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5 results on '"Zugazabeitia, L."'

1. Are there enough radiation oncologists to lead the new Spanish radiotherapy?

Author

Rodriguez A, Arenas M, Lara P, Lopez-Torrecilla J, Algara M, Conde A, Perez-Montero H, Munoz J, Peleteiro P, Perez-Calatayud M, Contreras J, Ferrer C, Ortiz M, Exposito J, Palacios A, Herruzo I, Medina J, Martinez M, Bayo E, Jaen J, Peracaula F, Perez C, Ramos M, Gonzalez J, Begara J, Nuno C, Bezares A, Serradilla A, Lazo A, Tejedor M, Mendez L, Juan G, Olay L, Pardo J, Noe A, Mestre F, Oton C, Fuentes C, Prada P, Perez L, Lozano E, Villas M, Tripero J, Lobo R, Munoz M, Tisaire J, Fernandez J, Teijeira M, Rodriguez J, Perez-Romasanta L, Lopez F, Rodriguez D, Ceballos A, Cantalapiedra R, Biete A, Craven J, Pedro A, Giralt J, Guedea F, Villa S, Sole J, Eraso A, Carceller J, Guix B, Miralbell R, Casals J, Gonzalez P, Duarte M, Jerez J, Marino A, Gomez-Caamano A, Munoz V, Lopez M, Zugazabeitia L, Torrado-Moya L, Ossola G, Morera R, Murillo M, Sancho S, Perez-Regadera J, Lozano M, Vazquez G, Lopez E, de la Fuente C, Samper P, Ludena B, Saez J, Azinovic I, Rubio C, del Cerro E, Carballo N, Sotoca-Ruiz A, Garcia R, Salinas J, Fondevilla A, Martinez-Monge R, Martinez E, Alia A, Ciria J, Rosa J, Bilbao P, Martin J, Casquero F, Arribas L, Tormo A, Ferrer E, Larrea L, Soler M, Garcia E, Soler P, Santos M, Canon R, Miro A, and Spanish Soc Oncology Radiotherapy

Subjects
Spain, Radiotherapy staffing needs, Radiation oncologists
Abstract

Aim Radiation oncology services in Spain are undergoing a process of technical modernization, but-in a context of increasing demand by an ageing population-it is unclear whether there are enough radiation oncologists to staff the newly equipped units. This study aims to assess the number of specialists working in radiation oncology services in Spain relative to current and future needs. Materials and methods In the second half of 2017, the Commission on Infrastructures of the Spanish Society for Radiation Oncology (SEOR) sent a questionnaire on radiation oncology staff to the heads of all 122 public (n = 76, 62%) and private (n = 46, 38%) radiation oncology services in Spain. Data collected were the number of professionals, their position, and their year of birth for specialists and residents in each service. In the descriptive analysis, for continuous variables we calculated means, standard deviations and ranges for each Spanish region and work post. For qualitative variables, we constructed frequency tables. All analyses were performed with R statistical software, version 3.5.1. Results The survey response rate was 100% among service heads across all 122 centers. The total number of radiation oncologists working in these centers is 721, or 15.4 per million population, with considerable variations between regions. Given the national recommendations to have 20 radiation oncologists per million population, there is currently a deficit of 204 specialists. If the 163 upcoming retirements are also taken into account, there will be 367 fewer radiation oncologists than required to meet the 25% increase in indications for radiotherapy projected for 2025. Conclusions The classic model for calculating staff needs based on the number of treatments is outdated, and recommendations should be revised to reflect the current reality. A new model should integrate the most complex technological advances and emerging plans in radiotherapy, without neglecting the other activities carried out in radiation oncology services that are not directly linked to patient care.

Published
2019

2. An epidemiological evaluation of the prevalence of malnutrition in Spanish patients with locally advanced or metastatic cancer.

Author

Segura, A, Pardo, J, Jara, C, Zugazabeitia, L, Carulla, J, de Las Peñas, R, García-Cabrera, E, Luz Azuara, M, Casadó, J, Gómez-Candela, C, Segura, A, Pardo, J, Jara, C, Zugazabeitia, L, Carulla, J, de Las Peñas, R, García-Cabrera, E, Luz Azuara, M, Casadó, J, and Gómez-Candela, C

