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Cerdà G, Julià-Torras J, González-Barboteo J, Romeo M, Calsina-Berna A. Polypharmacy and Reversible Drug Induced QT Prolongation in a Patient with Advanced Cancer: Case Report. J Pain Palliat Care Pharmacother 2024; 38:33-37. [PMID: 38180376 DOI: 10.1080/15360288.2023.2297218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 12/15/2023] [Indexed: 01/06/2024]
Abstract
QT prolongation is related to the development of ventricular arrhythmias such as Torsade de Pointes (TdP) that can lead to sudden cardiac death. Several drugs used in the treatment of patients with advanced cancer may induce QT prolongation due to their interference with cardiac ion channels. Some patients may be at higher risk if predisposing factors are present. Herein we present the case of a patient with advanced cancer under anti-tumor treatment with radical intention that developed a reversible drug-induced QT prolongation when simultaneously treated with methadone, haloperidol and fluoxetine that presented with chest pain and bradycardia. An approach to cancer patients at risk for drug-induced QT prolongation is discussed highlighting the need of a thorough medication review with a special focus in the patient with polypharmacy.
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Affiliation(s)
- Gabriela Cerdà
- Medical Oncology Department, Institut Català d'Oncologia, Hospital Germans Trias i Pujol, Badalona, Spain
| | | | | | - Margarita Romeo
- is with Medical Oncology Department, Institut Català d'Oncologia, Hospital Germans Trias i Pujol, Badalona, Spain
| | - Agnès Calsina-Berna
- Research and Knowledge Group in Palliative Care of Institut Català d'Oncologia (GRICOPAL)
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Calsina-Berna A, Alvaro Pardo M, Cucurull Salamero M, Bleda-Perez M, Julià-Torras J. Oral ketamine for neuropathic cancer pain. BMJ Support Palliat Care 2024; 13:e968-e970. [PMID: 37225396 DOI: 10.1136/spcare-2023-004306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 04/20/2023] [Indexed: 05/26/2023]
Abstract
Optimal pain management in patients with advanced cancer often requires multiple pharmacological interventions and multimodal approach. Ketamine is an anaesthetic agent with increasing evidence supporting its use for pain. Due to its N-methyl-D-aspartate antagonism and its activity at opioid receptors, it is an adjuvant to traditional analgesics. Ketamine has a safety profile with limited experience of oral prolonged use in patients with cancer. We report a case of a 40-year-old man with refractory neuropathic cancer-related pain. Opioid rotation to methadone was previously performed, coanalgesics were added, the patient was reluctant to invasive anaesthetic techniques and his pain was poorly controlled. Ketamine was added to attenuate pain keeping functionality. This is a report of a patient with refractory cancer pain treated with methadone and ketamine orally during months, without reported side effects. Ketamine's use to treat pain is increasing along with its evidence of efficacy for long-term oral use.
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Affiliation(s)
- Agnès Calsina-Berna
- Palliative Care Department, Research and Knowledge Group in Palliative Care of Catalan Institute of Oncology (GRICOPAL), Institut Català d'Oncologia-Badalona, Badalona, Spain
| | | | | | | | - Joaquim Julià-Torras
- Palliative Care Department, Institut Català d'Oncologia-Badalona, Badalona, Spain
- Palliative Care Department. Institut Català d'Oncologia-Badalona, Badalona, Spain, School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Badalona, Spain
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3
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Calsina-Berna A, González-Barboteo J, Llorens-Torromé S, Julià-Torras J. Antitumoral Agent-Induced Constipation: A Systematic Review. Cancers (Basel) 2023; 16:99. [PMID: 38201526 PMCID: PMC10778329 DOI: 10.3390/cancers16010099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 12/19/2023] [Accepted: 12/20/2023] [Indexed: 01/12/2024] Open
Abstract
BACKGROUND Constipation is a common symptom in patients receiving antitumoral treatment. The mechanisms underlying antitumoral agent-induced constipation (ATAIC) are poorly defined. This systematic review aimed to analyze and synthesize the available information related to the prevalence, etiology, and treatment of ATAIC. METHODS A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines was conducted. The review included human studies written in English, French, or Spanish involving patients with cancer and containing information about the prevalence, etiology, and treatment of ATAIC. RESULTS A total of 73 articles were included. The reported prevalence ranged from 0.8% to 86.6%. Six studies reported an ATAIC prevalence of over 50%. The prevalence rates of constipation of grades 3 and 4 ranged between 0 and 11%. The importance of enteric neuronal integrity in gastrointestinal function was reported. The articles with the highest levels of evidence in relation to ATAIC treatment obtained in this systematic review studied treatments with acupuncture, sweet potato, osteopath, probiotics, and moxibustion. CONCLUSIONS The prevalence of constipation in patients undergoing antitumoral treatment is very diverse. Studies specifically designed to report the prevalence of antineoplastic treatment-induced constipation are needed. The importance of enteric neuronal integrity in gastrointestinal function was described. Thus, neuroprotection could be an area of research for the treatment of chemotherapy-induced gastrointestinal disorders.
