Evaluación de los criterios diagnósticos clínicos de fibrosis pulmonar idiopática
Evaluation of clinical diagnostic guidelines for idiopathic pulmonary fibrosis
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"apellidos" => "Ramos Izquierdo" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Villalonga Badell" ] 5 => array:2 [ "nombre" => "G." "apellidos" => "Ferrer Recuerdo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753095?idApp=UINPBA00003Z" "url" => "/03002896/0000003900000001/v1_201307081523/S0300289603753095/v1_201307081523/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Evaluación de los criterios diagnósticos clínicos de fibrosis pulmonar idiopática" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "23" "paginaFinal" => "28" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.L. López-Campos Bodineau, L. Gómez Izquierdo, E. Rodríguez Becerra, J. Martín Juan, M. Fajardo Cascos, F. Borderas Naranjo, J. Castillo Gómez" "autores" => array:7 [ 0 => array:4 [ "nombre" => "J.L." "apellidos" => "López-Campos Bodineau" "email" => array:1 [ 0 => "lcampos@hcs.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "L." "apellidos" => "Gómez Izquierdo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "E." "apellidos" => "Rodríguez Becerra" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Martín Juan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "M." "apellidos" => "Fajardo Cascos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "F." "apellidos" => "Borderas Naranjo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 6 => array:3 [ "nombre" => "J." "apellidos" => "Castillo Gómez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Unidad Médico-Quirúrgica de Enfermedades Respiratorias. Hospital Universitario Virgen del Rocio. Sevilla. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica. Hospital Universitario Virgen del Rocío. Sevilla. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico. Hospital Universitario Virgen del Rocío. Sevilla. España" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Avda. Reina Mercedes, 35, 6.° D. 41012 Sevilla. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of clinical diagnostic guidelines for idiopathic pulmonary fibrosis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-01-30" "fechaAceptado" => "2002-06-25" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190539" "palabras" => array:3 [ 0 => "Fibrosis pulmonar idiopática" 1 => "Neumonía inters-ticial usual" 2 => "Diagnóstico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190540" "palabras" => array:3 [ 0 => "Idiopathic pulmonary fibrosis" 1 => "Usual interstitial pneumonia" 2 => "Diagnosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudiar los criterios diagnósticos de la fibro-sis pulmonar idiopática según el último Consenso Interna-cional</p> <span class="elsevierStyleSectionTitle">Pacientes Y Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se incluyó a todos los pacientes diagnosticados de cualquier enfermedad intersticial por me-dio de biopsia pulmonar abierta desde 1980. Se revisaron sus historias clínicas para averiguar si cumplían los criterios diagnósticos, así como sus biopsias pulmonares en busca del patrón de neumonía intersticial usual. Se calcularon la sen-sibilidad, la especificidad, los valores predictivos positivo y negativo y los cocientes de probabilidad. Posteriormente, se realizó el mismo análisis