Abstract

OBJECTIVE: Malnutrition is frequent in cancer. The objective of this study was to determine the prevalence, in Spain, of malnutrition in cancer patients with advanced disease and to assess the therapeutic focus. METHODS: A total of 781 patients were evaluated to determine individual nutritional status using the Scored Patient Generated-Subjective Global Assessment (Scored PG-SGA) questionnaire. Almost 60% of the patients included were receiving cancer treatment. RESULTS: Patients with the highest weight loss were those with tumours of oesophagus (57%), stomach (50%) and larynx (47%). Serious eating problems were encountered by 68% of the patients; the principal problem being anorexia (42.2%). The median number of symptoms impeding food intake was 2. According to the Scored PG-SGA, 52% of the patients were moderately or severely malnourished and 97.6% required some form of nutritional intervention/recommendation. CONCLUSIONS: (a) the majority of patients in the study needed nutritional intervention; (b) more than 50% had moderate or severe malnutrition; (c) the Scored PG-SGA is a useful and simple tool for evaluating nutritional status and contains additional information on nutritional recommendations; (d) nutritional evaluation of the cancer patients needs to be improved so as to offer better treatment of symptoms and to improve the patient's quality of life.

Published
2005

4. An epidemiological evaluation of the prevalence of malnutrition in Spanish patients with locally advanced or metastatic cancer.

Author

Segura A, Pardo J, Jara C, Zugazabeitia L, Carulla J, de las Peñas R, García-Cabrera E, Azuara ML, Casadó J, and Gómez-Candela C

Abstract

ObjectiveMalnutrition is frequent in cancer. The objective of this study was to determine the prevalence, in Spain, of malnutrition in cancer patients with advanced disease and to assess the therapeutic focus.MethodsA total of 781 patients were evaluated to determine individual nutritional status using the Scored Patient Generated-Subjective Global Assessment (Scored PG-SGA) questionnaire. Almost 60% of the patients included were receiving cancer treatment.ResultsPatients with the highest weight loss were those with tumours of oesophagus (57%), stomach (50%) and larynx (47%). Serious eating problems were encountered by 68% of the patients; the principal problem being anorexia (42.2%). The median number of symptoms impeding food intake was 2. According to the Scored PG-SGA, 52% of the patients were moderately or severely malnourished and 97.6% required some form of nutritional intervention/recommendation.Conclusions(a) the majority of patients in the study needed nutritional intervention; (b) more than 50% had moderate or severe malnutrition; (c) the Scored PG-SGA is a useful and simple tool for evaluating nutritional status and contains additional information on nutritional recommendations; (d) nutritional evaluation of the cancer patients needs to be improved so as to offer better treatment of symptoms and to improve the patient's quality of life. [ABSTRACT FROM AUTHOR]

Published
2005
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5. An exploratory, large-scale study of pain and quality of life outcomes in cancer patients with moderate or severe pain, and variables predicting improvement.

Author

Maximiano C, López I, Martín C, Zugazabeitia L, Martí-Ciriquián JL, Núñez MA, Contreras J, Herdman M, Traseira S, and Provencio M

Subjects
Adult, Aged, Aged, 80 and over, Anxiety etiology, Depression etiology, Female, Humans, Logistic Models, Longitudinal Studies, Male, Middle Aged, Pain Measurement, Neoplasms psychology, Pain Management, Quality of Life
Abstract

Background: There have been few large-scale, real world studies in Spain to assess change in pain and quality of life (QOL) outcomes in cancer patients with moderate to severe pain. This study aimed to assess changes on both outcomes after 3 months of usual care and to investigate factors associated with change in QoL., Patients and Methods: Large, multi-centre, observational study in patients with lung, head and neck, colorectal or breast cancer experiencing a first episode of moderate to severe pain while attending one of the participating centres. QoL was assessed using the EuroQol-5D questionnaire and pain using the Brief Pain Inventory (BPI). Instruments were administered at baseline and after 3 months of follow up. Multivariate analyses were used to assess the impact of treatment factors, demographic and clinical variables, pain and other symptoms on QoL scores., Results: 1711 patients were included for analysis. After 3 months of usual care, a significant improvement was observed in pain and QoL in all four cancer groups (p<0.001). Effect sizes were medium to large on the BPI and EQ-5D Index and Visual Analogue Scale (VAS). Improvements were seen on the majority of EQ-5D dimensions in all patient groups, though breast cancer patients showed the largest gains. Poorer baseline performance status (ECOG) and the presence of anxiety/depression were associated with significantly poorer QOL outcomes. Improvements in BPI pain scores were associated with improved QoL., Conclusion: In the four cancer types studied, pain and QoL outcomes improved considerably after 3 months of usual care. Improvements in pain made a substantial contribution to QoL gains whilst the presence of anxiety and depression and poor baseline performance status significantly constrained improvement.

Published
2018
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