J Díez-Manglano1, L Á Sánchez Muñoz2, R García Fenoll3, E Freire4, S Isasi de Isasmendi Pérez5, A H Carneiro6, O Torres Bonafonte7. 1. Servicio de Medicina Interna, Hospital Royo Villanova, Zaragoza, Spain. Electronic address: jdiez@aragon.es. 2. Servicio de Medicina Interna, Hospital Clínico Universitario, Valladolid, Spain. 3. Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. 4. Servicio de Medicina Interna, Centro Hospitalar e Universitário do Porto, Portugal. 5. Servicio de Medicina Interna, Hospital Royo Villanova, Zaragoza, Spain. 6. Departamento de Medicina, Urgência e UCI, Hospital da Luz Arrábida, Vila Nova de Gaia, Portugal. 7. Servicio de Medicina Interna, Hospital de Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Abstract
AIM: To develop consensus recommendations about good clinical practice rules for caring end-of-life patients. METHODS: A steering committee of 12 Spanish and Portuguese experts proposed 37 recommendations. A two rounds Delphi method was performed, with participation of 105 panelists including internists, other clinicians, nurses, patients, lawyers, bioethicians, health managers, politicians and journalists. We sent a questionnaire with 5 Likert-type answers for each recommendation. Strong consensus was defined when >95% answers were completely agree or >90% were agree or completely agree; and weak consensus when >90% answers were completely agree or >80% were agree or completely agree. RESULTS: The panel addressed 7 specific areas for 37 recommendations spanning: identification of patients; knowledge of the disease, values and preferences of the patient; information; patient's needs; support and care; palliative sedation, and after death care. CONCLUSIONS: The panel formulated and provided the rationale for recommendations on good clinical practice rules for caring end-of-life patients.
AIM: To develop consensus recommendations about good clinical practice rules for caring end-of-life patients. METHODS: A steering committee of 12 Spanish and Portuguese experts proposed 37 recommendations. A two rounds Delphi method was performed, with participation of 105 panelists including internists, other clinicians, nurses, patients, lawyers, bioethicians, health managers, politicians and journalists. We sent a questionnaire with 5 Likert-type answers for each recommendation. Strong consensus was defined when >95% answers were completely agree or >90% were agree or completely agree; and weak consensus when >90% answers were completely agree or >80% were agree or completely agree. RESULTS: The panel addressed 7 specific areas for 37 recommendations spanning: identification of patients; knowledge of the disease, values and preferences of the patient; information; patient's needs; support and care; palliative sedation, and after death care. CONCLUSIONS: The panel formulated and provided the rationale for recommendations on good clinical practice rules for caring end-of-life patients.
Authors: Manuel Méndez-Bailón; Noel Lorenzo-Villalba; Miriam Romero-Correa; Claudia Josa-Laorden; Luis Inglada-Galiana; Eva Menor-Campos; Noelia Gómez-Aguirre; Carolina Clemente-Sarasa; Rosario Salas-Campos; Carmen García-Redecillas; María Asenjo-Martínez; Joan Carles Trullàs; Begoña Cortés-Rodríguez; Carla de la Guerra-Acebal; Ana Serrado Iglesias; Reyes Aparicio-Santos; Francesc Formiga; Emmanuel Andrès; Oscar Aramburu-Bodas; Prado Salamanca-Bautista Journal: J Clin Med Date: 2022-06-27 Impact factor: 4.964