requiriendo sólo una de las dos condiciones funcionales para cumplir el criterio funcional</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluyó a 39 pacientes, 17 de los cuales presentaban una fibrosis pulmonar idiopática. La especifici-dad y el valor predictivo positivo fue del 100%, mientras que la sensibilidad y el valor predictivo negativo fueron del 41,2 y del 68,7%, respectivamente. El cociente de probabili-dad para un resultado negativo fue de 0,59. En el segundo análisis, la sensibilidad y el valor predictivo negativo fueron del 64,7 y del 78,5%, respectivamente, con idéntica especifi-cidad y valor predictivo positivo. El cociente de probabili-dad para un resultado negativo fue de 0,35</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los criterios diagnósticos son lo suficien-temente específicos como para estar seguros del diagnóstico cuando se cumplen. Debería considerarse un pequeño cam-bio en el criterio funcional para aumentar la rentabilidad del diagnóstico</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the international consensus state-ment on diagnostic criteria for idiopathic pulmonary fibro-sis</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">All patients diagnosed of any interstitial lung disease by means of open lung biopsy since 1980 were inclu-ded. The patients' clinical records were examined to deter-mine whether they fulfilled the diagnostic criteria, and their biopsies were reviewed to find those with the usual intersti-tial pneumonia pattern. We calculated sensitivity, specifi-city, positive and negative predictive values and likelihood ratios for the diagnostic criteria in the consensus statement. Afterwards, we performed the analyses again using only one of the two conditions for fulfilling the function criterion</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Of 39 patients enrolled in the study, 17 had idio-pathic pulmonary fibrosis. Specificity and positive predicti-ve value were both 100%, but sensitivity was 41.2% and ne-gative predictive value was 68.7%. The likelihood ratio for a negative result was 0.59. In the second analysis, sensitivity was 64.7% and negative predictive value was 78.5%, while specificity and positive predictive value remained unchan-ged. The likelihood ratio for a negative result was 0.35</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The criteria are sufficiently specific to allow us to diagnose confidently when the criteria are fulfi-lled. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 5 | 10 |
| 2024 October | 42 | 33 | 75 |
| 2024 September | 52 | 30 | 82 |
| 2024 August | 72 | 45 | 117 |
| 2024 July | 41 | 45 | 86 |
| 2024 June | 60 | 32 | 92 |
| 2024 May | 42 | 42 | 84 |
| 2024 April | 31 | 31 | 62 |
| 2024 March | 32 | 31 | 63 |
| 2024 February | 33 | 42 | 75 |
| 2024 January | 0 | 4 | 4 |
| 2023 December | 0 | 8 | 8 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 8 | 8 |
| 2023 September | 0 | 9 | 9 |
| 2023 July | 0 | 2 | 2 |
| 2023 June | 0 | 3 | 3 |
| 2023 May | 0 | 3 | 3 |
| 2023 April | 0 | 2 | 2 |
| 2023 March | 4 | 10 | 14 |
| 2023 February | 22 | 28 | 50 |
| 2023 January | 25 | 42 | 67 |
| 2022 December | 32 | 32 | 64 |
| 2022 November | 34 | 44 | 78 |
| 2022 October | 35 | 57 | 92 |
| 2022 September | 26 | 64 | 90 |
| 2022 August | 39 | 54 | 93 |
| 2022 July | 29 | 50 | 79 |
| 2022 June | 30 | 62 | 92 |
| 2022 May | 30 | 85 | 115 |
| 2022 April | 39 | 63 | 102 |
