{"id":1587,"date":"2016-11-07T00:00:00","date_gmt":"2016-11-07T07:00:00","guid":{"rendered":"https:\/\/www.vailhealth.org\/a-small-town-with-big-city-care\/"},"modified":"2016-11-07T00:00:00","modified_gmt":"2016-11-07T07:00:00","slug":"un-pueblo-pequeno-con-atencion-de-gran-ciudad","status":"publish","type":"post","link":"https:\/\/www.vailhealth.org\/es\/news\/a-small-town-with-big-city-care\/","title":{"rendered":"Un pueblo peque\u00f1o con cuidado de gran ciudad"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Cuando el Dr. Scott Schneider, un onc\u00f3logo radioterapeuta en Vancouver, Washington, se enfrent\u00f3 a un caso complicado de c\u00e1ncer de mama el a\u00f1o pasado, present\u00f3 el caso a un especialista del otro lado del pa\u00eds, sin salir de su consultorio. Esa reuni\u00f3n con el Dr. Jay Harris, un onc\u00f3logo radioterapeuta del Brigham and Women's Hospital en Boston, se.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cEl Dr. Harris hizo sugerencias sobre campos de radiaci\u00f3n y me ayud\u00f3 con eso, pero luego hizo este comentario casual que tambi\u00e9n cambi\u00f3 su tratamiento de oncolog\u00eda m\u00e9dica, aunque ese no era el prop\u00f3sito de la llamada\u201d, dijo la Dra. Schneider, quien trabaja en Compass Oncology en el Centro de C\u00e1ncer de Vancouver.<\/p>\n\n\n<p class=\"wp-block-paragraph\">El Dr. Harris sugiri\u00f3 que el Dr. Schneider repita el an\u00e1lisis de patolog\u00eda del paciente.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Resulta que la prueba inicial hab\u00eda arrojado un falso negativo en el estado HER-2\/neu de la mujer, un biomarcador predictivo que ayuda a los m\u00e9dicos a elegir la quimioterapia adecuada. Dado que el estado HER-2\/neu de la paciente result\u00f3 ser positivo despu\u00e9s de todo, se le prescribi\u00f3 Herceptin, un medicamento que mejora la supervivencia en pacientes que son elegibles para recibirlo.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cAbri\u00f3 un nuevo camino de tratamiento para ella que antes no estaba abierto\u201d, dijo Schneider. \u201cCambi\u00f3 su tratamiento y su pron\u00f3stico considerablemente y solo porque casualmente se\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>A caballo entre dos mundos<\/strong><\/p>\n\n\n<p class=\"wp-block-paragraph\">Chartrounds ha estado en funcionamiento durante casi un a\u00f1o. Fue idea de la Dra. Patricia Hardenbergh, onc\u00f3loga radi\u00f3loga del Shaw Regional Cancer Center en Edwards. En 2010, Hardenbergh recibi\u00f3 una de las primeras subvenciones para mejorar la atenci\u00f3n del c\u00e1ncer de Conquer Cancer Foundation y Susan G. Komen for the Cure para desarrollar la red en l\u00ednea.<\/p>\n\n\n<p class=\"wp-block-paragraph\">La idea de.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cMe pagar\u00edan a especialistas en oncolog\u00eda radioter\u00e1pica de la Universidad de Colorado para que me ayudaran a revisar casos\u201d, dijo. \u201cHar\u00edamos revisiones por pares en Internet\".<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cSab\u00eda que me convert\u00eda en un mejor doctor y que mis pacientes recib\u00edan un mejor tratamiento\u201d, continu\u00f3 Hardenbergh. \u201cPens\u00e9: \u2018Vaya, todo el mundo deber\u00eda estar haciendo lo que yo hago. Es genial y mejora la atenci\u00f3n de mis pacientes\u2019'.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">Por eso Hardenbergh solicit\u00f3 una subvenci\u00f3n en diciembre de 2009 para hacer precisamente.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Tres meses despu\u00e9s, en marzo de 2010, Hardenbergh se enter\u00f3 de que hab\u00eda obtenido una subvenci\u00f3n de tres a\u00f1os por un total de $1.35 millones, la mayor subvenci\u00f3n otorgada hasta la fecha por la Fundaci\u00f3n Conquer Cancer.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cMe sorprendi\u00f3 mucho que tuvieran la visi\u00f3n y la confianza en los m\u00e9dicos de la comunidad para llevar esto a cabo\u201d, dijo Hardenbergh. \u201cPero en retrospectiva, creo que tuvo que venir de un m\u00e9dico de la comunidad como yo, que hab\u00eda navegado por ambos mundos, siendo tanto el experto en el sitio de la enfermedad como\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">El programa piloto se limit\u00f3 al c\u00e1ncer de mama, pero dado el \u00e9xito de esas sesiones y los comentarios de los miembros de Chartrounds, el sitio ahora incluye discusiones sobre c\u00e1ncer de cabeza y cuello, neoplasias malignas gastrointestinales, linfoma, c\u00e1ncer de pr\u00f3stata y de pulm\u00f3n, dijo Hardenbergh.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Actualmente hay alrededor de 420 miembros de Chartrounds, incluidos 15 m\u00e9dicos internacionales, a pesar de que Hardenbergh a\u00fan no ha comenzado a promocionar Chartrounds a nivel internacional.