{"id":89884,"date":"2018-03-10T00:15:09","date_gmt":"2018-03-10T00:15:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cancer-de-pulmon-en-el-area-sanitaria-de-a-coruna-incidencia-manejo-cla%c2%adnico-y-estudio-de-la-supervivencia\/"},"modified":"2018-03-10T00:15:09","modified_gmt":"2018-03-10T00:15:09","slug":"cancer-de-pulmon-en-el-area-sanitaria-de-a-coruna-incidencia-manejo-cla%c2%adnico-y-estudio-de-la-supervivencia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cancer-de-pulmon-en-el-area-sanitaria-de-a-coruna-incidencia-manejo-cla%c2%adnico-y-estudio-de-la-supervivencia\/","title":{"rendered":"Cancer de pulm\u00f3n en el \u00e1rea sanitaria de a coru\u00f1a; incidencia, manejo cl\u00ednico y estudio de la supervivencia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Carmen Montero Mart\u00ednez <\/strong><\/h2>\n<p>Los principales objetivos de este estudio son: estimar la incidencia de c\u00e1ncer de pulm\u00f3n en el \u00e1rea sanitaria de a coru\u00f1a, que incluye 509.000 habitantes; conocer las caracter\u00edsticas demograficas de los pacientes; evaluar los procedimientos empleados para su diagn\u00f3stico, clasificaci\u00f3n citohistol\u00f3gica, extensi\u00f3n tumoral y tratamiento. Calcular la demora diagn\u00f3stica; valorar la supervivencia y estudiar si la demora ha repercutido en el grado de extensi\u00f3n tumoral en el momento del diagn\u00f3stico y en la supervivencia de los pacientes.  realizamos un estudio retrospectivo de todos los casos diagn\u00f3sticados durante el a\u00f1o 1995 y 1996. Nuestras bases de datos fueron el registro de tumores del hospital y el servicio de codificaci\u00f3n. Calculamos la tasa de incidencia bruta, espec\u00edfica y la estadanrizada por edad utilizando la poblaci\u00f3n mundial y el m\u00e9todo de ajsute directo. Estudiamos la mediana de la demora en la sospecha cl\u00ednica, la demora diagn\u00f3stica, la demora quir\u00fargica y la repercusi\u00f3n del tiempo de demora diagn\u00f3stica en la extensi\u00f3n  de la enfermedad en el momento del diagn\u00f3stico y en la supervivencia. Calculamos la  supervivencia por el m\u00e9todo de kaplan meyer.  encontramos 378 casos que complian criterios de carcinoma broncogenico primario. La tasa bruta fue de 37 casos por 10.000 habitantes (73 en el hombre y solo 3 en la mujer). La tasa estandarizada por edad 21 casos por 100.000. La edad media fue de 65,7 a\u00f1os, el 95% de los casos eran hombres y solo el 5% mujeres. En el 59% coexistia enfermedad pulmonar obstructiva cr\u00f3nica y en el 10% el antecedente de otra neoplasia.La mediana de la demora diagn\u00f3stica fue de 2,1 meses. El intervalo de tiempo entre el diagn\u00f3stico y la intervenci\u00f3n quir\u00fargica de 47 d\u00edas y no encontramos que la demora tuviese relaci\u00f3n con la extensi\u00f3n tumoral ni con la supervivencia. Se confirm\u00f3 el diagn\u00f3stico citohistol\u00f3gico en el 87% de los casos y en el 60% el tipo histol\u00f3gico fu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cancer de pulm\u00f3n en el \u00e1rea sanitaria de a coru\u00f1a; incidencia, manejo cl\u00ednico y estudio de la supervivencia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cancer de pulm\u00f3n en el \u00e1rea sanitaria de a coru\u00f1a; incidencia, manejo cl\u00ednico y estudio de la supervivencia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Carmen Montero Mart\u00ednez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 A coru\u00f1a<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/04\/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>Hector Verea Hernando<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jorge Teijeiro vidal <\/li>\n<li> Rodr\u00edguez suarez Jos\u00e9 ram\u00f3n (vocal)<\/li>\n<li>Emilio Canlis arrayas (vocal)<\/li>\n<li>v\u00edctor Mu\u00f1oz garzon (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Carmen Montero Mart\u00ednez Los principales objetivos de este estudio son: estimar la incidencia de c\u00e1ncer 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 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":[18576,8901,155,9,69,139,1027,347,156],"tags":[186816,48931,1813,186815,79701,143338],"class_list":["post-89884","post","type-post","status-publish","format-standard","hentry","category-a-coruna","category-carcinogenesis","category-ciencias-clinicas","category-ciencias-medicas","category-enfermedades-pulmonares","category-medicina-interna","category-oncologia","category-oncologia-clinica","category-patologia","tag-emilio-canlis-arrayas","tag-hector-verea-hernando","tag-jorge-teijeiro-vidal","tag-m-carmen-montero-Martinez","tag-rodriguez-suarez-jose-ramon","tag-victor-munoz-garzon"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89884","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=89884"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/89884\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=89884"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=89884"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=89884"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}