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Affiliation(s)
- Agnès Calsina-Berna
- Palliative Care Department, School of Medicine, The University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic, Spain
- Palliative Care Department, Institut Català d'Oncologia, 08908 Badalona, Spain
- Research and Knowledge Group in Palliative Care of Catalan Institute of Oncology (GRICOPAL), 08916 Badalona, Spain
| | - Jesús González-Barboteo
- Research and Knowledge Group in Palliative Care of Catalan Institute of Oncology (GRICOPAL), 08916 Badalona, Spain
- Palliative Care Department, Institut Català d'Oncologia-L'Hospitalet, 08916 Badalona, Spain
| | - Silvia Llorens-Torromé
- Research and Knowledge Group in Palliative Care of Catalan Institute of Oncology (GRICOPAL), 08916 Badalona, Spain
- Palliative Care Department, Institut Català d'Oncologia-L'Hospitalet, 08916 Badalona, Spain
| | - Joaquim Julià-Torras
- Palliative Care Department, Institut Català d'Oncologia, 08908 Badalona, Spain
- School of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain
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Calsina-Berna A, Amblàs Novellas J, González-Barboteo J, Bardés Robles I, Beas Alba E, Martínez-Muñoz M, Madariaga Sánchez R, Gómez Batiste Alentorn X. Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital. Palliat Care 2022; 21:210. [PMID: 36443761 PMCID: PMC9703744 DOI: 10.1186/s12904-022-01101-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 10/10/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The identification of patients with advanced chronic conditions and palliative care needs is essential since their care represents one of the main challenges for public health systems. The study aimed to determine the prevalence and characteristics of inpatients with palliative care needs in different services of a tertiary care hospital using the NECPAL CCOMS-ICO© tool. METHODS A descriptive, cross-sectional cohort study was conducted in a tertiary hospital. The NECPAL tool identifies patients who require palliative care. Any patient with the Surprise Question with the answer "NO" and at least another question of the tool with a positive answer is considered a positive identification. Patients were classified as Non-NECPAL, NECPAL I-II, and NECPAL III, depending on the NECPAL tool criteria they met. The presence of physical symptoms, emotional distress, and social risk factors was assessed. RESULTS Of the 602 inpatients, 236 (39.2%) were enrolled. Of them, 34 (14.4%) non-NECPAL, 202 (85.6%) NECPAL+ [105 (44.5%) NECPAL I-II, and 97 (41.1%) NECPAL III]. Physical symptom burden was high (pain intensity ≥ 1 in 68.3% of patients; tiredness ≥ 1 in 83.5%; somnolence ≥ 1 in 50.6%; dyspnea ≥ 1 in 37.9%; anorexia ≥ 1 in 59.5%). 64.1% had emotional distress, and 83.6% had social risk factors. The NECPAL-III group contained a higher percentage of cancer patients, higher demand for palliative care, and greater need for palliative care (p < 0.001). In 50.8% of cases, no referrals were made to psychology, social work, or hospital palliative and supportive care teams. The three services with the higher number of patients with palliative care needs were: Palliative Care Unit (100%), Oncology (54.54%), and Emergency Short-stay Unit (54.16%). CONCLUSION A high percentage of patients admitted to tertiary care hospitals presented palliative care needs, with multiple unmet physical, emotional, and social needs. Less than 50% are referred to specialized care teams, such as hospital palliative and supportive care teams.
