23 results on '"Camblor Álvarez,Miguel"'
Search Results
2. Protocolo de implantación de un cribado para la detección precoz del riesgo nutricional en un hospital universitario
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García-Peris, Pilar, Velasco Gimeno, Cristina, Frías Soriano, Laura, Higuera Pulgar, Isabel, Bretón Lesmes, Irene, Camblor Álvarez, Miguel, Motilla de la Cámara, Marta, and Cuerda Compés, Cristina
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- 2019
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3. Evolution of nutritional status and survival in patients with cancer on tyrosine kinase inhibitors treatment
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Higuera-Pulgar, Isabel, Ribed, Almudena, Carrascal-Fabian, M. Luisa, Romero-Jiménez, Rosa M., Velasco-Gimeno, Cristina, Bretón-Lesmes, Irene, Camblor-Álvarez, Miguel, Cuerda-Compes, Cristina, and García-Peris, Pilar
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- 2019
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4. Evolución nutricional y de la supervivencia en un grupo de pacientes oncológicos en tratamiento con inhibidores de tirosina quinasa
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Higuera-Pulgar, Isabel, Ribed, Almudena, Carrascal-Fabian, M. Luisa, Romero-Jiménez, Rosa M., Velasco-Gimeno, Cristina, Bretón-Lesmes, Irene, Camblor-Álvarez, Miguel, Cuerda-Compes, Cristina, and García-Peris, Pilar
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- 2019
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5. Quo vadis, Endocrinology and nutrition?
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García Blasco, Lourdes, Camblor Álvarez, Miguel, Ferrer García, Juan Carlos, and Botella Romero, Francisco
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- 2019
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6. ¿Quo vadis, Endocrinología y Nutrición?
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García Blasco, Lourdes, Camblor Álvarez, Miguel, Ferrer García, Juan Carlos, and Botella Romero, Francisco
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- 2019
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7. Nutritional support and parenteral nutrition in cancer patients: An expert consensus report
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Ocón Bretón, María Julia, Luengo Pérez, Luis Miguel, Virizuela, Juan Antonio, Álvarez Hernández, Julia, Jiménez Fonseca, Paula, Cervera Peris, Mercedes, Sendrós Madroño, María José, Grande, Enrique, and Camblor Álvarez, Miguel
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- 2018
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8. Soporte nutricional y nutrición parenteral en el paciente oncológico: informe de consenso de un grupo de expertos
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Ocón Bretón, María Julia, Luengo Pérez, Luis Miguel, Virizuela, Juan Antonio, Álvarez Hernández, Julia, Jiménez Fonseca, Paula, Cervera Peris, Mercedes, Sendrós Madroño, María José, Grande, Enrique, and Camblor Álvarez, Miguel
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- 2018
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9. Clinical and economic impact of the taurolidine lock on home parenteral nutrition
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Arnoriaga Rodríguez, María, Pérez de Ciriza Cordeu, Maite, Camblor Álvarez, Miguel, Bretón Lesmes, Irene, Motilla de la Cámara, Marta, Velasco Gimeno, Cristina, Arhip, Loredana, García Peris, Pilar, and Cuerda Compés, Cristina
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Taurolidine ,Infecciones asociadas al catéter (IAC) ,Catheter-related bloodstream infection (CRBSI) ,Home parenteral nutrition (HPN) ,Taurolidina ,Nutrición parenteral domiciliaria (NPD) ,Costes ,Catéter venoso central (CVC) ,Central venous catheter (CVC) ,Costs - Abstract
Introduction: catheter-related bloodstream infections (CRBSI) are one of the most serious concerns in patients on home parenteral nutrition (HPN) which involve high morbidity and cost for the healthcare system. In the last years, taurolidine lock has proven to be beneficial in the prevention of CRBSI; however, the evidence of its efficiency is limited. Objective: to determine if taurolidine lock is a cost-effective intervention in patients on HPN. Materials and methods: retrospective study in patients on HPN with taurolidine lock. We compared the CRBSI rate and cost of its complications before and during taurolidine lock. Results: thirteen patients, six (46%) males and seven (54%) females, with a mean age of 61.08 (SD = 14.18) years received taurolidine lock. The total days of catheterization pre and per-taurolidine were 12,186 and 5,293, respectively. The underlying disease was benign in five patients (38.5%) and malignant in eight (61.5%). The CRBSI rate pre vs per-taurolidine was 3.12 vs 0.76 episodes per 1,000 catheter days (p = 0.0058). When the indication was a high CRBSI rate, this was 9.72 vs 0.39 (p < 0.001) in pre and per-taurolidine period respectively. No differences have been observed in the occlusion rates. None of the patients reported any adverse effects. The total cost of CRBSI in the pre-taurolidine period was 151,264.14 euros vs 24,331.19 euros in the per-taurolidine period. Conclusions: our study shows that taurolidine lock is a cost-effective intervention in patients on HPN with