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Publication
Spanish and Portuguese Societies of Internal Medicine consensus guideline about best practice in end-of-life care
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Advisor(s)
Abstract(s)
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.
Description
Keywords
Best practice Consensus; Cuidados al final de la vida; End-of-life care; Guideline; Guía de práctica clínica End-of-life care Guideline
Citation
Díez-Manglano J, Sánchez Muñoz LÁ, García Fenoll R, et al. Spanish and Portuguese Societies of Internal Medicine consensus guideline about best practice in end-of-life care. Rev Clin Esp (Barc). 2021;221(1):33-44. doi:10.1016/j.rceng.2020.04.009
Publisher
Elsevier