Jesús González-Barboteo

Catalan Institute of Oncology, L'Hospitalet de Llobregat, Spain · Department of Palliative Care

Background: Receiving a diagnosis of lung cancer is an emotional event, not least because it is usually diagnosed at advanced stages with limited life expectancy. Although evidence-based educational, emotional, and social interventions exist, they reach few patients and usually when it is too late. Objective: This project will be carried out in...

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...

Objective Approximately 20% of established malignant bowel obstruction (MBO) patients do not respond to pharmacological treatment. In these cases, venting percutaneous radiologic gastrostomy (VPRG) may be useful. Existing evidence is based on retrospective studies with methodological limitations. The purpose of this study is to describe safety and...

Background: The identification of advanced chronic patients with palliative care needs is essential since the care of advanced chronicity 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 h...

Background: Episodic dyspnea (ED) is a common problem in patients with advanced lung cancer (LC). However, the prevalence of ED and other related aspects in this patient population is not known. Objectives: To assess and describe the prevalence, clinical features, treatment, and risk factors for ED in outpatients with advanced LC. Design: Multicent...

Background Family caregivers of patients with advanced illness at end of life often report high levels of emotional distress. To address this emotional distress is necessary to have adequate and reliable screening tools. Aim This study analyses the psychometric properties and clinical utility of the Family Caregiver Emotional Detection Scale for c...

Naloxegol is a new peripherally acting mu-opioid receptor antagonist to treat opioid-induced constipation with supposedly no effect on opioid analgesia. We present a patient with cancer-related pain who developed acute opioid withdrawal symptoms due to an interaction between the opioid antagonist naloxone and naloxegol. He was treated with oxycodon...

Background: The most commonly used switching ratio from parenteral to oral methadone is 1:2. Methadone is highly bioavailable and a lower ratio might result in similar analgesia with less toxicity. Objective: To compare success and side effects with two ratios from parenteral to oral methadone: 1:2 versus 1:1.2 in hospitalized patients with cancer...

Objectives To determine whether specific external signs of emotional distress (ESED) can be an indirect measure of emotional distress in caregivers. Methods A cross-sectional multicentre design was used. 148 primary caregivers of advanced cancer patients attended in four Spanish palliative care units participated in this study. The emotional distr...

BACKGROUND The PSICPAL Program seeks the promotion of quality psychosocial and spiritual care for persons with chronic and/or advanced illness and their families as its main goal. It considers psychosocial and spiritual needs as essential and assessing such needs as a human right.

Objective The goal of this study is to describe the development of a new tool, the Psychosocial and Spiritual Needs Evaluation scale Instrumento de Evaluación de Necesidades Psicosociales y Espirituales del Enfermo al Final de Vida (ENP-E), designed to assess the psychosocial needs of end-of-life (EOL) patients. And, secondarily, to describe the fa...

El presente documento ofrece recomendaciones para la evaluación y atención psociocial y espiritual a personas con enfermedades avanzadas. Incluye dos instrumentos de detección (uno para pacientes y otro para familiares) y uno de evaluación sistemàtica y monitorización más específico para pacientes.

Context The use of opioids to control cancer pain could be insufficient. Interventional techniques such as a cryoablation have emerged as alternatives to opioids. Objectives To summarize the current scientific evidence on the use of cryoablation to control cancer pain. Methods A systematic search of the Scopus, Pubmed, and Cochrane databases was...

Background: Although concurrent chemoradiotherapy (cCRT) increases survival in patients with inoperable, locally advanced non-small-cell lung cancer (NSCLC), there is no consensus on the treatment of elderly patients. The aim of this study was to determine the prognostic value of the comprehensive geriatric assessment (CGA) and its ability to predi...

The overall assessment of the primary caregiver emotional distress is important to provide appropiate intervention to their needs. Results shows that the primary caregiver who presented emotional distress showed specific extarnal signs of emotional distress. It could be useful to identify caregivers who don’t express openly their feelings.

Se presenta el desarrollo de la Escala de Detección de Malestar Emocional de los Cuidadores principales de pacientes con enfermedad avanzada o terminal que reciben cuidados paliativos (DME-C). Se describe el proceso de elaboración de la escala. Para ello, se ha revisado la bibliografía existente sobre el tema, se ha establecido un marco teórico de...

206 Background: Methadone (M) is frequently used for severe cancer pain using the parenteral and oral route. The most commonly used dose ratio (DR) parenteral: oral is 1:2. However, methadone is highly bioavailable and a lower ratio might result in similar analgesia with less toxicity. The main objective of this RCT is to compare success and side e...