high risk of CRBSI. Resumen Introducción: las infecciones asociadas al catéter (IAC) son una de las complicaciones más serias en pacientes con nutrición parenteral domiciliara (NPD), generando una alta morbilidad y costes sanitarios. En los últimos años, el sellado con taurolidina ha demostrado ser eficaz en su prevención, si bien la evidencia en cuanto a su eficiencia es escasa. Objetivo: determinar si el sellado del catéter con taurolidina es una intervención coste-efectiva en pacientes con NPD. Materiales y métodos: estudio retrospectivo de pacientes con NPD que recibieron sellados con taurolidina. Comparamos la incidencia de IAC antes y durante el tratamiento y los costes asociados. Resultados: el estudio incluyó trece pacientes, seis (46%) varones y siete (54%) mujeres, con edad media de 61,08 (± 14,18) años y un seguimiento de 12.186 y 5.293 días antes y durante el uso de taurolidina. La enfermedad de base era benigna en cinco pacientes (38,5%) y maligna en ocho (61,5%). La tasa de IAC antes y durante el sellado con taurolidina fue de 3,12 vs. 0,76 episodios por 1.000/días de catéter (p = 0,0058). Cuando la indicación fue por alta tasa de IAC, esta fue de 9,72 vs. 0,39 (p < 0,001) episodios por 1.000/días de catéter antes y durante el tratamiento. No hubo diferencias en la tasa de oclusión del catéter en ambos periodos. No se reportaron efectos adversos. El coste total de las IAC antes y durante el uso de taurolidina fue de 151.264,14 euros vs. 24.331,19 euros. Conclusiones: nuestro estudio muestra que los sellados con taurolidina son coste-efectivos en pacientes con NPD con alta tasa de infección.
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- 2019
10. Soporte nutricional y nutrición parenteral en el paciente oncológico: informe de consenso de un grupo de expertos
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Camblor-Álvarez, Miguel, Ocón-Bretón, María-Julia, Luengo-Pérez, Luis-Miguel, Virizuela, Juan-Antonio, Sendrós-Madroño, María-José, Cervera-Peris, Mercedes, Grande, Enrique, Álvarez-Hernández, Julia, and Jiménez-Fonseca, Paula
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Parenteral Nutrition ,Soporte nutricional ,Enteral Nutrition ,Nutrición ,Nutrición enteral ,Home parenteral Nutrition ,Nutrición parenteral ,Nutrición parenteral domiciliaria ,Cáncer ,Nutritional support ,Nutrition ,Cancer - Abstract
Resumen Introducción: la malnutrición es un problema médico frecuente de los pacientes oncológicos que impacta de forma negativa en la calidad de vida. Objetivo: analizar y dar respuesta a diferentes cuestiones a la hora de afrontar el manejo nutricional de un paciente oncológico en la práctica clínica. Métodos: un grupo multidisciplinar de expertos en Oncología Médica, Farmacia y Nutrición elaboró una lista de temas relacionados con el estado nutricional del paciente oncológico que fueron agrupados en tres bloques: soporte nutricional; nutrición parenteral (NP); y nutrición parenteral domiciliaria (NPD) en el paciente oncológico. Se realizó una revisión de la literatura que incluyó artículos publicados en español, inglés y francés hasta febrero de 2017. El documento se estructuró como un cuestionario con aquellas preguntas que, según el criterio del panel, podrían generar mayor controversia o duda. Resultados: de las 18 cuestiones abordadas, 9 versaron sobre el soporte nutricional: 5 relacionadas con la NP y 4 trataron sobre la NPD. Dentro de las recomendaciones del panel destacar que, en el paciente oncológico, la NP está indicada principalmente cuando no es posible el uso del tubo digestivo y/o la alimentación oral y/o nutrición enteral no es suficiente o posible. Además, el objetivo de la NPD es mejorar o mantener, el estado de nutrición de un paciente en el ámbito domiciliario. Conclusiones: esta revisión constituye una herramienta para oncólogos y especialistas responsables del manejo nutricional del paciente con cáncer. Abstract Background: Malnutrition is a frequent medical problem of cancer patients that negatively impacts their quality of life. Objective: To analyze and respond to different issues related to the nutritional management of cancer patients in the clinical setting. Methods: A multidisciplinary group of experts in Medical Oncology, Pharmacy, and Nutrition developed a list of topics related to the nutritional status of cancer patients, which were grouped into three blocks: Nutritional support; Parenteral nutrition (PN); and Home PN (HPN) in cancer patients. A literature search, which included articles published in Spanish, English, and French until February 2017, was carried out. The document was organized as a questionnaire with those questions that, according to the panel's criteria, could generate greater controversy or doubt. Results: Of the 18 questions addressed, 9 focused on nutritional support: 5 were related to PN and 4 about HPN. Among the different recommendations, the panel emphasized that in the cancer patient, PN is indicated mainly when it is not possible to use the digestive tract and/or oral feeding and/or enteral nutrition is not sufficient or possible. Additionally, the objective of the HPN is to improve or maintain the nutritional status of a patient at home. Conclusions: This document seeks to lay down a set of recommendations and to identify key issues that may be useful for the nutritional management of cancer patients.
