Publications by authors named "Pamela Turrillas"
Opioid prescribing for cancer pain in Latin America: systematic review.
BMJ Support Palliat Care
June 2024
Objective: To explore opioid prescribing patterns for cancer pain in Latin America (LA).
Methods: A systematic review was conducted adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Relevant databases, including MEDLINE, EMBASE, PubMed, LILACS and Scielo, were searched from inception to June 2023.
Article Synopsis
- * A systematic review analyzed 78 studies involving over 17,000 participants, highlighting common effective service components such as collaborative care, active patient involvement, and continuous assessment, which are essential for quality improvement.
- * Experts noted that successful implementation of these care services depends on having well-trained, multidisciplinary teams and overcoming barriers like political will and socioeconomic disparities in various regions.
Background: Achieving universal access to palliative care is considered a global and equity priority. Understanding patients and caregivers' attitudes and preferences towards palliative and end-of-life care in Latin America is essential to develop person-centred services in the region.
Aim: To synthesize and appraise the evidence about patients with advanced illness and their caregivers' attitudes and preferences towards palliative and end-of-life care in Latin America.
Objective: Adapt and validate the NECPAL instrument in Chile.
Design: Prospective, longitudinal, analytical study for validation of the instrument in 5 stages: cultural adaptation, content validation, pilot test, application, and statistical analysis.
Place: Four primary care centers of the South East Metropolitan Health Service, in Santiago, Chile.
NECPAL prognostic tool: a palliative medicine retrospective cohort study.
BMJ Support Palliat Care
February 2021
Objective: To develop and validate a prognostic model to assess mortality risk at 24 months in patients with advanced chronic conditions.
Methods: Retrospective design based on a previous population cohort study with 789 adults who were identified with the surprise question and NECPAL tool from primary and intermediate care centres, nursing homes and one acute hospital of Spain. A Cox regression model was used to derive a mortality predictive model based on patients' age and six previously selected NECPAL prognostic factors (palliative care need identified by healthcare professionals, functional decline, nutritional decline, multimorbidity, use of resources, disease-specific criteria of severity/progression).
Objective: To assess the impact after 20 years of a Master's degree in palliative care (MsPC) on the participants' educational outcomes in terms of educational needs satisfaction, motivation, applicability and professional development (PD) in the palliative care (PC) field.
Methods: A cross-sectional study was conducted between October 2016 and February 2017. Participants were students of the MsPC from 13 editions.
Objective: To develop a proposal for a 2-year mortality prognostic approach for patients with advanced chronic conditions based on the palliative care need (PCN) items of the (NECPAL) CCOMS-ICO V.3.1 2017 tool.
View Article and Find Full Text PDFContext: Symptom management is a priority area within palliative care core competencies for generalist providers. Although several educational initiatives exist, a comprehensive evidence synthesis on the effectiveness of symptom management training on trainees' learning and patient-reported outcomes is lacking.
Objectives: The objective of this study was to determine the effectiveness of training in symptom management in palliative care providers in nonpalliative specialties.