| 2022 March | 42 | 56 | 98 |
| 2022 February | 26 | 55 | 81 |
| 2022 January | 27 | 101 | 128 |
| 2021 December | 20 | 65 | 85 |
| 2021 November | 30 | 76 | 106 |
| 2021 October | 20 | 64 | 84 |
| 2021 September | 25 | 82 | 107 |
| 2021 August | 24 | 66 | 90 |
| 2021 July | 17 | 60 | 77 |
| 2021 June | 14 | 81 | 95 |
| 2021 May | 27 | 51 | 78 |
| 2021 April | 35 | 138 | 173 |
| 2021 March | 37 | 48 | 85 |
| 2021 February | 33 | 30 | 63 |
| 2021 January | 16 | 34 | 50 |
| 2020 December | 13 | 34 | 47 |
| 2020 November | 22 | 32 | 54 |
| 2020 October | 10 | 25 | 35 |
| 2020 September | 14 | 27 | 41 |
| 2020 August | 27 | 32 | 59 |
| 2020 July | 50 | 41 | 91 |
| 2020 June | 38 | 21 | 59 |
| 2020 May | 34 | 28 | 62 |
| 2020 April | 25 | 22 | 47 |
| 2020 March | 28 | 35 | 63 |
| 2020 February | 27 | 35 | 62 |
| 2020 January | 47 | 50 | 97 |
| 2019 December | 41 | 35 | 76 |
| 2019 November | 43 | 50 | 93 |
| 2019 October | 32 | 65 | 97 |
| 2019 September | 50 | 52 | 102 |
| 2019 August | 24 | 37 | 61 |
| 2019 July | 31 | 83 | 114 |
| 2019 June | 22 | 67 | 89 |
| 2019 May | 46 | 110 | 156 |
| 2019 April | 48 | 111 | 159 |
| 2019 March | 25 | 83 | 108 |
| 2019 February | 8 | 61 | 69 |
| 2019 January | 12 | 61 | 73 |
| 2018 December | 12 | 56 | 68 |
| 2018 November | 36 | 84 | 120 |
| 2018 October | 39 | 84 | 123 |
| 2018 September | 18 | 86 | 104 |
| 2018 May | 13 | 13 | 26 |
| 2018 April | 6 | 72 | 78 |
| 2018 March | 7 | 37 | 44 |
| 2018 February | 9 | 28 | 37 |
| 2018 January | 9 | 16 | 25 |
| 2017 December | 19 | 17 | 36 |
| 2017 November | 6 | 13 | 19 |
| 2017 October | 11 | 16 | 27 |
| 2017 September | 7 | 9 | 16 |
| 2017 August | 9 | 19 | 28 |
| 2017 July | 10 | 10 | 20 |
| 2017 June | 12 | 19 | 31 |
| 2017 May | 8 | 17 | 25 |
| 2017 April | 6 | 9 | 15 |
| 2017 March | 10 | 8 | 18 |
| 2017 February | 4 | 5 | 9 |
| 2017 January | 7 | 7 | 14 |
| 2016 December | 26 | 12 | 38 |
| 2016 November | 27 | 21 | 48 |
| 2016 October | 31 | 23 | 54 |
| 2016 September | 40 | 21 | 61 |
| 2016 August | 22 | 5 | 27 |
| 2016 July | 30 | 7 | 37 |
| 2016 June | 32 | 21 | 53 |
| 2016 May | 22 | 10 | 32 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 11 | 2 | 13 |
| 2016 February | 12 | 4 | 16 |
| 2016 January | 19 | 12 | 31 |
| 2015 December | 28 | 16 | 44 |
| 2015 November | 37 | 14 | 51 |
| 2015 October | 199 | 1 | 200 |
| 2015 September | 192 | 0 | 192 |
| 2015 August | 170 | 0 | 170 |
| 2015 July | 216 | 0 | 216 |
| 2015 June | 220 | 0 | 220 |
| 2015 May | 236 | 0 | 236 |
| 2015 April | 200 | 0 | 200 |
| 2015 March | 187 | 0 | 187 |
| 2015 February | 133 | 0 | 133 |
| 2015 January | 118 | 0 | 118 |
| 2014 December | 121 | 0 | 121 |
| 2014 November | 158 | 0 | 158 |
| 2014 October | 218 | 0 | 218 |
| 2014 September | 166 | 0 | 166 |
| 2014 August | 124 | 0 | 124 |
| 2014 July | 151 | 0 | 151 |
| 2014 June | 154 | 0 | 154 |
| 2014 May | 174 | 0 | 174 |
| 2014 April | 133 | 0 | 133 |
| 2014 March | 147 | 0 | 147 |
| 2014 February | 126 | 0 | 126 |
| 2014 January | 140 | 0 | 140 |
| 2013 December | 104 | 0 | 104 |
| 2013 November | 106 | 0 | 106 |
| 2013 October | 137 | 0 | 137 |
| 2013 September | 98 | 0 | 98 |
| 2013 August | 143 | 0 | 143 |
| 2013 July | 105 | 0 | 105 |
| 2013 June | 82 | 0 | 82 |
| 2013 May | 72 | 0 | 72 |
| 2013 April | 68 | 0 | 68 |
| 2013 March | 21 | 0 | 21 |
| 2000 January | 6114 | 0 | 6114 |
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