{"id":90367,"date":"2018-03-10T00:15:46","date_gmt":"2018-03-10T00:15:46","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-decisiones-cla%c2%adnicas-en-el-abordaje-de-la-ulcera-duodenal-no-complicada\/"},"modified":"2018-03-10T00:15:46","modified_gmt":"2018-03-10T00:15:46","slug":"analisis-de-decisiones-cla%c2%adnicas-en-el-abordaje-de-la-ulcera-duodenal-no-complicada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/analisis-de-decisiones-cla%c2%adnicas-en-el-abordaje-de-la-ulcera-duodenal-no-complicada\/","title":{"rendered":"An\u00e1lisis de decisiones cl\u00ednicas en el abordaje de la \u00falcera duodenal no complicada"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Ram\u00f3n Rueda Martinez De Santos <\/strong><\/h2>\n<p>Se ha realizado un an\u00e1lisis de decisiones cl\u00ednicas sobre las distintas estrategias diagn\u00f3stico-terap\u00e9uticas para el abordaje de pacientes con \u00falcera duodenal confirmada por endoscopia y no complicada, en el contexto de la comunidad aut\u00f3noma vasca.  objetivos  * identificar qu\u00e9 estrategia diagn\u00f3stico-terap\u00e9utica consigue una menor probabilidad de recidivas ulcerosas.  * identificar qu\u00e9 estrategia diagn\u00f3stico-terap\u00e9utica consigue minimizar los costes de la atenci\u00f3n de los pacientes con \u00falcera duodenal.  * identificar qu\u00e9 estrategia diagn\u00f3stico-terap\u00e9utica consigue el mejor raito de coste-efectividad en la prevenci\u00f3n de recidivas ulcerosas.  metodolog\u00eda  an\u00e1lisis de decisiones promedio de \u00e1rboles de decisi\u00f3n. Los datos referentes a la efectividad de los tratamientos provienen de ensayos cl\u00ednicos aleatroizados publicados. La preValencia de infecci\u00f3n por helicobacter pylori en pacientes ulcerosos y los distintos costes han sido calculados con estudios ad hoc. se han realizado an\u00e1lisis de dominancia, an\u00e1lisis de umbral y an\u00e1lisis de sensibilidad.  resultados  la opci\u00f3n mejor es dar de entrada a todos los ulcerosos duodentales tratamiento conbismuto, metronidazol y tetraciclina durante 7 d\u00edas, sin realizar ninguna prueba diagn\u00f3stica de infecci\u00f3n. Esta opci\u00f3n es la que consigue prevenir el mayor n\u00famero de recidivas y a la vez es tambi\u00e9n la que ocasiona menores costes sanitarios medios por paciente tratado.  la segunda opci\u00f3n preferible ser\u00eda relizar hasta tres tests diagn\u00f3sticos de infecci\u00f3n en serie, ya que obtiene resultados cl\u00edncios solo ligeramente inferiores a la anterior, y mejores resultados econ\u00f3micos que el resto de opciones diferentes a la considerada mejor. En caso de un resultado negativo en una primera prueba diagn\u00f3stica de infecci\u00f3n se recomienda realizar otra prueba diferente y hasta una tercera en el caso de ser esta segunda negativa.  en los pacientes que de negativo en los t<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis de decisiones cl\u00ednicas en el abordaje de la \u00falcera duodenal no complicada<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis de decisiones cl\u00ednicas en el abordaje de la \u00falcera duodenal no complicada <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Ram\u00f3n Rueda Martinez De Santos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/05\/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>Jose Ausa Batarrita<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: adela Sanz agudado <\/li>\n<li>Juan Cabases hita (vocal)<\/li>\n<li>Miguel Delgado rodriguez (vocal)<\/li>\n<li>Francisco Guillen grima (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Ram\u00f3n Rueda Martinez De Santos Se ha realizado un an\u00e1lisis de decisiones cl\u00ednicas sobre las distintas [&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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