Alianza para la Prevención del Cáncer de Colon en España: un compromiso cívico con la sociedad

Morillas, Juan Diego; Castells, Antoni; Oriol, Isabel; Pastor, Ana Moreno; Pérez‐Segura, Pedro; Echevarría, José Manuel; Caballero, B.; González-Navarro, A; Bandrés, Fernando; Brullet, Enric; Iniesta, Antonio Selva; Carballo, Fernando; Bouzas, Rosa; Ariza, Aurelio; Ibisate, Alfredo; García‐Alfonso, Pilar; Escudero, Beatriz; Camacho, Silvia; Fernandez-Marcos, A.; González, Teresa; Quintero, Enrique; Lanas, Ángel; Marzo, Mercè; Mascort, Juanjo; Andreu, M.; Cerezo, Laura; Vázquez-Sequeiros, Enrique; Borrás, Josep María; Salas, Dolores; Ascunce, Nieves; Portillo, Isabel; Herráiz, Mayte; Valle, María Luisa del; Sotoca, Amalia; Nieto, Santiago; Hué, Carlos; Paz‐Ares, Luis

doi:10.1016/j.gastrohep.2012.01.002

Cited by 35 publications

(17 citation statements)

References 163 publications

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“…In average, the 5‐yr survival rate is 65%, however, it is highly dependent on the stage of diagnosis. Fortunately, CRC is a disease that can be cured in more than 90% of patients if detected at an early stage . The development of CRC is characterized by an ordered series of events that are referred to as adenoma–carcinoma sequence: healthy mucosa develops dysplasia and forms small polyps, called adenomas, which may grow and eventually become adenocarcinomas unless resected .…”

Section: Introductionmentioning

confidence: 99%

“…Fortunately, CRC is a disease that can be cured in more than 90% of patients if detected at an early stage. 3 The development of CRC is characterized by an ordered series of events that are referred to as adenoma-carcinoma sequence: healthy mucosa develops dysplasia and forms small polyps, called adenomas, which may grow and eventually become adenocarcinomas 4 unless resected. 5 Several systematic reviews of the literature have shown that CRC screening is cost-effective and prospective studies with a large number of cases demonstrate a reduction in CRC risk during follow-up patients undergoing colonoscopy screening, 6 which is the standard in clinical routine.…”

Section: Introductionmentioning

confidence: 99%

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Dielectric properties of colon polyps, cancer, and normal mucosa: Ex vivo measurements from 0.5 to 20 GHz

et al. 2018

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dielectric properties of colon polyps, cancer, and normal mucosa: Ex vivo measurements from 0.5 to 20 GHz

et al. 2018

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“…Twenty-six patients (12.6%) had a low OPNI (< 40). In the multivariate analysis, patients with low OPNI showed less favourable survival curves, both in the overall series: [ Hoy en día y sumando ambos sexos, el cáncer colorrectal es el tumor maligno que presenta una mayor incidencia en el mundo occidental 1 y también en nuestra comunidad 2 . A pesar de los continuos progresos efectuados en los tratamientos quirúrgicos y oncológicos, el carcinoma colorrectal sigue presentando una elevada tasa de mortalidad 3,4 , ocupando el segundo lugar en cuanto a número de fallecimientos por cáncer en España 1 .…”

Section: Methodsunclassified

Valor pronóstico del índice de Onodera en la supervivencia del cáncer colorrectal

