Publications by authors named "Deborah Moreno-Alonso"

The needs of patients living with malignant neoplasm, and those of their families and care partners, require a multidimensional and interdisciplinary approach. By systematically assessing these needs with validated tools, healthcare professionals can identify and monitor therapeutic objectives, interventions, and results. At the Catalan Institute of Oncology (ICO), we set out to update the ICO Toolkit-a set of instruments for assessing the physical, emotional, and social needs of palliative care patients.

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Background: The high incidence and mortality rates of urothelial carcinoma mean it remains a significant global health concern. Its prevalence is notably pronounced in industrialized countries, with Spain registering one of the highest incidences in Europe. Treatment options are available for various stages of bladder cancer.

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Background: Capsaicin is a highly selective agonist of the transient receptor potential vanilloid 1. The adhesive capsaicin patch provides a high capsaicin concentration (8%) directly in the painful area - its efficacy in benign peripheral neuropathic pain (diabetic neuropathy or postherpetic neuralgia) has recently been described in the literature. However, there is scant evidence of its efficacy in chemotherapy-induced peripheral neuropathy (CIPN).

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Context: Ensuring patient-centered palliative care requires a comprehensive assessment of needs beginning in the initial encounter. However, there is no generally accepted guide for carrying out this multidimensional needs assessment as a first step in palliative intervention.

Objectives: To develop an expert panel-endorsed interview guide that would enable proactive and systematic Multidimensional needs Assessment in the Palliative care initial encounter (MAP).

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Purpose: Breatlessness flares directly impair quality of life of patients with cancer. The aim of this review was to analyse and synthesise the available information related to its terminology, definition and clinical features in patients with cancer.

Methods: Integrative systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.

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Article Synopsis
  • Episodic dyspnea (ED) is a significant issue for about 32% of outpatients with advanced lung cancer, especially among those already experiencing background dyspnea (BD).
  • The study involved 366 patients, revealing that ED occurs frequently, with a median of one episode per day and an average intensity rated at 7 out of 10.
  • Factors increasing the risk of ED include chronic obstructive pulmonary disease, pulmonary vascular disease, cachexia, and the use of continuous oxygen, highlighting the need for further research to improve treatment strategies.
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Introduction: The benefits of palliative care rely on how healthcare professionals assess patients' needs in the initial encounter/s; crucial to the design of a personalised therapeutic plan. However, there is currently no evidence-based guideline to perform this needs assessment. We aim to design and evaluate a proactive and systematic method for the needs assessment using quality guidelines for developing complex interventions.

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Background: Palliative care was originally intended for patients with non-haematological neoplasms and relatively few studies have assessed palliative care in patients with haematological malignancies.

Aim: To assess palliative care interventions in managing haematological malignancies patients treated by onco-haematology departments.

Design: Integrative systematic review with data extraction and narrative synthesis (PROSPERO #: CRD42016036240).

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Context: Evidence for the benefits of early palliative care (EPC) in patients with solid tumors is strong, but EPC has received scant attention in hematologic malignancies.

Objective: To assess the benefits of outpatient-based EPC for symptom control in patients with multiple myeloma.

Methods: Retrospective study of patients attending the Multiple Myeloma Palliative Care Clinic at our hospital in the year 2013 (February 1-December 31).

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