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- 2018
11. Soporte nutricional y nutrición parenteral en el paciente oncológico: informe de consenso de un grupo de expertos.
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Camblor Álvarez, Miguel, Ocón Bretón, María Julia, Luengo Pérez, Luis Miguel, Antonio Virizuela, Juan, Sendrós Madroño, María José, Cervera Peris, Mercedes, Grande, Enrique, Álvarez Hernández, Julia, and Jiménez Fonseca, Paula
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Background: Malnutrition is a frequent medical problem of cancer patients that negatively impacts their quality of life. Objective: To analyze and respond to different issues related to the nutritional management of cancer patients in the clinical setting. Methods: A multidisciplinary group of experts in Medical Oncology, Pharmacy, and Nutrition developed a list of topics related to the nutritional status of cancer patients, which were grouped into three blocks: Nutritional support; Parenteral nutrition (PN); and Home PN (HPN) in cancer patients. A literature search, which included articles published in Spanish, English, and French until February 2017, was carried out. The document was organized as a questionnaire with those questions that, according to the panel's criteria, could generate greater controversy or doubt. Results: Of the 18 questions addressed, 9 focused on nutritional support: 5 were related to PN and 4 about HPN. Among the different recommendations, the panel emphasized that in the cancer patient, PN is indicated mainly when it is not possible to use the digestive tract and/or oral feeding and/ or enteral nutrition is not sufficient or possible. Additionally, the objective of the HPN is to improve or maintain the nutritional status of a patient at home. Conclusions: This document seeks to lay down a set of recommendations and to identify key issues that may be useful for the nutritional management of cancer patients. [ABSTRACT FROM AUTHOR]
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- 2020
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12. Clinical and economic impact of the taurolidine lock on home parenteral nutrition
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Arnoriaga Rodríguez, María, primary, Pérez de Ciriza Cordeu, Maite, additional, Camblor Álvarez, Miguel, additional, Bretón Lesmes, Irene, additional, Motilla de la Cámara, Marta, additional, Velasco Gimeno, Cristina, additional, Arhip, Loredana, additional, García-Peris, Pilar, additional, and Cuerda Compés, Cristina, additional
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- 2018
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13. Soporte nutricional y nutrición parenteral en el paciente oncológico: informe de consenso de un grupo de expertos
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Camblor-Álvarez, Miguel, primary, Ocón-Bretón, María Julia, additional, Luengo-Pérez, Luis Miguel, additional, Viruzuela, Juan Antonio, additional, Sendrós-Maroño, María José, additional, Cervera-Peris, Mercedes, additional, Grande, Enrique, additional, Álvarez-Hernández, Julia, additional, and Jiménez-Fonseca, Paula, additional
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- 2018
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14. Ingesta dietética y estado nutricional de pacientes oncológicos que inician tratamiento con inhibidores tirosina quinasa
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Higuera-Pulgar, Isabel, Ribed, Almudena, Carrascal-Fabian, M.ª Luisa, Bretón-Lesmes, Irene, Romero-Jiménez, Rosa M.ª, Cuerda-Compes, Cristina, Velasco-Gimeno, Cristina, Camblor-Álvarez, Miguel, and García-Peris, Pilar
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Ingesta dietética ,Antineoplastic agent ,Nutrition status ,Estado nutricional ,Dietary intake ,Patrones dietéticos ,Dietary patterns ,Antineoplásico oral - Abstract
Introduccion: la investigacion sobre nuevos antineoplasicos orales sigue avanzando en los ultimos anos mientras que su repercusion sobre la ingesta dietetica y el estado nutricional (EN) no progresa de la misma forma. Objetivos: evaluar la ingesta dietetica y EN de pacientes que inician tratamiento con inhibidores tirosina quinasa (ITK) y valorar el impacto que tienen sobre ellos. Metodos: estudio observacional y prospectivo de seis meses en el que se incluyeron pacientes que iniciaban tratamiento con ITK. La ingesta se evaluo con: recuerdo 24 h y cuestionario de frecuencia de consumo. El EN se valoro con: medidas antropometricas y cuestionario de valoracion subjetiva global generada por el paciente (VSGGP); los resultados se compararon con las referencias SENC-semFYC, 2007 y Moreiras O., 2013. Para el analisis estadistico se utilizaron: Test de Friedman, χ2, Wilcoxon, Kruskall-Wallis y Mann-Whitney. Significacion p
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- 2015
15. Implantación de un sistema de gestión de calidad en una unidad de nutrición según la norma UNE-EN-ISO 9001:2008