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Affiliation(s)
- Agnès Calsina-Berna
- grid.418701.b0000 0001 2097 8389Palliative Care Service. Research and knowledge group in palliative care of Catalan Institute of Oncology (GRICOPAL), Institut Català d’Oncologia-Badalona, Badalona, Spain
| | - Jordi Amblàs Novellas
- grid.440820.aCentral Catalonia Chronicity Research Group, Chair of Palliative Care, Faculty of Medicine, University of Vic-Central University of Catalonia, Vic, Spain
| | - Jesús González-Barboteo
- grid.418701.b0000 0001 2097 8389Palliative Care Service. Research and knowledge group in palliative care of Catalan Institute of Oncology (GRICOPAL), Institut Català d’Oncologia- L’Hospitalet. Hospitalet de Llobregat, Barcelona, Spain
| | - Ignasi Bardés Robles
- grid.411129.e0000 0000 8836 0780Emergency Department, Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Elba Beas Alba
- grid.418701.b0000 0001 2097 8389Chair of Palliative Care, Faculty of Medicine, The Qualy Observatory, WHO Collaborating Center for Palliative Care Public Health Programs, University of Vic/Central Catalonia, Catalan Institute of Oncology, Barcelona, Spain
| | - Marisa Martínez-Muñoz
- grid.418701.b0000 0001 2097 8389Chair of Palliative Care, Faculty of Medicine, The Qualy Observatory, WHO Collaborating Center for Palliative Care Public Health Programs, University of Vic/Central Catalonia, Catalan Institute of Oncology, Barcelona, Spain
| | | | - Xavier Gómez Batiste Alentorn
- grid.440820.aCentral Catalonia Chronicity Research Group, Chair of Palliative Care, Faculty of Medicine, University of Vic-Central University of Catalonia, Vic, Spain
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Sarrió RG, Calsina-Berna A, García AG, Esparza-Miñana JM, Ferrer EF, Porta-Sales J. Delphi consensus on strategies in the management of opioid-induced constipation in cancer patients. BMC Palliat Care 2021; 20:1. [PMID: 33388041 PMCID: PMC7778791 DOI: 10.1186/s12904-020-00693-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 12/07/2020] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Opioid-induced constipation (OIC) is a frequent and bothersome adverse event related with opioid therapy in cancer patients. Despite the high prevalence, medical management of OIC is often uncertain. The current project aimed to investigate expert opinion on OIC management and provide practical recommendations to improve the clinical approach of OIC in cancer patient. METHODS A modified Delphi method was conducted involving 46 different physicians experts in OIC. Using a structured questionnaire of 67 items this project intended to seek consensus on aspects related to diagnosis, treatment, and quality of life of cancer patients suffering with OIC. RESULTS After two rounds, a consensus was reached in 91% of the items proposed, all in agreement. Agreement was obtained on OIC definition (95.7%). Objective and patient-reported outcomes included in that definition should be assessed routinely in clinical practice. Responsive to symptom changes and easy-to-use assessment tools were recommended (87.2%). Successful diagnosis of OIC requires increase clinicians awareness of OIC and proactivity to discuss symptoms with their patients (100%). Successful management of OIC requires individualization of the treatment (100%), regular revaluation once is established, and keeping it for the duration of opioid treatment (91.5%). Oral Peripherally Acting μ-Opioid Receptor Agonists (PAMORAs), were considered good alternatives for the treatment of OIC in cancer patients (97.9%). This drugs and laxatives can be co-prescribed if OIC coexist with functional constipation. CONCLUSIONS The panelists, based on their expert clinical practice, presented a set of recommendations for the management of OIC in cancer patients.