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Inicialmente se un\u00eda un doctor por semana, ahora se registran alrededor de 20 doctores cada semana.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cEst\u00e1 ganando impulso, pero esto no es Facebook\u201d, dijo ella. \u201cEste es un lugar al que ac\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">Algunos doctores solo disfrutan de escuchar, mientras que otros como Schneider lo usan casi exclusivamente para presentar casos dif\u00edciles.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Al final de cada sesi\u00f3n, se pide a los participantes que completen un formulario de retroalimentaci\u00f3n que pregunta si la sesi\u00f3n fue relevante para su pr\u00e1ctica diaria.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cHemos realizado m\u00e1s de 150 sesiones y el promedio es 4.7 sobre\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>El futuro de las chartrounds<\/strong><\/p>\n\n\n<p class=\"wp-block-paragraph\">El Dr. Hardenbergh est\u00e1 agregando un componente de ensayos cl\u00ednicos al programa. Una base de datos de ensayos f\u00e1cil de usar dentro del sitio de Chartrounds ayuda a los miembros a mantenerse al tanto de los ensayos cl\u00ednicos en los que sus pacientes podr\u00edan ser elegibles para participar.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cLos centros oncol\u00f3gicos de comunidades peque\u00f1as no ven la investigaci\u00f3n como parte de su declaraci\u00f3n de misi\u00f3n, por lo que no presupuestan tener un asociado de investigaci\u00f3n cl\u00ednica en su personal\u201d, dijo. \u201cLos m\u00e9dicos est\u00e1n abrumados por tantas responsabilidades que necesitan ayuda administrativa para poder ingresar pacientes y hacerles seguimiento en los ensayos\u201d.\u201d<\/p>\n\n\n<p class=\"wp-block-paragraph\">Por eso, Hardenbergh ha contratado a un colaborador especializado en ensayos cl\u00ednicos para apoyar a los onc\u00f3logos de la comunidad que deseen ayudar a sus pacientes a inscribirse en ensayos.<\/p>\n\n\n<p class=\"wp-block-paragraph\">Otra novedad es que la Junta Estadounidense de Radiolog\u00eda reconoci\u00f3 recientemente a Chartrounds como programa de educaci\u00f3n continua v\u00e1lido para ayudar a los m\u00e9dicos a mantener su certificaci\u00f3n de la junta.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cSi los miembros participan en las sesiones de Chartrounds y presentan casos, se les otorgan cr\u00e9ditos de educaci\u00f3n continua\u201d, dijo.<\/p>\n\n\n<p class=\"wp-block-paragraph\">A solo un a\u00f1o de haber iniciado el programa, Schneider y muchos otros m\u00e9dicos de todo el pa\u00eds afirman que el proyecto ha cambiado su forma de ejercer la medicina.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cEl servicio es fant\u00e1stico\u201d, dijo Schneider. \u201cSon figuras emblem\u00e1ticas del campo de la radioterapia las que participan. Si vas a un congreso nacional, hay cientos de personas en la sala y no tendr\u00e1s oportunidad de hablar con ellas despu\u00e9s. Chartrounds ofrece este espacio en el que t\u00fa, otras tres o cuatro personas y esta figura destacada est\u00e1n todos al tel\u00e9fono durante una hora charlando. \u00c9l puede ver las im\u00e1genes de tu paciente, el plan de tratamiento y todo lo dem\u00e1s. Es como si estuvieran ah\u00ed mismo contigo en la sala\u00bb.<\/p>\n\n\n<p class=\"wp-block-paragraph\">\u201cEso no tiene precio; no se puede comprar\u201d.\u201d<\/p>","protected":false},"excerpt":{"rendered":"<p>When Dr. Scott Schneider a radiation oncologist in VancouverWashington was faced with a complicated breast cancer case lastyear he presented the case to a specialist on the other side ofthe country &#8211; without ever leaving his office. That meeting withDr. Jay Harris a radiation oncologist at Brigham and Women&#8217;sHospital in Boston took place via Chartrounds&#8230;<\/p>","protected":false},"author":0,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1587","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A Small Town With Big City Care | Vail Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vailhealth.org\/es\/noticias\/un-pueblo-pequeno-con-atencion-de-gran-ciudad\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Small Town With Big City Care | Vail Health\" \/>\n<meta property=\"og:description\" content=\"When Dr. Scott Schneider a radiation oncologist in VancouverWashington was faced with a complicated breast cancer case lastyear he presented the case to a specialist on the other side ofthe country &#8211; without ever leaving his office. 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