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Velasco Gimeno, Cristina, Cuerda Compés, Cristina, Alonso Puerta, Alba, Frías Soriano, Laura, Camblor Álvarez, Miguel, Bretón Lesmes, Irene, Plá Mestre, Rosa, Izquierdo Membrilla, Isabel, and García-Peris, Pilar
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Quality management system ,Clinical nutrition ,2008 [ISO 9001] ,Nutrición clínica ,Sistema de gestión de calidad - Abstract
Introducción: la implantación de sistemas de gestión de calidad (SGC) en el sector sanitario ha presentado un gran avance en los últimos años, siendo una herramienta clave para la gestión y la mejora de los servicios ofrecidos a los pacientes. Objetivo: describir el proceso de implantación de un SGC según la Norma ISO 9001:2008 en una unidad de nutrición. Material y métodos: el proceso comenzó en octubre de 2012. Se contó con la asesoría del servicio de medicina preventiva y gestión de calidad (MPGC) del hospital. Al inicio se realizaron sesiones formativas sobre SGC y normas ISO para el personal. Se instauró un comité de calidad (CC) con representación del personal facultativo y de enfermería. Semanalmente, se reunían los miembros del CC y del servicio de MPGC para definir los procesos, los procedimientos y los indicadores de calidad. Antes de validarlos se probaron durante dos meses. Resultados: se identificaron y documentaron un total de 4 procesos (Valoración del estado nutricional, Indicación de tratamiento nutricional, Seguimiento del tratamiento nutricional y Planificación y control de la alimentación oral) y 13 procedimientos operativos donde quedó recogida toda la actividad de la unidad. Las interacciones entre ellos quedaron definidas en el mapa de procesos. En cada uno de los procesos se identificaron indicadores de calidad para medir el estado del SGC y detectar oportunidades de mejora. Se desarrollaron todos los documentos asociados a requerimientos de la Norma ISO 9001:2008: política de calidad, objetivos de calidad, manual de calidad, procedimiento de control de la documentación y registros, de auditoría interna, de no conformidad y de acciones correctivas y preventivas. La unidad obtuvo la certificación de AENOR en abril de 2013. Conclusiones: la implantación de un SGC supone hacer una reflexión sobre las actividades que realiza la unidad con el objetivo de satisfacer las expectativas de los usuarios que demandan nuestros servicios. Documentar dichas actividades asegura un mejor entendimiento de la organización, define las responsabilidades de todo el personal y provoca una mejor gestión del tiempo y los recursos. También mejora la comunicación interna y supone un elemento motivador. Explorar la satisfacción y expectativas de los pacientes permite incluir su punto de vista en el diseño de los procesos asistenciales. Introduction: the implementation of quality management systems (QMS) in the health sector has made great progress in recent years, remains a key tool for the management and improvement of services provides to patients. Aim: to describe the process of implementing a quality management system (QMS) according to the standard ISO 9001:2008 in a Nutrition Unit. Methods: the implementation began in October 2012. Nutrition Unit was supported by Hospital Preventive Medicine and Quality Management Service (PMQM). Initially training sessions on QMS and ISO standards for staff were held. Quality Committee (QC) was established with representation of the medical and nursing staff. Every week, meeting took place among members of the QC and PMQM to define processes, procedures and quality indicators. We carry on a 2 months follow-up of these documents after their validation. Results: a total of 4 processes were identified and documented (Nutritional status assessment, Nutritional treatment, Monitoring of nutritional treatment and Planning and control of oral feeding) and 13 operating procedures in which all the activity of the Unit were described. The interactions among them were defined in the processes map. Each process has associated specific quality indicators for measuring the state of the QMS, and identifying opportunities for improvement. All the documents associated with requirements of ISO 9001:2008 were developed: quality policy, quality objectives, quality manual, documents and records control, internal audit, nonconformities and corrective and preventive actions. The unit was certified by AENOR in April 2013. Conclusion: the implementation of a QMS causes a reorganization of the activities of the Unit in order to meet customer's expectations. Documenting these activities ensures a better understanding of the organization, defines the responsibilities of all staff and brings a better management of time and resources. QMS also improves the internal communication and is a motivational element. Explore the satisfaction and expectations of patients can include their view in the design of care processes.
