{"ok":true,"nota":{"id":"8eaccf43a6ead620","slug":"tres-especialistas-de-cancer-de-colon-discrepan-y-negocian-antes-de-de-8eaccf","titulo":"Tres especialistas de cáncer de colon discrepan y negocian antes de decidir un tratamiento","resumen":"Investigadores armaron un registro de diez casos reales de cáncer colorrectal donde oncólogos clínicos, quirúrgicos y radioterapeutas anotaron qué información usaron y dónde discreparon. El objetivo fue documentar cómo se razona en la junta médica.","fuente":"medrxiv","fuenteNombre":"medRxiv · preprints","color":"#1f7a4d","autor":"Gombolevskiy, V. A., Sekacheva, M. I., Sanikovich, V. D., Bagmet, N. N., Balaeva, D. A., Nechaev, N. B., Nesterov, A. I.","url":"https://www.medrxiv.org/content/10.64898/2026.10.19.26365647v1?rss=1","imagen":"/hoy/portada/8eaccf43a6ead620","tema":"salud","subtemas":["cáncer colorrectal","junta de tumores","toma de decisiones médicas","oncología","historia clínica"],"entidades":["medRxiv"],"formato":"dato","entretenimiento":false,"pubTs":"2026-10-21T00:00:00.000Z","indexTs":"2026-10-21T22:39:37.287Z","hash":"fe7ceb9d283980bfaf53c5cf3bcb8e7362f34da5c7304f2d59e7f675fa149e2f","tsa":{"time":"Oct 21 22:40:36 2026 GMT","provider":"freetsa.org","sobre":"sello"},"stats":{"views":0,"likes":0,"clicks":0,"dwell":0},"tipo":"normal","registro":"hallazgo","porQueImporta":"El estudio muestra que la decisión sobre un tumor no sale de un solo dato, sino de una discusión donde cada especialista interpreta las mismas historias clínicas de manera distinta. Para un paciente, esto significa que detrás de un plan de tratamiento hubo debate real entre médicos. Es un conjunto muy chico, de un solo centro, así que describe el proceso pero no mide si mejora los resultados.","quienFirma":"Universidad no identificada en el resumen (preprint en medRxiv)","confianza":"preprint","consulta":null},"sello":{"hash":"fe7ceb9d283980bfaf53c5cf3bcb8e7362f34da5c7304f2d59e7f675fa149e2f","sello":"520ce6bffc61a39080d39830cb0b6372696c9177762fed1821675c3169242d24","beacon":{"drand":{"cadena":"8990e7a9aaed2ffed73dbd7092123d6f289930540d7651336225dc172e51b2ce","ronda":6573046,"aleatorio":"f71b3db032f12c8ae2d90f38aa37ddc03a4bd072f8a3317f2962e831c62e695d","tiempo":"2026-10-21T22:40:00.000Z"},"nist":{"cadena":2,"pulso":1993728,"salida":"DBB029F00A75EEAA9AF69BB0B3207AD12D5A4EDD2136CB35D25CB332980962472F1AFBB0B247EB7DF6BE52045BC8A63F1D14E2719075ECD2BA39DE673005A0E1","tiempo":"2026-10-21T22:39:00.000Z"},"noAntes":"2026-10-21T22:40:00.000Z"},"verificacion":{"drand":true,"nist":true},"tsa":{"time":"Oct 21 22:40:36 2026 GMT","provider":"freetsa.org","sobre":"sello"},"original":{"titulo":"Source-linked multispecialty clinical reasoning and tumour-board decision-making in colorectal cancer","descripcion":"Clinical records preserve patient findings and final recommendations but rarely capture how specialists select evidence, develop alternative interpretations, disagree, and converge on a management strategy. We describe a dataset derived from ten retrospectively selected, completed cases of histologically confirmed colorectal cancer. For each case, an administrator uploaded de-identified textual clinical records to an authenticated web-based annotation platform. A medical oncologist, surgical oncologist, and radiation oncologist, each with more than ten years of clinical experience, independently linked relevant source fragments to patient-specific interpretations and documented clinical prob","pubDate":"2026-10-21","url":"https://www.medrxiv.org/content/10.64898/2026.10.19.26365647v1?rss=1"},"indexado":"2026-10-21T22:39:37.287Z"}}