Publication: La aplicación informática "SCAE" en el diagnóstico precoz del cáncer musculoesquelético en el área sanitaria del Hospital Universitario 12 de Octubre. Análisis de su efectividad y propuestas de mejora
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2021-07-19
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Universidad Complutense de Madrid
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Abstract
El cáncer musculoesquelético primario es una patología muy poco frecuente, como demuestran las cifras de incidencia de los sarcomas óseos y de partes blandas que constituyen, respectivamente, el 0,18 y el 1 % del total de los tumores malignos. La inespecificidad de los síntomas y signos de esta enfermedad hace que sea fundamental su sospecha clínica, para evitar retrasos diagnósticos y terapéuticos con el correspondiente empeoramiento del pronóstico.
El médico de Atención Primaria dispone de diferentes herramientas para solicitar la valoración de los pacientes por el médico de Atención Especializada. En la Comunidad Autónoma de Madrid, las derivaciones, tanto ordinarias como preferentes, se realizan a través de la herramienta informática de “Solicitud de Cita de Atención Especializada” (SCAE). Cuando la sospecha diagnóstica es de cáncer musculoesquelético se utiliza el circuito rápido de derivación de “Sospecha de Malignidad” (SM). SÍNTESIS: El objetivo principal del estudio fue determinar la capacidad de la aplicación SCAESM para identificar las solicitudes susceptibles de adelanto de cita de los pacientes con tumores musculoesqueléticos malignos y benignos agresivos en el área sanitaria del Hospital Universitario 12 de Octubre. De forma secundaria, se planteó analizar la adecuación del uso de la aplicación informática por el médico de Atención Primaria, determinar la fiabilidad inter-observador entre distintos especialistas en Cirugía Ortopédica y Traumatología e identificar déficits formativos, tanto en los facultativos de Atención Primaria como en los facultativos traumatólogos generales...
Primary musculoskeletal cancer is a very rare disease. This is evidenced by the incidence of bone and soft tissue sarcomas, which constitute, respectively, 0.18% and 1% of all malignant tumors. Given the lack of specificity of the signs and symptoms of this disease, the clinical suspicion is essential to avoid delays in diagnosis and treatment, with the corresponding worsening of the prognosis. Primary Care physician may refer patients to a specialist by different pathways. In Madrid, ordinary and preferential referrals are carried out through the computer application "SCAE” (Request for Appointment with Specialist). When there is a suspicion of cancer, the “Suspicion of Malignancy” (SM) circuit must be used. SYNTHESIS: The main objective of the study was to determine the ability of the application to identify requests for early appointment for patients with aggressive and malignant musculoskeletal tumors, in the healthcare area of the “Hospital Universitario 12 de Octubre”. Secondarily, it was proposed: to analyze the suitability of the use of the computer application by the Primary Care physician, to determine the inter-observer reliability between different specialists in Orthopaedic Surgery and to identify training deficits, both in Primary Care physicians and in orthopaedic surgeons...
Primary musculoskeletal cancer is a very rare disease. This is evidenced by the incidence of bone and soft tissue sarcomas, which constitute, respectively, 0.18% and 1% of all malignant tumors. Given the lack of specificity of the signs and symptoms of this disease, the clinical suspicion is essential to avoid delays in diagnosis and treatment, with the corresponding worsening of the prognosis. Primary Care physician may refer patients to a specialist by different pathways. In Madrid, ordinary and preferential referrals are carried out through the computer application "SCAE” (Request for Appointment with Specialist). When there is a suspicion of cancer, the “Suspicion of Malignancy” (SM) circuit must be used. SYNTHESIS: The main objective of the study was to determine the ability of the application to identify requests for early appointment for patients with aggressive and malignant musculoskeletal tumors, in the healthcare area of the “Hospital Universitario 12 de Octubre”. Secondarily, it was proposed: to analyze the suitability of the use of the computer application by the Primary Care physician, to determine the inter-observer reliability between different specialists in Orthopaedic Surgery and to identify training deficits, both in Primary Care physicians and in orthopaedic surgeons...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Cirugía, leída el 27/01/2021