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- 2015
16. Implantación de un sistema de gestión de calidad en una unidad de nutrición según la norma UNE-EN-ISO 9001:2008
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Velasco Gimeno,Cristina, Cuerda Compés,Cristina, Alonso Puerta,Alba, Frías Soriano,Laura, Camblor Álvarez,Miguel, Bretón Lesmes,Irene, Plá Mestre,Rosa, Izquierdo Membrilla,Isabel, and García-Peris,Pilar
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2008 [ISO 9001] ,Nutrición clínica ,Sistema de gestión de calidad - Abstract
Introducción: la implantación de sistemas de gestión de calidad (SGC) en el sector sanitario ha presentado un gran avance en los últimos años, siendo una herramienta clave para la gestión y la mejora de los servicios ofrecidos a los pacientes. Objetivo: describir el proceso de implantación de un SGC según la Norma ISO 9001:2008 en una unidad de nutrición. Material y métodos: el proceso comenzó en octubre de 2012. Se contó con la asesoría del servicio de medicina preventiva y gestión de calidad (MPGC) del hospital. Al inicio se realizaron sesiones formativas sobre SGC y normas ISO para el personal. Se instauró un comité de calidad (CC) con representación del personal facultativo y de enfermería. Semanalmente, se reunían los miembros del CC y del servicio de MPGC para definir los procesos, los procedimientos y los indicadores de calidad. Antes de validarlos se probaron durante dos meses. Resultados: se identificaron y documentaron un total de 4 procesos (Valoración del estado nutricional, Indicación de tratamiento nutricional, Seguimiento del tratamiento nutricional y Planificación y control de la alimentación oral) y 13 procedimientos operativos donde quedó recogida toda la actividad de la unidad. Las interacciones entre ellos quedaron definidas en el mapa de procesos. En cada uno de los procesos se identificaron indicadores de calidad para medir el estado del SGC y detectar oportunidades de mejora. Se desarrollaron todos los documentos asociados a requerimientos de la Norma ISO 9001:2008: política de calidad, objetivos de calidad, manual de calidad, procedimiento de control de la documentación y registros, de auditoría interna, de no conformidad y de acciones correctivas y preventivas. La unidad obtuvo la certificación de AENOR en abril de 2013. Conclusiones: la implantación de un SGC supone hacer una reflexión sobre las actividades que realiza la unidad con el objetivo de satisfacer las expectativas de los usuarios que demandan nuestros servicios. Documentar dichas actividades asegura un mejor entendimiento de la organización, define las responsabilidades de todo el personal y provoca una mejor gestión del tiempo y los recursos. También mejora la comunicación interna y supone un elemento motivador. Explorar la satisfacción y expectativas de los pacientes permite incluir su punto de vista en el diseño de los procesos asistenciales.
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- 2015
17. Nutrición Parenteral Domiciliaria: satisfacción de los pacientes y sus cuidadores con la Unidad de Nutrición Clínica y el Servicio de Farmacia
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Arrabal Duran, Paula, Romero Jiménez, Rosa María, Cuerda Compes, Cristina, Camblor Álvarez, Miguel, Bretón Lesmes, Irene, Lorenzo Pinto, Ana de, Buendía Bravo, Silvia, Frías Soriano, Laura, García Peris, Pilar, and Sanjurjo Sáez, María
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Encuesta ,Atención domiciliaria ,Patient's satisfaction ,Home-based Parenteral Nutrition ,Home assistance ,Satisfacción del paciente ,Survey ,Nutrición Parenteral Domiciliaria - Abstract
Introducción: La Nutrición Parenteral Domiciliaria (NPD) es una práctica en continuo crecimiento por las importantes ventajas que presenta para el paciente y el sistema sanitario. En la investigación de los resultados en salud resulta hoy en día fundamental evaluar el punto de vista del paciente. Dentro de las medidas centradas en el paciente con NPD se han realizado varios estudios sobre la calidad de vida, pero no se ha evaluado el grado de satisfacción con esta modalidad de tratamiento. Objetivos: Evaluar el grado de satisfacción de los pacientes que reciben NPD y sus cuidadores con los médicos, farmacéuticos y enfermeros de hospital. Métodos: Se repartió una encuesta anónima y que constaba de 48 preguntas cerradas a los pacientes que recibían NPD y a sus cuidadores, los cuales contestaron de forma voluntaria. Con las respuestas recogidas se creó una base de datos en el programa SPSS con las siguientes variables: datos personales, socioculturales, clínicos y relacionados con la NPD y valoración del personal sanitario implicado (área de nutrición del Servicio de Farmacia y Unidades Médica y de Enfermería de Nutrición) y de las instalaciones del hospital relacionadas con la NPD. También se incluyó un apartado de sugerencias con respuesta abierta. Resultados: Se repartieron 24 encuestas, 12 a pacientes y 12 a cuidadores. La tasa de respuesta fue un 91,7% en el caso de los pacientes y un 58,3% en los cuidadores. El 63,6% de los pacientes y el 42,9% de los cuidadores eran mujeres. La media de edad fue, respectivamente, 46,1 años (DE: 13,7) y 47,0 años (DE: 3,6). La mayoría de los pacientes (54,5%) y de los cuidadores (42,9%) tenían estudios secundarios y eran pensionistas (72,7% y 71,4%, respectivamente). Las enfermedades de base de los pacientes fueron: enteritis rádica (27,3%), obstrucción intestinal (18,2%), carcinomatosis intestinal (45,5%) y enfermedad de Crohn (9,1%). Con respecto a los ítems que evaluaban la satisfacción con médicos, enfermeros y farmacéuticos, en general tanto pacientes como cuidadores estuvieron satisfechos. Las sugerencias recogidas fueron: mayor amplitud del