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Affiliation(s)
- Regina Gironés Sarrió
- grid.84393.350000 0001 0360 9602Medical Oncology Department, Hospital Universitari i Politècnic La Fe, Avinguda Fernando Abril Martorell, 106, 46026 Valencia, Spain
| | - Agnès Calsina-Berna
- Department of palliative care, Institut Català d’Oncologia-Badalona (ICO-Badalona), Badalona, Spain
| | - Adoración Gozalvo García
- grid.411289.70000 0004 1770 9825Responsable de la Unidad de Hospitalización Domiciliaria, Hospital Universitario Doctor Peset, Valencia, Spain
| | - José Miguel Esparza-Miñana
- grid.440831.a0000 0004 1804 6963Escuela de Doctorado, Universidad Católica de Valencia San Vicente Mártir. Hospital de Manises, Valencia, Spain ,grid.84393.350000 0001 0360 9602Department of Anaesthesiology, Critical Care and Pain Treatment. Research Group in Perioperative Medicine, Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - Esther Falcó Ferrer
- grid.413457.0Medical Oncology Department. Hospital Son Llàtzer, Palma, Mallorca Spain
| | | | - Josep Porta-Sales
- Department of palliative care, Institut Català d’Oncologia-Girona (ICO-Girona), Girona, Spain
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Gómez-Batiste X, Turrillas P, Tebé C, Calsina-Berna A, Amblàs-Novellas J. NECPAL tool prognostication in advanced chronic illness: a rapid review and expert consensus. BMJ Support Palliat Care 2020; 12:e10-e20. [PMID: 32241958 DOI: 10.1136/bmjspcare-2019-002126] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Revised: 02/24/2020] [Accepted: 03/11/2020] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To develop a proposal for a 2-year mortality prognostic approach for patients with advanced chronic conditions based on the palliative care need (PCN) items of the NECesidades PALiativas (NECPAL) CCOMS-ICO V.3.1 2017 tool. METHODS A phase 1 study using three components based on the NECPAL items: (1) a rapid review of systematic reviews (SRs) on prognostic factors of mortality in patients with advanced chronic diseases and PCNs; (2) a clinician and statistician experts' consensus based on the Delphi technique on the selection of mortality prognostic factors; and (3) a panel meeting to discuss the findings of components (1) and (2). RESULTS Twenty SRs were included in a rapid review, and 50% were considered of moderate quality. Despite methodological issues, nutritional and functional decline, severe and refractory dyspnoea, multimorbidity, use of resources and specific disease indicators were found to be potentially prognostic variables for mortality across four clinical groups and end-of-life (EoL) trajectories: cancer, dementia and neurologic diseases, chronic organ failure and frailty. Experts' consensus added 'needs' identified by health professionals. However, clinicians were less able to discriminate which NECPAL items were more reliable for a 'general' model. A retrospective cohort study was designed to evaluate this proposal in phase 2. CONCLUSIONS We identified several parameters with prognostic value and linked them to the tool's utility to timely identify PCNs of patients with advanced chronic conditions in all settings of care. Initial results show this is a clinical and feasible tool, that will help with clinical pragmatic decision-making and to define services.