Borda

Zozaya

et al. 2014

Anales Sis San Navarra

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resuMenFundamento. El índice de Onodera (IO) combina los valores de los linfocitos circulantes y de la albúmina sérica y se ha utilizado como marcador del estado nutricional, postulándose recientemente en Japón y China su posible valor pronóstico en el cáncer colorrectal. Todavía no disponemos de datos sobre el valor predictivo del IO en una población occidental.Pacientes y métodos. Se revisaron 207 cánceres colorrectales resecados programada y consecutivamente, con intención curativa. Se calculó el IO pre-tratamiento mediante la fórmula: [10 x albúmina sérica (g/dl) + 0,005 x cifra de linfocitos circulantes/mm²]. Consideramos bajos los valores de IO menores de 40. Se efectuó un análi-sis univariable y multivariable de las curvas de supervivencia entre los casos con valores de IO menores de 40 (modelo de Cox, stepwise), todo ello en la serie global y en el estadio pTNM II.resultados. El seguimiento clínico tuvo una mediana de 81 meses (rango intercuartílico 60-96). Veintiséis pacientes (12,6%) presentaron un IO bajo (< 40). En el análisis multivariable, los pacientes con IO bajo mostraron unas curvas de supervivencia más desfavorables, tanto en la serie global: [p < 0,001; HR = 3,16; IC 95% = 1,67-5,94)] como en los 78 casos en estadio pTNM II: [p < 0,004; HR = 4,36; IC 95% = 1,61-11,76)].conclusiones. También en pacientes europeos, un índi-ce de Onodera pre-tratamiento bajo (< 40) tiene un valor predictivo independiente y desfavorable sobre la supervivencia en el cáncer colorrectal resecado, tanto en la serie global como en el estadio pTNM II.Palabras clave. Cáncer colorrectal. Pronóstico pretratamiento. Estadio pTNM II. Indice de Onodera. Índice pronóstico nutricional. aBstractBackground. Onodera's prognostic nutritional index (OPNI), which is calculated using total lymphocyte count and serum albumin level, has been used as a marker of nutritional status, with its potential prognostic value in colorectal cancer having recently been postulated in Japan and China. There is still no data on the predictive value of OPNI in a Western population.

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“…These are precisely the topics most discussed in the literature (8)(9)(10)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31) in the context of clinical practice in primary care and its relationship to specialized care in gastroenterology. Also common were consultations on intestinal transit disorders, mainly diarrhea, as well as problems related to interpretation hepatitis virus serologies or monitoring of chronic liver disease of viral etiology and other situations of chronic hypertransaminasemia.…”

Section: Care Reasons For Consultationmentioning

confidence: 99%

Periodic gastroenterology and hepatology meetings with primary care: reasons for consultation

Mata-Román¹,

Olmo-Martínez²,

Briso-Montiano³

et al. 2013

Rev. esp. enferm. dig.

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Introduction: care overload, aging of population, and increased chronic diseases lead to increased referrals from primary care, which may sometimes overload the health system. Thus, different interventions have been carried out attempting to improve these aspects.Objectives: to assess the most frequent causes of consultation of general physicians, both in joint consultations and clinical sessions held jointly with specialist consultant in primary care, in the urban and rural setting, and the influence on referrals to first consultations of gastroenterology.Material and methods: a mainly training type of intervention was carried out, consisting of regular meetings in both urban and rural primary care center, to perform joint consultations and clinical sessions on patients and topics related to the specialty of gastroenterology. The intervention period (divided in two subperiods) was compared with a control period.Results: most reasons for consultation were those corresponding to lower gastrointestinal tract, followed by liver disease and upper gastrointestinal tract. Significant differences were only found in distribution of diagnoses between the two centers in joint consultations. There was a relative (percent) decrease in referrals at the global level in both subperiods, only significant in the first (51.45 %), as well as in rural setting (45.24 %).Conclusion: common consultations motifs were similar in urban and rural settings, with some relevance of lower gastrointestinal tract disease. Most of them can be solved at primary care, with the help of consultant specialist. There is impact on referrals to the outpatient first consultations of gastroenterology, mainly in rural setting.

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Alianza para la Prevención del Cáncer de Colon en España: un compromiso cívico con la sociedad

Cited by 35 publications

References 163 publications

Dielectric properties of colon polyps, cancer, and normal mucosa: Ex vivo measurements from 0.5 to 20 GHz

Dielectric properties of colon polyps, cancer, and normal mucosa: Ex vivo measurements from 0.5 to 20 GHz

Valor pronóstico del índice de Onodera en la supervivencia del cáncer colorrectal

Periodic gastroenterology and hepatology meetings with primary care: reasons for consultation

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