horario de entrega de la NPD e inclusión de información audiovisual. Conclusiones: El grado de satisfacción de los pacientes que reciben NPD y sus cuidadores con el servicio dado por médicos, enfermeros y farmacéuticos es adecuado, aunque se pueden introducir mejoras para optimizar la calidad de todo el proceso. Introduction: Home Parenteral Nutrition (HPN) is a practice in continually growing by the significant advantages involved for the patient and the healthcare system. Today, in the investigation of health outcomes is essential to assess the patient s opinion. Among the measures focused on patients with HPN, several studies about quality of life have been done, but the degree of satisfaction with this treatment modality has not been evaluated. Objective: To evaluate the degree of satisfacion of patients and their caregivers receiving HPN with doctors, pharmacists and nurses in a hospital. Material and methods: An anonymous survey was distributed, which consisted of 48 closed questions to patients and their caregivers receiving HPN who voluntarily answered. With survey responses a database in SPSS with the following variables was created: personal, sociocultural, clinical and related to HPN data and valoration of health personnel involved (nutrition area of the Pharmacy Service and Nursing and Medical Nutrition Units) and hospital facilities related to HPN. Also a section of open response suggestions was included. Results: 24 surveys were distributed, 12 to patients and 12 to caregivers. Response rate was 91.7% in the case of patients and 58.3% in the caregivers. 63.6% of patients and 42.9% of caregivers were women. Mean age was, respectively, 46.1 years (SD: 13.7) and 47.0 years (SD: 3.6). Most of patients (55.6%) and caregivers (60.0%) had secondary studies and were pensoniers (72.7% and 71.4%, respectively). Underlying diseases of patients were: radiation enteritis (27.3%), intestinal obstruction (18.2%), intestinal carcinomatosis (45.5%) and Chron s disease (9.1%). With respect to items assessing satisfaction with physicians, nurses and pharmacists, in general both patients and caregivers were satisfied. Suggestions made were: greater amplitude of delivery schedule of HPN and inclusion of audiovisual information. Conclusions: The degree of satisfaction of patients receiving HPN and their caregivers with the care given by doctors, pharmacists and nurses is appropriate, but it s possible to make improvements to optimize the quality of the whole process.
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- 2014
18. ¿Quo vadis,Endocrinología y Nutrición?
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García Blasco, Lourdes, Camblor Álvarez, Miguel, Ferrer García, Juan Carlos, and Botella Romero, Francisco
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En España, la elección de la especialidad se realiza vía examen médico interno residente (MIR). El número de elección de plaza MIR puede reflejar el interés por una especialidad. El objetivo del estudio es corroborar el aumento del número de elección y analizar los posibles factores influyentes a la hora de elegirla.
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- 2019
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19. Soporte nutricional y nutrición parenteral en el paciente oncológico: informe de consenso de un grupo de expertos Nutritional support and parenteral nutritio.
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Álvarez, Miguel Camblor, Bretón, María Julia Ocón, Pérez, Luis Miguel Luengo, Virizuela, Juan Antonio, Madroño, María José Sendrós, Peris, Mercedes Cervera, Grande, Enrique, Hernández, Julia Álvarez, Fonseca, Paula Jiménez, Camblor-Álvarez, Miguel, Ocón-Bretón, María Julia, Luengo-Pérez, Luis Miguel, Viruzuela, Juan Antonio, Sendrós-Maroño, María José, Cervera-Peris, Mercedes, Álvarez-Hernández, Julia, and Jiménez-Fonseca, Paula
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TUMOR treatment , *CONSENSUS (Social sciences) , *DIET therapy , *HOME care services , *NUTRITION , *PARENTERAL feeding , *TUMORS , *DISEASE complications - Abstract
Background: Malnutrition is a frequent medical problem of cancer patients that negatively impacts their quality of life.Objective: To analyze and respond to different issues related to the nutritional management of cancer patients in the clinical setting.Methods: A multidisciplinary group of experts in Medical Oncology, Pharmacy, and Nutrition developed a list of topics related to the nutritional status of cancer patients, which were grouped into three blocks: Nutritional support; Parenteral nutrition (PN); and Home PN (HPN) in cancer patients. A literature search, which included articles published in Spanish, English, and French until February 2017, was carried out. The document was organized as a questionnaire with those questions that, according to the panel's criteria, could generate greater controversy or doubt.Results: Of the 18 questions addressed, 9 focused on nutritional support: 5 were related to PN and 4 about HPN. Among the different recommendations, the panel emphasized that in the cancer patient, PN is indicated mainly when it is not possible to use the digestive tract and/or oral feeding and/or enteral nutrition is not sufficient or possible. Additionally, the objective of the HPN is to improve or maintain the nutritional status of a patient at home.Conclusions: This document seeks to lay down a set of recommendations and to identify key issues that may be useful for the nutritional management of cancer Patients. [ABSTRACT FROM AUTHOR]- Published
- 2018
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- View/download PDF
20. [Nutritional support and parenteral nutrition in the oncological patient: an expert group consensus report].
