{"id":92417,"date":"2018-03-11T10:11:23","date_gmt":"2018-03-11T10:11:23","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/epidemiologa%c2%ada-descriptiva-y-analisis-de-supervivencia-del-cancer-de-vejiga-en-hospitales-publicos-de-madrid\/"},"modified":"2018-03-11T10:11:23","modified_gmt":"2018-03-11T10:11:23","slug":"epidemiologa%c2%ada-descriptiva-y-analisis-de-supervivencia-del-cancer-de-vejiga-en-hospitales-publicos-de-madrid","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/epidemiologa%c2%ada-descriptiva-y-analisis-de-supervivencia-del-cancer-de-vejiga-en-hospitales-publicos-de-madrid\/","title":{"rendered":"Epidemiolog\u00eda descriptiva y an\u00e1lisis de supervivencia del c\u00e1ncer de vejiga en hospitales p\u00fablicos de Madrid"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Andr\u00e9s Cabrera Cabrera <\/strong><\/h2>\n<p>Se han estudiado 4452 pacientes con c\u00e1ncer de vejiga, procedentes del servicio de intercambio de datos de la cam. la edad media encontrada ha sido  de 68.87 a\u00f1os (dt 11.95), siendo  la media en los varones de 68,5 a\u00f1os  (dt 11,4) y en las mujeres de 70,5 a\u00f1os (dt 14,2) . La raz\u00f3n de sexo ha sido de 5:1 \tlas caracter\u00edsticas que m\u00e1s frecuentemente hemos encontrado en el tumor han sido: un papiloma y carcinoma de c\u00e9lulas transicionales localizado en vejiga sai, de extensi\u00f3n localizada y fundamental mente entre los varones.  el gesto terap\u00e9utico m\u00e1s frecuente ha sido la combinaci\u00f3n de cirug\u00eda m\u00e1s quimioterapia (38,1 ) seguido muy de cerca de cirug\u00eda sola (37,8 ). la mortalidad encontrada a lo largo del estudio ha sido del 39,3  tras un seguimien to de quince a\u00f1os. la supervivencia ha sido al primer a\u00f1o del 86 , a los cinco a\u00f1os del 61 , y a los quince a\u00f1os del 21 . la supervivencia mayor encontrada se ha correspondido con la extensi\u00f3n tumoral in situ\/localizado. el gesto terap\u00e9utico con mayo r supervivencia se ha correspondido con la combinaci\u00f3n de cirug\u00eda m\u00e1s quimioterapia, con escasas diferencias de la combinaci\u00f3n cirug\u00eda m\u00e1s inmunoterapia. los factores  pron\u00f3sticos positivos han sido:  ser mujer, extensi\u00f3n tumoral in situ-localizada, la no coexistencia con otros tumores primarios, ser menor de 70 a\u00f1os, tratamiento de cirug\u00eda m\u00e1s quimioterapia o cirug\u00eda con inmunoterapia, con respecto a cirug\u00eda m\u00e1s radioterapia o tratamiento paliativo.   los factores pron\u00f3sticos negativos han sido :  ser var\u00f3n, extensi\u00f3n tumoral regional y diseminada, tumores bajo el ep\u00edgrafe de \u00c2\u00bfotros\u00c2\u00bf (distintos a papilomas y carcinomas uroteliales, carcinomas de c\u00e9lulas escamosas y neoplasias glandulares), la coexistencia con otros tumores primarios, tener 70 o m\u00e1s  a\u00f1os, cirug\u00eda m\u00e1s radioterapia, tratamientos paliativos o no realizar tratamiento, con respecto a cirug\u00eda sola o cirug\u00eda asociada a quimioterapia o inmunoterapia. la demora en el tratamiento ha influido en la supervivencia.  El an\u00e1lisis de esta variable es necesaria pero hay que valorarla siempre con much\u00edsima cautela por la posibilidad de presentar sesgos, como ha sucedido en este caso.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Epidemiolog\u00eda descriptiva y an\u00e1lisis de supervivencia del c\u00e1ncer de vejiga en hospitales p\u00fablicos de Madrid<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Epidemiolog\u00eda descriptiva y an\u00e1lisis de supervivencia del c\u00e1ncer de vejiga en hospitales p\u00fablicos de Madrid <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Andr\u00e9s Cabrera Cabrera <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/03\/2009<\/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>Vicente Dom\u00ednguez Rojas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Rodr\u00edguez artalejo <\/li>\n<li>Mar\u00eda vicenta Garc\u00eda rosado (vocal)<\/li>\n<li>milagros Bernal perez (vocal)<\/li>\n<li>Juan  Manuel Montero vazquez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Andr\u00e9s Cabrera Cabrera Se han estudiado 4452 pacientes con c\u00e1ncer de vejiga, procedentes del servicio 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 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