Publications by authors named "Joaquim Julia-Torras"

During the early waves of COVID-19, many patients had to be isolated, with some dying alone in hospitals. Understanding the psychological impact of isolation during a potentially life-threatening disease and identifying coping mechanisms can inform future care protocols. This qualitative study aimed to explore the experiences of COVID-19 survivors isolated in hospitals.

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The multidimensional view of disease is fundamental in the care of complex diseases such as chronic kidney disease (CKD). It is appropriate to define and unify concepts that allow the different professionals involved in care to provide a multidisciplinary approach tailored to the needs of each individual. Given the increasing incidence of CKD worldwide and the fact that the disease may progress at different rates, there is a need to establish personalized, comprehensive approaches for each patient and their families at an earlier stage.

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Context: A systematic review of the wish to hasten death among people with life-limiting conditions was published in 2011. Since then, other reviews and primary studies have been published that have added to knowledge regarding the conceptual definition, aetiology and assessment of the wish to hasten death.

Objectives: To provide an updated synthesis of the literature on the wish to hasten death in people with life-limiting conditions.

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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.

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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.

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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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Article Synopsis
  • * The study aims to investigate the expectations of cancer patients, their family carers, and palliative care professionals regarding this first encounter.
  • * Four key themes emerged from interviews: understanding palliative care, the importance of personalized care, professional dedication, and the recognition of each party’s role and needs.
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  • Optimal pain management for advanced cancer often involves using multiple medications and approaches, with ketamine emerging as a potential treatment option.
  • Ketamine works by blocking certain receptors in the brain and has been used alongside traditional pain medications, particularly for patients with severe, unmanageable pain.
  • A case study of a 40-year-old man with difficult cancer pain showed that using oral methadone and ketamine together effectively managed his pain over several months without any reported side effects.
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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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Background: The presence of >94% classical monocytes (MO1, CD14++/CD16-) in peripheral blood (PB) has an excellent performance for the diagnosis of chronic myelomonocytic leukemia (CMML). However, the monocyte gating strategy is not well defined. The objective of the study was to compare monocyte gating strategies and propose an optimal one.

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Aim: To design and implement a plan to improve oncohaematological patients' sleep.

Background: The hospital environment can compromise inpatients' sleep, negatively impacting on health outcomes and patient satisfaction.

Design And Method: The improvement plan was designed in collaboration with 18 professionals, 3 patients and 3 accompanying relatives.

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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: Episodic dyspnea is an increasingly recognized phenomenon that occurs frequently in patients with cancer. Although numerous definitions have been proposed to describe episodic dyspnea, to date, no common widely accepted definition in Spanish has yet emerged. Without a clear well-accepted definition, it is difficult to design rigorous clinical trials to evaluate candidate treatments for this emerging entity and to compare outcomes among studies.

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Background: Pain in cancer patients is recognized as a major health problem, yet few studies of both inpatient and outpatient populations have been carried out.

Objective: The study objective was to assess the frequency, type, and characteristics of pain in adult cancer patients, including both inpatients and outpatients.

Methods: This cross-sectional study involved 1064 adult cancer patients (437 outpatients and 627 inpatients) from 44 hospitals and/or long-term-care centers in Catalonia, Spain.

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