- Author
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Camblor-Álvarez M, Ocón-Bretón MJ, Luengo-Pérez LM, Viruzuela JA, Sendrós-Maroño MJ, Cervera-Peris M, Grande E, Álvarez-Hernández J, and Jiménez-Fonseca P
- Subjects
- Consensus, Humans, Neoplasms complications, Nutritional Support standards, Nutritional Support statistics & numerical data, Parenteral Nutrition standards, Parenteral Nutrition statistics & numerical data, Parenteral Nutrition, Home, Neoplasms therapy, Nutritional Support methods, Parenteral Nutrition methods
- Abstract
Background: Malnutrition is a frequent medical problem of cancer patients that negatively impacts their quality of life., Objective: To analyze and respond to different issues related to the nutritional management of cancer patients in the clinical setting., Methods: A multidisciplinary group of experts in Medical Oncology, Pharmacy, and Nutrition developed a list of topics related to the nutritional status of cancer patients, which were grouped into three blocks: Nutritional support; Parenteral nutrition (PN); and Home PN (HPN) in cancer patients. A literature search, which included articles published in Spanish, English, and French until February 2017, was carried out. The document was organized as a questionnaire with those questions that, according to the panel's criteria, could generate greater controversy or doubt., Results: Of the 18 questions addressed, 9 focused on nutritional support: 5 were related to PN and 4 about HPN. Among the different recommendations, the panel emphasized that in the cancer patient, PN is indicated mainly when it is not possible to use the digestive tract and/or oral feeding and/or enteral nutrition is not sufficient or possible. Additionally, the objective of the HPN is to improve or maintain the nutritional status of a patient at home., Conclusions: This document seeks to lay down a set of recommendations and to identify key issues that may be useful for the nutritional management of cancer Patients.
- Published
- 2018
- Full Text
- View/download PDF
21. [IMPLEMENTATION OF A QUALITY MANAGEMENT SYSTEM IN A NUTRITION UNIT ACCORDING TO ISO 9001:2008].
- Author
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Velasco Gimeno C, Cuerda Compés C, Alonso Puerta A, Frías Soriano L, Camblor Álvarez M, Bretón Lesmes I, Plá Mestre R, Izquierdo Membrilla I, and García-Peris P
- Subjects
- Hospital Departments, Humans, Nutrition Therapy standards, Quality Assurance, Health Care methods, Quality Assurance, Health Care organization & administration
- Abstract
Introduction: the implementation of quality management systems (QMS) in the health sector has made great progress in recent years, remains a key tool for the management and improvement of services provides to patients., Aim: to describe the process of implementing a quality management system (QMS) according to the standard ISO 9001:2008 in a Nutrition Unit., Methods: the implementation began in October 2012. Nutrition Unit was supported by Hospital Preventive Medicine and Quality Management Service (PMQM). Initially training sessions on QMS and ISO standards for staff were held. Quality Committee (QC) was established with representation of the medical and nursing staff. Every week, meeting took place among members of the QC and PMQM to define processes, procedures and quality indicators. We carry on a 2 months follow-up of these documents after their validation., Results: a total of 4 processes were identified and documented (Nutritional status assessment, Nutritional treatment, Monitoring of nutritional treatment and Planning and control of oral feeding) and 13 operating procedures in which all the activity of the Unit were described. The interactions among them were defined in the processes map. Each process has associated specific quality indicators for measuring the state of the QMS, and identifying opportunities for improvement. All the documents associated with requirements of ISO 9001:2008 were developed: quality policy, quality objectives, quality manual, documents and records control, internal audit, nonconformities and corrective and preventive actions. The unit was certified by AENOR in April 2013., Conclusion: the implementation of a QMS causes a reorganization of the activities of the Unit in order to meet customer's expectations. Documenting these activities ensures a better understanding of the organization, defines the responsibilities of all staff and brings a better management of time and resources. QMS also improves the internal communication and is a motivational element. Explore the satisfaction and expectations of patients can include their view in the design of care processes., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2015
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22. [DIETARY INTAKE AND NUTRITIONAL STATUS IN ONCOLOGY PATIENTS WHO START TREATMENT WITH TYROSINE KINASE INHIBITORS].
