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array:23 [ "pii" => "S0210480608739196" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73919-6" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73919" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:713-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1001 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 609 "PDF" => 387 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480608739202" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73920-2" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73920" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:717-21" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1106 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 612 "PDF" => 488 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Cuestionario de evaluación de la calidad asistencial en un servicio de urgencias urológicas" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "717" "paginaFinal" => "721" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Questionnaire for urological emergency room quality evaluation" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Martínez-rodríguez, A. Rosales bordes, H. Villavicencio mavrich" "autores" => array:3 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Martínez-rodríguez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Rosales bordes" ] 2 => array:2 [ "nombre" => "H." "apellidos" => "Villavicencio mavrich" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739202?idApp=UINPBA00004N" "url" => "/02104806/0000003200000007/v1_201304251911/S0210480608739202/v1_201304251911/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480608739184" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73918-4" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73918" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:705-12" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1264 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 760 "PDF" => 494 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Prevalencia de disfunción eyaculatoria secundaria al tratamiento con alfa-bloqueantes en pacientes con hiperplasia benigna de próstata" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "705" "paginaFinal" => "712" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prevalence of ejaculatory dysfunction secondary to alpha-blocker therapy in patients with benign prostatic hyperplasia" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Martín-Morales, G. Meyer, E. Ramírez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Martín-Morales" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Meyer" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Ramírez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739184?idApp=UINPBA00004N" "url" => "/02104806/0000003200000007/v1_201304251911/S0210480608739184/v1_201304251911/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Eficacia clínica de la biopsia prostática. Experiencia en nuestro centro 1990-2002" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "713" "paginaFinal" => "716" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.F. Escudero bregante, P. López cubillana, E. Cao avellaneda, A.I. López lópez, A. Maluff torres, P.A. López gonzález, A. Prieto gonzález, M. Rigabert montiel, J.I. Tornero ruíz, G.A. Gómez gómez, M. Pérez albacete" "autores" => array:11 [ 0 => array:4 [ "nombre" => "J.F." "apellidos" => "Escudero bregante" "email" => array:1 [ 0 => "jfeb13@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "López cubillana" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Cao avellaneda" ] 3 => array:2 [ "nombre" => "A.I." "apellidos" => "López lópez" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Maluff torres" ] 5 => array:2 [ "nombre" => "P.A." "apellidos" => "López gonzález" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "Prieto gonzález" ] 7 => array:2 [ "nombre" => "M." "apellidos" => "Rigabert montiel" ] 8 => array:2 [ "nombre" => "J.I." "apellidos" => "Tornero ruíz" ] 9 => array:2 [ "nombre" => "G.A." "apellidos" => "Gómez gómez" ] 10 => array:2 [ "nombre" => "M." "apellidos" => "Pérez albacete" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología del Hospital Universitario Virgen de la Arrixaca. Murcia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. J.F. Escudero Bregante Servicio de Urología. Hospital Universitario Virgen de la Arrixaca Ctra. Madrid-Cartagena, s/n – 30120 El Palmar (Murcia). Tel.: 968 369 500" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinical efficacy of prostatic biopsy. Experience in our center from 1990 to 2002" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-12-01" "fechaAceptado" => "2008-04-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88684" "palabras" => array:4 [ 0 => "Cáncer de próstata" 1 => "Biopsia prostática" 2 => "Diagnóstico" 3 => "Eficiencia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88683" "palabras" => array:4 [ 0 => "Prostate cancer" 1 => "Prostate biopsy" 2 => "Diagnosis" 3 => "Efficacy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La biopsia prostática es la única herramienta válida para diagnosticar la existencia de cáncer de próstata. Las indicaciones para su realización según la Asociación Europea de Urología son la existencia de PSA elevado, velocidad aumentada y la evidencia de un tacto rectal sospechoso</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Valoración tanto de la utilidad clínica de la biopsia prostática, como del PSA como marcador de cáncer de prostate en nuestro medio y la indicación y eficacia de sucesivas biopsias</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Efectuamos una revisión manual de las biopsias realizadas en nuestro servicio entre los años 1990 y 2002, valorando nivel de PSA previo a la biopsia, número de cilindros obtenidos y datos de la biopsia. Se llevó a cabo un studio estadístico descriptivo mediante el programa estadístico SPSS 12.0</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se han realizado 1202 biopsias en este periodo, con un porcentaje de positividad global del 36.96%. El PSA previo a la biopsia (disponible en las biopsias realizadas entre los años 1999 y 2002: 578 biopsias, 48.08% del total) era >10 ng/ml en el 55,88% de estos pacientes, 4-10 ng/ml en el 39.27% y 0-4ng/ml en el 4,84%. La media y mediana de PSA es de 19,09 (error típico: 1,87) y 10,6, respectivamente. La positividad de la biopsia aumenta con el nivel de PSA: 21,4% en pacientes con PSA<4; 25,11% con PSA 4-10 y 48,61% con PSA >10. Fue realizada rebiopsia prostática en 132 pacientes (21,97% positivas) El 88,36% de los cánceres fueron diagnosticados en la primera biopsia, y un 6,62% en la segunda (94,98% de los diagnósticos de