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array:24 [ "pii" => "S0213911108760898" "issn" => "02139111" "doi" => "10.1016/S0213-9111(08)76089-8" "estado" => "S300" "fechaPublicacion" => "2008-04-01" "aid" => "76089" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2008;22 Supl 1:169-78" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2144 "formatos" => array:3 [ "EPUB" => 131 "HTML" => 1539 "PDF" => 474 ] ] "itemSiguiente" => array:19 [ "pii" => "S0213911108760904" "issn" => "02139111" "doi" => "10.1016/S0213-9111(08)76090-4" "estado" => "S300" "fechaPublicacion" => "2008-04-01" "aid" => "76090" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2008;22 Supl 1:179-85" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2003 "formatos" => array:3 [ "EPUB" => 134 "HTML" => 1326 "PDF" => 543 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Capítulo 4. Un sistema de salud integrado y centrado en los usuarios</span>" "titulo" => "¿Cómo incorporar las utilidades de los pacientes a las decisiones clínicas? Informe SESPAS 2008" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "179" "paginaFinal" => "185" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "How should patients’ utilities be incorporated into clinical decisions?" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José María Abellán Perpiñán, Fernando I. Sánchez Martínez, Jorge E. Martínez Pérez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "José María" "apellidos" => "Abellán Perpiñán" ] 1 => array:2 [ "nombre" => "Fernando I." "apellidos" => "Sánchez Martínez" ] 2 => array:2 [ "nombre" => "Jorge E." "apellidos" => "Martínez Pérez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911108760904?idApp=WGSE" "url" => "/02139111/00000022000000S1/v1_201301221349/S0213911108760904/v1_201301221349/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0213911108760886" "issn" => "02139111" "doi" => "10.1016/S0213-9111(08)76088-6" "estado" => "S300" "fechaPublicacion" => "2008-04-01" "aid" => "76088" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2008;22 Supl 1:163-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2869 "formatos" => array:3 [ "EPUB" => 140 "HTML" => 1907 "PDF" => 822 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Capítulo 4. Un sistema de salud integrado y centrado en los usuarios. La integración asistencial, ¿Doctor Jekyll o Mr. Hyde?</span>" "titulo" => "La gestión de casos y de enfermedades, y la mejora de la coordinación de la atención sanitaria en España. Informe SESPAS 2008" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "163" "paginaFinal" => "168" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Case and disease management and improved integration of healthcare services in Spain" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Gérvas" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Gérvas" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911108760886?idApp=WGSE" "url" => "/02139111/00000022000000S1/v1_201301221349/S0213911108760886/v1_201301221349/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Capítulo 4. Un sistema de salud integrado y centrado en los usuarios</span>" "titulo" => "El control del cáncer de pulmón en España: un análisis de la situación actual. Informe SESPAS 2008" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "169" "paginaFinal" => "178" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Xavier Bonfill, M. Teresa Puig, Ignasi Bolíbar, M. Jesús Quintana" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Xavier" "apellidos" => "Bonfill" "email" => array:1 [ 0 => "xbonfill@santpau.es" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Teresa Puig" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "Ignasi" "apellidos" => "Bolíbar" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 3 => array:3 [ "nombre" => "M." "apellidos" => "Jesús Quintana" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Epidemiología Clínica y Salud Pública, Hospital de la Santa Creu i Sant Pau, Barcelona, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Universitat Autònoma de Barcelona, Barcelona, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "CIBERESP de Epidemiología y Salud Pública" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Xavier Bonfill. Servicio de Epidemiología Clínica y Salud Pública. Hospital de la Santa Creu i Sant Pau." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lung cancer in Spain: the current situation" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec13665" "palabras" => array:2 [ 0 => "Cáncer de pulmón" 1 => "Estrategias de control" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec13666" "palabras" => array:2 [ 0 => "Lung cancer" 1 => "Control strategies" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El cáncer de pulmón es actualmente la causa más frecuente de muerte por cáncer en el mundo. Por ello, es pertinente analizar periódicamente el desarrollo y los resultados de las estrategias dirigidas a reducir su incidencia, mortalidad y morbilidad en España.</p> <span class="elsevierStyleSectionTitle">Aspectos preventivos</span><p class="elsevierStyleSimplePara elsevierViewall">La reducción de la mortalidad por cáncer de pulmón entre los hombres contrasta con el incremento observado entre las mujeres, lo cual plasma los cambios experimentados en la exposición al tabaco durante las últimas décadas. Es necesario desarrollar programas de prevención dirigidos específicamente a las mujeres y a los jóvenes y, asimismo, ampliar y aplicar en toda su extensión la vigente Ley de Prevención del Tabaquismo.</p> <span class="elsevierStyleSectionTitle">Aspectos relacionados con el diagnóstico precoz</span><p class="elsevierStyleSimplePara elsevierViewall">De momento no hay suficiente evidencia científica para iniciar ningún cribado poblacional del cáncer de pulmón. Son necesarios unos circuitos asistenciales preferentes que aseguren la coordinación entre centros y niveles asistenciales y reduzcan sustancialmente las demoras actuales en el diagnóstico y el tratamiento del cáncer de pulmón.</p> <span class="elsevierStyleSectionTitle">Aspectos relacionados con el tratamiento</span><p class="elsevierStyleSimplePara elsevierViewall">Todos los pacientes con cáncer de pulmón deberían tratarse sobre la base de decisiones colegiadas y la evidencia científica. La atención paliativa ha de recibir la misma prioridad que los tratamientos oncológicos. Hay que incrementar la participación de los pacientes con cáncer de pulmón en las decisiones terapéuticas que les atañen. Se requieren mejores sistemas de información para la evaluación y la investigación clínica de esta enfermedad.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Lung cancer is currently the most frequent cause of death from cancer worldwide, warranting periodic analysis of the development and results of strategies aimed at reducing the incidence, mortality and morbidity related to this disease in Spain.</p> <span class="elsevierStyleSectionTitle">Preventive aspects</span><p class="elsevierStyleSimplePara elsevierViewall">Mortality reduction among men contrasts with the increase observed in women, reflecting changes in tobacco exposure in the last few decades. Prevention programs aimed specifically at women and youngsters should be developed. In addition, the current law of smoking prevention should be amplified and vigorously applied.</p> <span class="elsevierStyleSectionTitle">Aspects related to early diagnosis</span><p class="elsevierStyleSimplePara elsevierViewall">So far, there is insufficient scientific evidence to initiate a population-based lung cancer screening program. Preferential health care circuits are required to guarantee coordination among centres and levels of care and to substantially reduce current delays in the diagnosis and treatment of patients with lung cancer.</p> <span class="elsevierStyleSectionTitle">Treatment-related aspects</span><p class="elsevierStyleSimplePara elsevierViewall">Therapeutic decisions in all lung cancer patients should be based on teamwork and scientific evidence. Palliative care deserves the same priority as oncological treatments. Lung cancer patients should participate more fully in therapeutic decisions. Better information systems are required for clinical assessment and research on this disease.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:56 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "World Health Organization Technical Report Series. Geneva: WHO; 1963." ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atlas municipal de mortalidad por cáncer en España, 1989-1998" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "G. López-Abente" 1 => "R. Ramis" 2 => "M. 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año/Mes | Html | Total | |
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2024 Noviembre | 3 | 1 | 4 |
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