- Author
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Higuera-Pulgar I, Ribed A, Carrascal-Fabian ML, Bretón-Lesmes I, Romero-Jiménez RM, Cuerda-Compes C, Velasco-Gimeno C, Camblor-Álvarez M, and García-Peris P
- Subjects
- Body Weights and Measures, Diet Records, Feeding Behavior, Female, Humans, Male, Nutrition Assessment, Nutritional Requirements, Antineoplastic Agents therapeutic use, Diet, Energy Intake, Neoplasms drug therapy, Nutritional Status, Protein Kinase Inhibitors therapeutic use
- Abstract
Background: in recent years, researching about new oral antineoplastics has progressed while its impact on dietary intake and nutritional status (NS) hasn't developed enough yet., Objectives: dietary intake and NS assessment in patients who start treatment with tyrosine kinase inhibitors (TKI) and evaluate its impact on them., Methods: an observational, prospective-six-months study, in which were included patients starting treatment with TKI. The intake was evaluated by a 24 h dietary record and a food frequency questionnaire. The NS was evaluated by anthropometric measurements and the patient-generated Global Subjective Assessment (PG-GSA); the results were compared with the Spanish references (SENC-semFYC, 2007 and O. Moreiras, 2013). Friedman test, χ2, Wilcoxon, Kruskal-Wallis and Mann-Whitney were used in the statistical analysis. Significance p < 0.05., Results: 22 patients (54.5% male) were included. At baseline, NS was adequate in 73.9% of patients according PG-GSA. Weight loss was no significant, although a high percentage of the energy and protein requirements hadn't been reached. The caloric intake was positively related with the number of meals. Dietary habits did not change during treatment., Conclusion: dietary intake did not reach nutritional requirements at baseline. The TKI don't seem to affect the patient's intake and nutritional status. The research about these parameters before starting treatment could prevent future complications and it would guide the dietary advice., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
23. [Home parenteral nutrition; satisfaction of patients and their caregivers with nutrition unit and pharmacy service].
- Author
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Arrabal Durán P, Romero Jiménez RM, Cuerda Compes C, Camblor Álvarez M, Bretón Lesmes I, De Lorenzo Pinto A, Buendía Bravo S, Frías Soriano L, García Peris P, and Sanjurjo Sáez M
- Subjects
- Adult, Aged, Caregivers psychology, Female, Health Care Surveys, Humans, Male, Middle Aged, Nurses, Parenteral Nutrition, Home psychology, Pharmacists, Physicians, Surveys and Questionnaires, Caregivers statistics & numerical data, Parenteral Nutrition, Home statistics & numerical data, Patient Satisfaction, Pharmacy Service, Hospital organization & administration
- Abstract
Introduction: Home Parenteral Nutrition (HPN) is a practice in continually growing by the significant advantages involved for the patient and the healthcare system. Today, in the investigation of health outcomes is essential to assess the patient s opinion. Among the measures focused on patients with HPN, several studies about quality of life have been done, but the degree of satisfaction with this treatment modality has not been evaluated., Objective: To evaluate the degree of satisfacion of patients and their caregivers receiving HPN with doctors, pharmacists and nurses in a hospital., Material and Methods: An anonymous survey was distributed, which consisted of 48 closed questions to patients and their caregivers receiving HPN who voluntarily answered. With survey responses a database in SPSS with the following variables was created: personal, sociocultural, clinical and related to HPN data and valoration of health personnel involved (nutrition area of the Pharmacy Service and Nursing and Medical Nutrition Units) and hospital facilities related to HPN. Also a section of open response suggestions was included., Results: 24 surveys were distributed, 12 to patients and 12 to caregivers. Response rate was 91.7% in the case of patients and 58.3% in the caregivers. 63.6% of patients and 42.9% of caregivers were women. Mean age was, respectively, 46.1 years (SD: 13.7) and 47.0 years (SD: 3.6). Most of patients (55.6%) and caregivers (60.0%) had secondary studies and were pensoniers (72.7% and 71.4%, respectively). Underlying diseases of patients were: radiation enteritis (27.3%), intestinal obstruction (18.2%), intestinal carcinomatosis (45.5%) and Chron s disease (9.1%). With respect to items assessing satisfaction with physicians, nurses and pharmacists, in general both patients and caregivers were satisfied. Suggestions made were: greater amplitude of delivery schedule of HPN and inclusion of audiovisual information., Conclusions: The degree of satisfaction of patients receiving HPN and their caregivers with the care given by doctors, pharmacists and nurses is appropriate, but it s possible to make improvements to optimize the quality of the whole process., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
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