cáncer de próstata se realizaron con las 2 primeras biopsias)</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los datos obtenidos en el estudio mediante el análisis descriptivo de nuestra serie se encuentran en concordancia con lo publicado en otros estudios y publicaciones. Existe una necesidad de aumentar la rentabilidad diagnóstica de la biopsia de próstata, para lo cual hemos introducido un protocolo de biopsia bajo anestesia local con el fin de poder aumentar el número de cilindros obtenidos</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The prostate biopsy is the only valid tool to diagnose the existence of cancer of prostate. The indications of the biopsy, according with EAU, are the existence of high PSA, increased velocity PSA and a rectal suspicious tact</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">validation of the utility of the prostate biopsy, to know the value of the PSA as a marker of prostate cancer in our way and to value the indication and efficiency of repeated biopsies</p> <span class="elsevierStyleSectionTitle">Matherial and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">we practice a manual review of the biopsies in our hospital, between the years 1990 and 2002. We study the level of PSA before the biopsy, number of prostatic cores and histologic information of the biopsy. A statistical descriptive and inferencial study has been performed by SPSS 12.0 package</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The total number of biopsies registered was a 1202, with 36.96 % of biopsy positive. The PSA before the biopsy (available in the biopsies realized between the year 1999 and 2002: 578 biopsies, 48.08 % of the whole) was> 10 ng/ml in 55,88 % of these patients, 4-10 ng/ml in 39.27 % and 0-4ng/ml in 4.84 %. The average and PSA’s median is of 19.09 (standard error: 1.87) and 10.6, respectively. The positividad of the biopsy increases with PSA’s level: 48,61 % with PSA> 10; 25.11 % with PSA 4-10 and 21,4 % in patients with PSA <4. There was realized prostate rebiopsy (2 ó more biopsies) in 132 patients (21,97 % positive) 88,36 % of the cancers was diagnosed in the first biopsy, and 6.62 % in the second one (94,98% of the diagnoses of cancer of prostate carried out with the first 2 biopsies)</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The information obtained in the study by means of the descriptive analysis of our series meets in conformity the published in other studies and publications. There exists a need to increase the diagnostic profitability of the biopsy of prostate, for which we have introduced a protocol of biopsy under local anesthesia in order to be able to increase the number of obtained cylinders</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Measurement of prostate-specific antigen in serum as a screening test for prostate cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "W.J. Catalona" 1 => "D.S. Smith" 2 => "T.L. Ratliff" 3 => "K.M. Dodds" 4 => "D.E. Coplen" 5 => "J.J. 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Yan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2000" "volumen" => "55" "numero" => "6" "paginaInicial" => "791" "paginaFinal" => "795" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10840078" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rate of change in serum prostate specific antigen levels as a method for prostate cancer detection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D.S. Smith" 1 => "W.J. 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Carter" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2002" "volumen" => "59" "numero" => "6" "paginaInicial" => "889" "paginaFinal" => "893" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12031375" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Roobol MJ et al. A comparison of first and repeat (4 years later) prostate cancer screening in a randomised cohort of a-symptomatic men aged 55 - 76 years using a biopsy indication of 3.0 ng/ml (results of ERSPC - Rotterdam). Prostate 2005" ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prostate-specific antigen change in the European Randomized Study of Screening for Prostate Cancer, section Rotterdam" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "R. Raaijmakers" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2003.09.028" "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2004" "volumen" => "63" "numero" => "2" "paginaInicial" => "316" "paginaFinal" => "320" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14972481" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prostate biopsy: who, how and when. An update" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "B. Djavan" 1 => "S. Milani" 2 => "M. Remzi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Can J Urol" "fecha" => "2005" "volumen" => "12" "numero" => "1" "paginaInicial" => "44" "paginaFinal" => "48" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15780165" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Optimal combinations of systematic sextant and laterally directed biopsies for the detection of prostate cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.L. Gore" 1 => "S.F. Shariat" 2 => "B.J. Miles" 3 => "D. Kadmon" 4 => "N. Jiang" 5 => "T.M. Wheeler" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2001" "volumen" => "165" "numero" => "5" "paginaInicial" => "1554" "paginaFinal" => "1559" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11342916" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prospective evaluation of lateral biopsies of the peripheral zone for prostate cancer detection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.J. Chang" 1 => "K. Shinohara" 2 => "V. Bhargava" 3 => "J.C. Jr. Presti" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "1998" "volumen" => "160" "numero" => "6 Pt 1" "paginaInicial" => "2111" "paginaFinal" => "2114" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9817334" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anaesthesia for laser prostatectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T.G. Costello" 1 => "A.J. Costello" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Anaesth Intensive Care" "fecha" => "1994" "volumen" => "22" "numero" => "4" "paginaInicial" => "454" "paginaFinal" => "457" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7526728" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000003200000007/v1_201304251911/S0210480608739196/v1_201304251911/es/main.assets" "Apartado" => array:4 [ "identificador" => "6429" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000003200000007/v1_201304251911/S0210480608739196/v1_201304251911/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739196?idApp=UINPBA00004N" ]
