1
artículo
Publicado 2022
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Introduction: This article provides recommendations for the Multidisciplinary Management of Pancreatic Adenocarcinoma in the RED AUNA. Methods: A systematic search of clinical practice guidelines (CPG) similar to topics of interest was developed, it was assessed with the AGREE II instrument, a list of questions was elaborated under the PICO structure, a de novo search was carried out prioritizing reviews systematic with or without meta-analysis, followed by primary studies, the elaboration of the evidence tables and the evaluation of the global quality for the outcomes of the clinical questions was carried out following the GRADE methodology. Results: 5 PICO questions corresponding to initial management and systemic management were formulated with 18 recommendations regarding the most effective method for pathological diagnosis, biliary drainage and the most effective and safe systemic t...
2
tesis de maestría
Publicado 2015
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La creación de HaD (Hospitalización a Domicilio) es un modelo de negocio innovador y pionero en nuestro país, contribuyendo a solucionar un problema serio en el sector salud, como es una alta demanda de camas hospitalarias y un déficit de las mismas. El presente plan de negocios demuestra que nuestra empresa es viable, de acuerdo a las oportunidades del entorno y la propuesta del servicio, generando ventajas competitivas para satisfacer la demanda actual de los pacientes en Lima. El estudio de mercado realizado ha determinado que 60% de los encuestados tomaría el servicio, la principal preocupación de los encuestados es la seguridad y el punto crítico y de mayor preocupación para los prestadores es el servicio de emergencia. Se optó por la estrategia de operaciones de diferenciación del Servicio, considerando los siguientes atributos: Seguridad en la atención de salud de la ho...
3
artículo
Publicado 2019
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Colorectal cancer (CRC) is one of the most common cancers in Latin America and the Caribbean, with the highest rates reported for Uruguay, Brazil and Argentina. We provide a global snapshot of the CRC patterns, how screening is performed, and compared/contrasted to the genetic profile of Lynch syndrome (LS) in the region. From the literature, we find that only nine (20%) of the Latin America and the Caribbean countries have developed guidelines for early detection of CRC, and also with a low adherence. We describe a genetic profile of LS, including a total of 2,685 suspected families, where confirmed LS ranged from 8% in Uruguay and Argentina to 60% in Peru. Among confirmed LS, path_MLH1 variants were most commonly identified in Peru (82%), Mexico (80%), Chile (60%), and path_MSH2/EPCAM variants were most frequently identified in Colombia (80%) and Argentina (47%). Path_MSH6 and path_PMS...