolin El diagn\u00f3stico del c\u00e1ncer de pr\u00f3stata (cp) est\u00e1 basado en la tripleta diagn\u00f3stica tacto [&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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