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Affiliation(s)
- Xavier Gómez-Batiste
- The 'Qualy' Observatory/WHO Collaborating Centre for Public Health Palliative Care Programmes, Institut Catala d' Oncologia, Barcelona, Spain .,Chair of Palliative Care, Faculty of Medicine, University of Vic ‒ Central University of Catalonia, Vic, Barcelona, Spain
| | - Pamela Turrillas
- The 'Qualy' Observatory/WHO Collaborating Centre for Public Health Palliative Care Programmes, Institut Catala d' Oncologia, Barcelona, Spain.,Chair of Palliative Care, Faculty of Medicine, University of Vic ‒ Central University of Catalonia, Vic, Barcelona, Spain
| | - Cristian Tebé
- Department of Statistics, Biomedical Research Institute of Bellvitge (IDIBELL), Barcelona, Spain
| | - Agnès Calsina-Berna
- The 'Qualy' Observatory/WHO Collaborating Centre for Public Health Palliative Care Programmes, Institut Catala d' Oncologia, Barcelona, Spain.,Chair of Palliative Care, Faculty of Medicine, University of Vic ‒ Central University of Catalonia, Vic, Barcelona, Spain
| | - Jordi Amblàs-Novellas
- Chair of Palliative Care, Faculty of Medicine, University of Vic ‒ Central University of Catalonia, Vic, Barcelona, Spain.,Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), University of Vic - Central University of Catalonia, Vic, Barcelona, Spain
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Girones Sarrio R, Falcó E, Gozalvo A, Esparza Miñana J, Calsina-Berna A, Porta Sales J. Consensus on strategies in the management of opioid-induced constipation in cancer patients. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz265.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Maté-Méndez J, González-Barboteo J, Calsina-Berna A, Mateo-Ortega D, Codorniu-Zamora N, Limonero-García JT, Trelis-Navarro J, Serrano-Bermúdez G, Gómez-Batiste X. The Institut Català D'Oncologia model of Palliative Care: An Integrated and Comprehensive Framework to Address the Essential needs of Patients with Advanced Cancer. J Palliat Care 2018. [DOI: 10.1177/082585971302900406] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Jorge Maté-Méndez
- X Gómez-Batiste (corresponding author) Department of Palliative Care, University of Vic, Vic and QUALY Observatory/WHO Collaborating Center for Public Health Palliative Care Programs, Institut Català d'Oncologia, Avinguda Gran Via de l’ Hospitalet 199–203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain
| | - Jesús González-Barboteo
- Psycho-oncology Unit, Institut Català d'Oncologia, L'Hospitalet de Llobregat and Research Group on Stress and Health, Faculty of Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Agnès Calsina-Berna
- Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat and Department of Palliative Care, University of Vic, Barcelona, Spain
| | - Dolors Mateo-Ortega
- Department of Palliative Care, University of Vic and QUALY Observatory/WHO Collaborating Center for Public Health Palliative Care Programs, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain; N Codorniu-Zamora, G Serrano-Bermúdez: Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain; JT Limonero-García: Research Group on Stress and Health, Faculty of Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain; J Trelis-Navarro:
| | - Núria Codorniu-Zamora
- Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat and Department of Palliative Care, University of Vic, Barcelona, Spain
| | - Joaquín T. Limonero-García
- Psycho-oncology Unit, Institut Català d'Oncologia, L'Hospitalet de Llobregat and Research Group on Stress and Health, Faculty of Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Jordi Trelis-Navarro
- Department of Palliative Care, University of Vic and QUALY Observatory/WHO Collaborating Center for Public Health Palliative Care Programs, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain; N Codorniu-Zamora, G Serrano-Bermúdez: Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain; JT Limonero-García: Research Group on Stress and Health, Faculty of Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain; J Trelis-Navarro:
| | - Gala Serrano-Bermúdez
- Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat and Department of Palliative Care, University of Vic, Barcelona, Spain
| | - Xavier Gómez-Batiste
- X Gómez-Batiste (corresponding author) Department of Palliative Care, University of Vic, Vic and QUALY Observatory/WHO Collaborating Center for Public Health Palliative Care Programs, Institut Català d'Oncologia, Avinguda Gran Via de l’ Hospitalet 199–203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain
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Gómez-Batiste X, Lasmarías C, Amblàs J, Costa X, Ela S, Mir S, Calsina-Berna A, Espaulella J, Santaugènia S, Pujol R, Geli MG, Calle C. Chair ICO/UVIC-UCC of palliative care at the University of Vic - Central University of Catalonia: an innovative multidisciplinary model of education, research and knowledge transfer. BMJ Support Palliat Care 2018; 9:e33. [PMID: 30518526 DOI: 10.1136/bmjspcare-2018-001656] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Revised: 10/26/2018] [Accepted: 10/31/2018] [Indexed: 11/03/2022]
Abstract
OBJECTIVES Generation and dissemination of knowledge is a relevant challenge of palliative care (PC). The Chair Catalan Institute of Oncology (ICO)/University of Vic (UVIC) of Palliative Care (CPC) was founded in 2012, as a joint project of the ICO and the University of Vic/Central of Catalonia to promote the development of PC with public health and community-oriented vision and academic perspectives. The initiative brought together professionals from a wide range of disciplines (PC, geriatrics, oncology, primary care and policy) and became the first chair of PC in Spain. We describe the experience of the CPC at its fifth year of implementation. METHODS Data collection from annual reports, publications, training and research activities. RESULTS Results for period 2012-2017 are classified into three main blocks: (1) Programme: (a) The advanced chronic care model (Palliative needs (NECPAL)); (b) the psychosocial and spiritual domains of care (Psychosocial needs (PSICPAL)); (c) advance care planning and shared decision making (Advance care planning (PDAPAL)); and (d) the compassive communities projects (Society involvement (SOCPAL)). (2) Education and training activities: (a) The master of PC, 13 editions and 550 professionals trained; (b) postgraduate course on psychosocial care, 4 editions and 140 professionals trained; and (c) workshops on specific topics, pregraduate training and online activities with a remarkable impact on the Spanish-speaking community. (3) Knowledge-transfer activities and research projects: (a) Development of 20 PhDs projects; and (b) 59 articles and 6 books published. CONCLUSION Being the first initiative of chair in PC in Spain, the CPC has provided a framework of multidisciplinary areas that have generated innovative experiences and projects in PC.