Introduction Most clinical reports on methadone rotation describe outcomes in hospitalized patients. The few studies that have included outpatients are retrospective. The aim of this study was to assess the efficacy and safety of methadone as a second-line opioid in adult patients with advanced cancer after rotation in routine clinical practice at...

Resumen Objetivo Evaluar la eficacia de los ultrasonidos focalizados guiados por resonancia magnética en el tratamiento del dolor producido por metástasis óseas. Material y métodos Se realizó una revisión sistemática de la literatura en las bases de datos MEDLINE, SCOPUS, EBSCO y Cochrane Database utilizando los siguientes términos de búsqueda y...

Resumen Presentamos el caso clínico de un paciente con cáncer renal irresecable, que presentaba dolor intenso de características mixtas (nociceptivo y neuropático), con limitación para actividades habituales y afectación en su calidad de vida. Este caso fue tratado mediante la colocación de catéter epidural lumbar para infusión continua de anestési...

To assess the effectiveness of opioid rotation (OR) to manage cancer pain. To describe the adverse events (AEs) associated with OR. Thirty-nine tertiary hospital services. Sixty-seven oncological patients with cancer-related pain treated at outpatient clinics. Prospective multicenter study. Pain intensity was scored using a Numerical Rating Scale (...

Objective To identify the clinical use of methadone as an analgesic in the management of cancer pain in elderly patients. Material and methods We performed a systemic review of the literature on the specific use of methadone in elderly with cancer pain in MEDLINE, COCHRANE DATABASE and SCOPUS. A second search was conducted in MEDLINE to look for c...

To identify the clinical use of methadone as an analgesic in the management of cancer pain in elderly patients. We performed a systemic review of the literature on the specific use of methadone in elderly with cancer pain in MEDLINE, COCHRANE DATABASE and SCOPUS. A second search was conducted in MEDLINE to look for clinical trials and systematic re...

Objective To evaluate and alleviate the emotional distress suffered by advanced cancer patients, simple screening methods that can be easily used by health staff and easily understood by patients are required. The objective of this multicenter study was to analyze the psychometric properties and clinical utility of the Detection of Emotional Distre...

Patients with advanced disease present several symptoms that provoke global impact in the person requiring a comprehensive approach and a multidisciplinary intervention. This attention will be based on a careful assessment of the patient, their general situation and prognosis, where one of the players is also the family. A strategy to address the e...

Methylphenidate is a psychostimulant that has been used to relieve depressive symptoms in advanced cancer patients. No studies compare its efficacy against placebo in this group of patients. To explore the efficacy of methylphenidate compared with placebo in the relief of depressive symptoms in advanced cancer patients. A multicentre, double-blind,...

On 2nd of June 2011 the Institut Català d’ Oncologia l’Hospitalet--Hospital Duran i Reynals hosted the first Meeting of Multidisciplinary Work in Oncogeriatrics. The reason for the meeting, which follows on from an initiative of the Medical Societies of Radiotherapy, Oncology, Geriatrics and Gerontology and Palliative Care and Medical Oncology, was...

On 2nd of June 2011 the Institut Català d' Oncologia l'Hospitalet--Hospital Duran i Reynals hosted the first Meeting of Multidisciplinary Work in Oncogeriatrics. The reason for the meeting, which follows on from an initiative of the Medical Societies of Radiotherapy, Oncology, Geriatrics and Gerontology and Palliative Care and Medical Oncology, was...

Objective To conduct a systematic review of the literature on the palliative care intervention in the far-advanced patient with haematological malignancies.Material and methodWe carried out a systematic search of articles in PubMed and Cochrane, from 1 January 2001 to 1t May 2009, published in Spanish or English, and using “Haematology, Palliative...

Objective: To conduct a systematic review of the literature on the palliative care intervention in the far-advanced patient with haematological malignancies. Material and method: We carried out a systematic search of articles in PubMed and Cochrane, from 1 January 2001 to 1t May 2009, published in Spanish or English, and using "Haematology, Palliat...

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 we...

To evaluate and alleviate the emotional distress suffered by advanced cancer patients, simple screening methods that can be easily used by health staff and easily understood by patients are required. The objective of this multicenter study was to analyze the psychometric properties and clinical utility of the Detection of Emotional Distress (DED) s...

Introduction: Both patients and their families have physical, emotional, social and spiritual needs to be assessed. Such needs have to be recorded so as to be able to set the therapeutic objectives, the outcomes review, and their further reassessment. The evaluation of these needs using common tools makes it easier to communicate information among...

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. Cross-sectional descriptive study. Urban Primary Health Care Centre. The first five patients who came to the primary health care centre with an appointment were included. Those who came with pain were labelle...

