12 results on '"León, Marta Ximena"'
Search Results
2. The Development of Palliative Care in Colombia: An Analysis of Geographical Inequalities Through the Application of International Indicators
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Sánchez-Cárdenas, Miguel Antonio, León, Marta Ximena, Rodríguez-Campos, Luisa Fernanda, Correa Morales, Juan Esteban, Buitrago Reyes, Lina Angélica, Vargas Villanueva, María Alejandra, Garralda, Eduardo, Van Steijn, Danny, and Centeno, Carlos
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- 2021
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3. Guided Imagery for Symptom Management of Patients with Life-Limiting Illnesses: A Systematic Review of Randomized Controlled Trials.
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Correa-Morales, Juan Esteban, Mantilla-Manosalva, Nidia, Rodríguez-Cardona, Ximena, Bedoya-Muñoz, Lennis Jazmin, Florez-Vargas, Bibiana, León, Marta Ximena, Giraldo-Moreno, Sara, Gomezese, Omar Fernando, and Salamanca-Balen, Natalia
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PALLIATIVE treatment ,CINAHL database ,TREATMENT effectiveness ,VISUALIZATION ,SYSTEMATIC reviews ,MEDLINE ,TERMINALLY ill - Abstract
Background: Patients with life-limiting illnesses receiving palliative care have a high symptom burden that can be challenging to manage. Guided imagery (GI), a complementary and integrative therapy in which patients are induced to picture mental images with sensory components, has proven in quasi-experimental studies to be effective as a complementary therapy for symptom management. Objective: To systematically review randomized controlled trials that report evidence of guided imagery for symptom management in patients with life-limiting illnesses. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed for this review and the search strategy was applied in Medline, CINHAL, and Web of Science. The quality of articles was evaluated using the Cochrane Collaboration's Risk-of-Bias Tool 2 (RoB 2). The results are presented using the Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. Results: A total of 8822 studies were initially identified through the search strategy, but after applying exclusion criteria, 14 randomized controlled trials were included in this review. The quality assessment revealed that four studies had a high risk of bias, nine had some concerns, and one had a low risk of bias. Out of the 14 studies, 6 evaluated oncological diagnosis, while the remaining 8 focused on nononcological diagnoses across 6 different diseases. GI was found to be effective in managing symptoms in 10 out of the 14 studies. Regardless of the disease stage, patients who received guided imagery experienced relief from anxiety, depression, pain, sleep disturbances, and fatigue. Conclusion: GI therapy has shown promising results regarding symptom management in palliative care patients with life-limiting illnesses at different stages. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Accessibility to Palliative Care Services in Colombia: An Analysis of Geographic Disparities
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Sánchez-Cárdenas, Miguel Antonio, primary, León, Marta Ximena, additional, Rodríguez-Campos, Luisa Fernanda, additional, Escobar, Lina María Vargas, additional, Cabezas, Laura, additional, Tamayo-Díaz, Juan Pablo, additional, Piñeros, Angela Cañon, additional, Manosalva, Nidia Mantilla, additional, and Fuentes-Bermudez, Genny Paola, additional
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- 2023
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5. Subcutaneous Administration of Medications and Fluids by Nonprofessional Caregivers at Home
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Rodríguez-Campos, Luisa, primary, León, Marta Ximena, additional, Bastidas, Alirio, additional, Consuegra, Cesar, additional, Umbacia, María Alejandra, additional, García, Andrea, additional, Rodrígues, Danny, additional, and Bruera, Eduardo, additional
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- 2022
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6. Planning cancer control in Latin America and the Caribbean
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Goss, Paul E, Lee, Brittany L, Badovinac-Crnjevic, Tanja, Strasser-Weippl, Kathrin, Chavarri-Guerra, Yanin, Louis, Jessica St, Villarreal-Garza, Cynthia, Unger-Saldaña, Karla, Ferreyra, Mayra, Debiasi, Márcio, Liedke, Pedro ER, Touya, Diego, Werutsky, Gustavo, Higgins, Michaela, Fan, Lei, Vasconcelos, Claudia, Cazap, Eduardo, Vallejos, Carlos, Mohar, Alejandro, Knaul, Felicia, Arreola, Hector, Batura, Rekha, Luciani, Silvana, Sullivan, Richard, Finkelstein, Dianne, Simon, Sergio, Barrios, Carlos, Kightlinger, Rebecca, Gelrud, Andres, Bychkovsky, Vladimir, Lopes, Gilberto, Stefani, Stephen, Blaya, Marcelo, Souza, Fabiano Hahn, Santos, Franklin Santana, Kaemmerer, Alberto, de Azambuja, Evandro, Zorilla, Andres Felipe Cardona, Murillo, Raul, Jeronimo, Jose, Tsu, Vivien, Carvalho, Andre, Gil, Carlos Ferreira, Sternberg, Cinthya, Dueñas-Gonzalez, Alfonso, Sgroi, Dennis, Cuello, Mauricio, Fresco, Rodrigo, Reis, Rui Manuel, Masera, Guiseppe, Gabús, Raúl, Ribeiro, Raul, Knust, Renata, Ismael, Gustavo, Rosenblatt, Eduardo, Roth, Berta, Villa, Luisa, Solares, Argelia Lara, Leon, Marta Ximena, Torres-Vigil, Isabel, Covarrubias-Gomez, Alfredo, Hernández, Andrés, Bertolino, Mariela, Schwartsmann, Gilberto, Santillana, Sergio, Esteva, Francisco, Fein, Luis, Mano, Max, Gomez, Henry, Hurlbert, Marc, Durstine, Alessandra, and Azenha, Gustavo
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- 2013
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7. Palliative care in patients with chronic nononcological diseases
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León, Marta Ximena, Giraldo, Luis F., Restrepo, Jorge, and Rengifo-Varona, María Leonor
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- 2013
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8. Consumo de opioides : Análisis de su disponibilidad y acceso en Colombia
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León, Marta Ximena, Sánchez-Cárdenas, Miguel, Rodríguez-Campos, Luisa, De Lima, Liliana, Velasco, Andrés López, Gamboa-Garay, Oscar, García, Irene Parra, León, Marta Ximena, Sánchez-Cárdenas, Miguel, Rodríguez-Campos, Luisa, De Lima, Liliana, Velasco, Andrés López, Gamboa-Garay, Oscar, and García, Irene Parra
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- 2019
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9. Subcutaneous Administration of Medications and Fluids by Nonprofessional Caregivers at Home.