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Affiliation(s)
- Xavier Gómez-Batiste
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain .,The Qualy Observatory-WHO Collaborating Centre for Public Health Palliative Care Programs (WHOCC-ICO), Catalan Institute of Oncology, Barcelona, Spain.,Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), Universitat de Vic - University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
| | - Cristina Lasmarías
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain.,The Qualy Observatory-WHO Collaborating Centre for Public Health Palliative Care Programs (WHOCC-ICO), Catalan Institute of Oncology, Barcelona, Spain.,Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), Universitat de Vic - University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
| | - Jordi Amblàs
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain.,Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), Universitat de Vic - University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
| | - Xavier Costa
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain.,Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), Universitat de Vic - University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain.,Primary Care Team Torelló (Barcelona), Barcelona, Spain
| | - Sara Ela
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain.,The Qualy Observatory-WHO Collaborating Centre for Public Health Palliative Care Programs (WHOCC-ICO), Catalan Institute of Oncology, Barcelona, Spain
| | - Sarah Mir
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain.,Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), Universitat de Vic - University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
| | - Agnès Calsina-Berna
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain.,Comprehensive Support Unit, Catalan Institute of Oncology, Badalona, Spain
| | - Joan Espaulella
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain.,Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), Universitat de Vic - University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
| | - Sebastià Santaugènia
- Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), Universitat de Vic - University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain.,National Strategy of Integrated and Chronic Care, Ministry of Health, Government of Catalonia, Barcelona, Spain
| | - Ramon Pujol
- Chair in Palliative Care, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain
| | - Marina Geli Geli
- Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain
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Calsina-Berna A, Martinez-Muñoz M, Bardés Robles I, Beas Alba E, Madariaga Sánchez R, Gómez Batiste Alentorn X. Intrahospital Mortality and Survival of Patients with Advanced Chronic Illnesses in a Tertiary Hospital Identified with the NECPAL CCOMS-ICO© Tool. J Palliat Med 2018; 21:665-673. [DOI: 10.1089/jpm.2017.0339] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Affiliation(s)
- Agnès Calsina-Berna
- Comprehensive Support Unit, Catalan Institute of Oncology, Badalona, Spain
- Department of Palliative Care, University of Vic—Central University of Catalonia, Barcelona, Spain
| | - Marisa Martinez-Muñoz
- Department of Palliative Care, University of Vic—Central University of Catalonia, Barcelona, Spain
- The Qualy Observatory, WHO Collaborating Centre for Public Health Palliative Care Programs, Catalan Institute of Oncology, Barcelona, Spain
| | | | - Elba Beas Alba
- Department of Palliative Care, University of Vic—Central University of Catalonia, Barcelona, Spain
- The Qualy Observatory, WHO Collaborating Centre for Public Health Palliative Care Programs, Catalan Institute of Oncology, Barcelona, Spain
| | | | - Xavier Gómez Batiste Alentorn
- Department of Palliative Care, University of Vic—Central University of Catalonia, Barcelona, Spain
- The Qualy Observatory, WHO Collaborating Centre for Public Health Palliative Care Programs, Catalan Institute of Oncology, Barcelona, Spain
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Maté-Méndez J, González-Barboteo J, Calsina-Berna A, Mateo-Ortega D, Codorniu-Zamora N, Limonero-García JT, Trelis-Navarro J, Serrano-Bermúdez G, Gómez-Batiste X. The Institut Català d'Oncologia model of palliative care: an integrated and comprehensive framework to address the essential needs of patients with advanced cancer. J Palliat Care 2013; 29:237-243. [PMID: 24601075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Jorge Maté-Méndez