Objectives: to review the pharmacologic characters of ketamine, its analgesic properties and its application on cancer pain. Matherial and methods: a review till October 2009 using the key words: ketamine, pain, neoplasm, palliative care. Potencial sources provided by bibliographic references in reviewed articles were used, as well as searches on l...

Este artículo ha sido retirado de la revista por haberse duplicado accidentalmente su publica-ción. De manera involuntaria había sido previamente publicado en Med Paliat. 2010;17(6):348-59. Como consecuencia, las páginas <92-104> ocupadas por este artículo faltan de la publicación on-line. El editor lamenta las molestias que esto puede causar.

Introduction: both Patients and their families have physical, emotional, social and spiritual needs to be assessed. Such needs have to be recorded so as to allow the setting of therapeutic objectives, the outcomes review and their further reassessment. Needs' assessment undergone with common tools, facilitates information transmission among the wid...

Objetivo: Establecer la sistemática de trabajo de un grupo multidisciplinar cuyo objetivo es elaborar un instrumento para detectar el malestar emocional en enfermos al fi nal de la vida. Material y métodos: Se describe la formación y composición del equipo investigador así como su dinámica de trabajo a lo largo de 2007 y 2008 en múltiples reuniones...

Refractory malignant ascites is a common medical problem (15-50% of cancer patients) that impairs quality of life in our patients, and leads to multiple admissions. Our objective was assess the efficacy of permanent peritoneal drainage in this type of patient using a subclavian catheter. We discuss our experience with 3 cases. Ascitis was controlle...

Objective: To establish the methodology of work for a multidisciplinary group whose objective is to generate a tool to detect the emotional distress in patients at the end of their lives. Material and method: It describes the configuration and composition of the researching team as well as its method of work throughout 2007 and 2008. The combinatio...

Introducción: Hoy en día, el avance de la ciencia y las tecnologías facilitan que la esperanza de vida se incremente constantemente, es decir, la población envejece día a día y la muerte se puede retrasar más. Todo ello permite pensar en un incremento de la prevalencia de enfermedades degenerativas, y por tanto, de las fuentes potenciales de sufrim...

La enfermedad oncológica avanzada produce en los enfermos una serie de síntomas frecuentemente invalidantes y molestos que pueden provocar gran malestar psicológico tanto en el paciente como en la familia. En este contexto, incluso a pesar de un aceptable control sintomático, los pacientes pueden presentar ideación autolítica. Esta situación es de...

The objective of this study was to assess antiemetic efficacy of granisetron in inoperable intestinal obstruction caused by advanced cancer. The study was open, prospective, and multi-centered. We assessed 24 patients (mean age: 61.3 years; 10 males, 14 females) with intestinal obstruction who were refractory to previous antiemetics. Obstruction in...

The described ratio for methadone conversion from oral route (PO) to parenteral route (PAR) is 2:1 and from PAR to PO is 1:2. Frequently, good control of pain with methadone is PR to PO. We use methadone as a function of opioid rotation and not in the context of mortality outcome and we have noted that the traditional ratio produces toxicity proble...

Introduction: Nowadays, the advance of science and technology are facilitating that life expectancy keeps increasing continuously. This means that population ages on a daily basis and death can be delayed even more. All these facts contribute significantly to the increase and prevalence of degenerative diseases, and therefore, the growth of potenti...

The development of the illness in oncology patients produces a series of uncomfortable and frequently annoying symptoms that can cause significant psychological distress in both patients and their relatives. Under these circumstances, the patients can experience autolytic ideation, even when acceptable symptomatic controls are in place. This situat...

Objective: to describe the appointment scheduling process in the outpatient clinic, and the main clinical results of the palliative care service at Institut Català d'Oncologia for the period 2001-2005. Patients and methods: patients consecutively visited in the outpatient clinic during the study period. Each patient was evaluated and scheduled foll...

Activities and outcomes in an outpatient palliative care clinic (PCC) have attracted little attention in the literature. We describe the results of our patient appointment scheduling process, our efficacy in relieving cancer-associated symptoms and an analysis of risk factors for patient non-compliance with the appointment schedule. Over a one-year...

8047 Background: CINV remains a problem for many patients treated with highly emetogenic chemotherapy. NK1 RAs are antiemetics that could improve CINV prophylaxis. We evaluated the effectiveness of NK1 RAs to completely control acute and delayed CINV. Methods: We used an optimized search strategy to identify RCTs between 1990–2003 comparing NK1 RAs...

We review some aspects related with the physiopathology, epidemiology, diagnosis and management of delirium, centred in patients with advanced and terminal cancer. It is offereda comprehensive and practical overview of this clinical situation frequently underdiagnosticated , specially in the case of patients with far-advanced cancer, in whom it is...