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        "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p class="elsevierStyleSimplePara elsevierViewall">El c&#225;ncer cut&#225;neo es la neoplasia maligna m&#225;s frecuente en humanos&#46; Su tratamiento puede ser efectuado con diversas t&#233;cnicas y por diferentes especialistas&#44; y la escisi&#243;n quir&#250;rgica es el m&#233;todo terap&#233;utico con menor tasa de recidivas&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar el coste por proceso del tratamiento quir&#250;rgico del c&#225;ncer cut&#225;neo no melanoma &#40;CCNM&#41; cuando es realizado por un servicio de dermatolog&#237;a&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Definici&#243;n del proceso asistencial como conjunto de actividades cl&#237;nicas que conducen al tratamiento quir&#250;rgico del CCNM por parte de un especialista en dermatolog&#237;a&#44; y c&#225;lculo del coste por proceso empleando los datos econ&#243;micos facilitados por la instituci&#243;n sanitaria p&#250;blica en que se ha realizado el an&#225;lisis&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El gasto por proceso vari&#243; entre 273&#44;71 y 1&#46;129&#44;84 euros&#44; dependiendo del procedimiento quir&#250;rgico y de los recursos sanitarios empleados&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El c&#225;ncer cut&#225;neo es una de las enfermedades dermatol&#243;gicas cuyo aspecto cl&#237;nico suele ser inequ&#237;voco para los dermat&#243;logos&#44; por lo que muchas veces ni siquiera se precisa una confirmaci&#243;n histol&#243;gica para diagnosticarlo y decidir la pauta terap&#233;utica correspondiente&#46; Este hecho hace que los dermat&#243;logos quir&#250;rgicos sean muy eficientes&#44; ya que el proceso se realiza con un m&#237;nimo de episodios asistenciales y solamente en los pacientes adecuados&#46; El coste del tratamiento var&#237;a sustancialmente en funci&#243;n de la complejidad de la intervenci&#243;n y el escenario quir&#250;rgico donde se realiza&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Skin cancer is the most common form of malignancy in humans&#46; It can be treated with various techniques and by different specialists&#46; The procedure with the lowest failure rates is surgical excision&#46;</p> <span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To calculate the cost per episode of care in the surgical treatment of non-melanoma skin cancer &#40;NMSC&#41; when performed by dermatologists&#46;</p> <span class="elsevierStyleSectionTitle">Material and method</span><p class="elsevierStyleSimplePara elsevierViewall">An episode of NMSC surgical care was defined as the series of healthcare services required for a dermatologist to treat skin cancer&#46; The cost per episode was calculated using the economic data made available by the public health institution in which the analysis was performed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The cost per episode of care varied between 273&#46;71 and 1&#44;129&#46;84 euro&#44; depending on the surgical procedure performed and the related health services required&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Skin cancer is one of the cutaneous diseases with clinical manifestations that are easily recognized by dermatologists&#44; who frequently do not even need histological confirmation to make the diagnosis and choose the therapeutic approach&#46; Consequently&#44; dermatological surgeons are highly efficient&#44; since the episode of care is performed with a minimum of healthcare services and only in appropriately selected individuals&#46; The cost of treatment varies substantially&#44; depending on the complexity of the surgical procedures and the site where they are performed&#46;</p>"
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Vol. 20. Núm. 4.
Páginas 273-279 (julio - agosto 2006)
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Vol. 20. Núm. 4.
Páginas 273-279 (julio - agosto 2006)
Originales
Open Access
Coste por proceso en el tratamiento quirúrgico del cáncer de piel
Cost per episode of care in the surgical treatment of skin cancer
Visitas
1075
Ángela Hernández Martína,
Autor para correspondencia
dermicus@yahoo.es

Correspondencia: Dra. Ángela Hernández Martín. Diego de Losada, 3, 6.°. 49018 Zamora. España.
, Antonio Núñez Reizb, Marta Sáiz Martínezc, Juan Rovirosa I Juncosad
a Unidad de Dermatología, Complejo Hospitalario de Burgos, Burgos, España
b Servicio de Informática, Complejo Hospitalario de Burgos, Burgos, España
c Enfermería del Área Quirúrgica, Complejo Hospitalario de Burgos, Burgos, España
d Dirección Gerencia, Complejo Hospitalario de Burgos, Burgos. España
Este artículo ha recibido

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Información del artículo
Resumen
Antecedentes

El cáncer cutáneo es la neoplasia maligna más frecuente en humanos. Su tratamiento puede ser efectuado con diversas técnicas y por diferentes especialistas, y la escisión quirúrgica es el método terapéutico con menor tasa de recidivas.

Objetivos

Evaluar el coste por proceso del tratamiento quirúrgico del cáncer cutáneo no melanoma (CCNM) cuando es realizado por un servicio de dermatología.

Material y método

Definición del proceso asistencial como conjunto de actividades clínicas que conducen al tratamiento quirúrgico del CCNM por parte de un especialista en dermatología, y cálculo del coste por proceso empleando los datos económicos facilitados por la institución sanitaria pública en que se ha realizado el análisis.

Resultados

El gasto por proceso varió entre 273,71 y 1.129,84 euros, dependiendo del procedimiento quirúrgico y de los recursos sanitarios empleados.

Conclusiones

El cáncer cutáneo es una de las enfermedades dermatológicas cuyo aspecto clínico suele ser inequívoco para los dermatólogos, por lo que muchas veces ni siquiera se precisa una confirmación histológica para diagnosticarlo y decidir la pauta terapéutica correspondiente. Este hecho hace que los dermatólogos quirúrgicos sean muy eficientes, ya que el proceso se realiza con un mínimo de episodios asistenciales y solamente en los pacientes adecuados. El coste del tratamiento varía sustancialmente en función de la complejidad de la intervención y el escenario quirúrgico donde se realiza.

Palabras clave:
Cáncer cutáneo
Dermatología quirúrgica
Proceso asistencial
Coste por proceso
Abstract
Background

Skin cancer is the most common form of malignancy in humans. It can be treated with various techniques and by different specialists. The procedure with the lowest failure rates is surgical excision.

Objectives

To calculate the cost per episode of care in the surgical treatment of non-melanoma skin cancer (NMSC) when performed by dermatologists.

Material and method

An episode of NMSC surgical care was defined as the series of healthcare services required for a dermatologist to treat skin cancer. The cost per episode was calculated using the economic data made available by the public health institution in which the analysis was performed.

Results

The cost per episode of care varied between 273.71 and 1,129.84 euro, depending on the surgical procedure performed and the related health services required.

Conclusions

Skin cancer is one of the cutaneous diseases with clinical manifestations that are easily recognized by dermatologists, who frequently do not even need histological confirmation to make the diagnosis and choose the therapeutic approach. Consequently, dermatological surgeons are highly efficient, since the episode of care is performed with a minimum of healthcare services and only in appropriately selected individuals. The cost of treatment varies substantially, depending on the complexity of the surgical procedures and the site where they are performed.

Key words:
Skin cancer
Surgical dermatology
Surgical care
Cost per episode
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