- Psycho-oncology Unit, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Jesús González-Barboteo
- Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Agnès Calsina-Berna
- Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain
| | | | - Núria Codorniu-Zamora
- Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Joaquín T Limonero-García
- Research Group on Stress and Health, Faculty of Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | | | - Gala Serrano-Bermúdez
- Palliative Care Service, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain
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Calsina-Berna A, García-Gómez G, González-Barboteo J, Porta-Sales J. Treatment of Chronic Hiccups in Cancer Patients: A Systematic Review. J Palliat Med 2012; 15:1142-50. [DOI: 10.1089/jpm.2012.0087] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Agnès Calsina-Berna
- Palliative Care Service, Institut Català d'Oncologia, Universitari de Bellvitge Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
- Palliative Care Research Group, Bellvitge Biomedical Research Institute, Universitari de Bellvitge Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
- San Diego Hospice, Institute for Palliative Medicine, San Diego, California
| | | | - Jesús González-Barboteo
- Palliative Care Service, Institut Català d'Oncologia, Universitari de Bellvitge Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
- Palliative Care Research Group, Bellvitge Biomedical Research Institute, Universitari de Bellvitge Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Josep Porta-Sales
- Palliative Care Service, Institut Català d'Oncologia, Universitari de Bellvitge Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
- Palliative Care Research Group, Bellvitge Biomedical Research Institute, Universitari de Bellvitge Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
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Calsina-Berna A, Moreno Millán N, González-Barboteo J, Solsona Díaz L, Porta Sales J. [Frequency of pain as a reason for visiting a primary care clinic and its influence on sleep]. Aten Primaria 2011; 43:568-75. [PMID: 21382651 PMCID: PMC7025114 DOI: 10.1016/j.aprim.2010.09.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2010] [Revised: 07/12/2010] [Accepted: 09/20/2010] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVES To determine the frequency of pain as a reason to visit a Primary Care doctor and to investigate the influence of pain on sleep disturbances. DESIGN Cross-sectional descriptive study. SETTING Urban Primary Health Care Centre. PARTICIPANTS The first five patients who came to the primary health care centre with an appointment were included. Those who came with pain were labelled as cases, the others as controls. MAIN MEASUREMENTS Socio-demographic variables, background, use of co-analgesics, Pittsburgh Sleep Quality Index (a global PSQI score greater than 5 indicated "poor sleepers"). For the cases, pain intensity was also assessed, chronology and kind of pain, the system affected and treatment. RESULTS A total of 206 patients were included and 31 excluded. The mean age was 50 years and 56% were women. Pain was the reason for consultation in 39% of the patients, of whom 78% had acute pain, 80% nociceptive, 75% incidental and 71% musculoskeletal. The average VAS score was 4.98. A total of 62% were receiving treatment according to the first step of the WHO pain ladder. Forty-five per cent of patients were categorized as "good sleepers". The multivariate analysis showed that acute pain (P=.022) and pain intensity (P=.035) in men appeared as independent factors of sleep disturbances; in women there were no statistically significant variables. CONCLUSIONS In our study, a high percentage of patients came to the primary health care centre for pain, mainly musculoskeletal. In men, there is a clear relationship between sleep disturbances, pain intensity and acute pain. Further research is needed to study this topic in depth, in order to alleviate pain and improve the sleep quality in our patients.
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Affiliation(s)
- Agnès Calsina-Berna
- Servicio de Cuidados Paliativos, Hospital Duran i Reynals, Institut Català d, Oncologia (ICO), Hospitalet de Llobregat, Barcelona, España.
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