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Rodríguez-Campos, Luisa, León, Marta Ximena, Bastidas, Alirio, Consuegra, Cesar, Umbacia, María Alejandra, García, Andrea, Rodrígues, Danny, and Bruera, Eduardo
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HYPODERMOCLYSIS , *STATISTICS , *CAREGIVERS , *CONFIDENCE intervals , *HOME care services , *TRANSDERMAL medication , *RETROSPECTIVE studies , *MANN Whitney U Test , *DRUG administration , *T-test (Statistics) , *DESCRIPTIVE statistics , *CHI-squared test , *DATA analysis software , *ODDS ratio , *LOGISTIC regression analysis , *PALLIATIVE treatment - Abstract
Background: Patients requiring home-based palliative care have advanced complex illnesses with functional limitations and decline. This retrospective study reviewed caregiver administration of subcutaneous (SQ) medications and fluids when symptom control could not be achieved using the oral route. Methods: Medical records from September 1, 2017 to February 28, 2018 were reviewed for 272 consecutive patients who received SQ administration of medications or fluids at a home-based palliative care program. We analyzed the clinical characteristics of patients and caregivers, medications administered, and catheter outcomes. Results: Patients' median age was 74 years, and 163 (60%) were women. The most common cancer diagnoses were stomach 26 (12%), lung 22 (10%), and colorectal 20 (9%). Dementia 24 (44%), cerebrovascular disease 9 (16%), and congestive heart failure 7 (13%) were the most frequent nonmalignant diseases. Poor symptom control 162 (60%) and impaired oral intake 107 (39%) were the most common indications for an SQ route of administration. Nonprofessional caregivers trained by a nurse administered medications to 218 patients (80%). During interventions, the patients received a mean of 4 medications (±2 standard deviation). A total of 903 catheters were inserted, 15/732 (2%) catheters handled by nonprofessional caregivers caused a local infection, compared with 3/171 (1.8%) of catheters handled by nurses. Hydromorphone was the most common opioid used (57%), followed by morphine (35%). The median length of stay in the program was 24 days (interquartile range: 11–60). Conclusions: SQ administration of medications and fluids by nonprofessional caregivers trained by health care professionals is feasible and promising, but additional testing is needed. [ABSTRACT FROM AUTHOR]
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- 2023
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10. Availability and accessibility of opioids for pain and palliative care in Colombia: a survey study
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León, Marta Ximena, primary, Sánchez-Cárdenas, Miguel Antonio, additional, Rodríguez-Campos, Luisa Fernanda, additional, Moyano, Jairo, additional, López Velasco, Andrés, additional, Gamboa Garay, Oscar, additional, Buitrago, Lina, additional, and De Lima, Liliana, additional
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- 2021
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11. Pharmacological Treatment for Dialysis‐Related Muscle Cramps: A Systematic Review.
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Mantilla‐Manosalva, Nidia, Guadarrama, Santiago, Bedoya‐Muñoz, Lennis Jazmin, Giraldo‐Moreno, Sara, Cuellar‐Valencia, Laura, Iriarte‐Aristizábal, María Fernanda, León, Marta Ximena, Mendoza‐Montenegro, Fernan Alejandro, and Correa‐Morales, Juan Esteban
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VITAMIN K2 , *VITAMIN E , *VITAMIN C , *DRUG therapy , *CINAHL database , *MUSCLE cramps - Abstract
ABSTRACT Background Aim Design Data Sources Results Conclusion Patients with end‐stage renal disease undergoing dialysis suffer from muscle cramps, a prevalent and burdensome symptom for which there is a paucity of efficient and safe treatments.What is the efficacy and safety of pharmacological interventions for the treatment of dialysis‐related muscle cramps?A systematic review was conducted in OVID, CINAHL, PubMed, Web of Science, and Central Cochrane databases up to August 25, 2023.Experimental studies reporting on a pharmacological intervention for the treatment of dialysis‐related muscle cramps were included. The review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis, and the studies quality was assessed with the RoB2 tool.A total of 4660 studies were retrieved, and 13 articles were included. The studies reported on nine interventions: vitamin C, vitamin E, vitamin K2, vitamin B7, dextrose solutions, gabapentin, sodium chloride, creatine monohydrate, and L‐carnitine. The studies testing L‐carnitine and creatine monohydrate were the only ones deemed to have a low risk of bias. Side effects were reported in only two trials, consisting primarily of gastrointestinal discomfort and hyperglycemia. Vitamins C and E are the two most studied interventions that showed positive results in reducing the frequency, severity, and duration of dialysis‐related muscle cramps. L‐carnitine is a promising intervention that warrants further investigation.Our review consolidates the existing evidence, elucidating the range of treatments along with their potential benefits and limitations. Future studies should uphold high‐quality standards, incorporate patient‐reported outcomes, and utilize well‐defined, robust samples to improve patient care. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Availability and accessibility of opioids for pain and palliative care in Colombia: a survey study
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López Velasco, Andrés, León, Marta Ximena [https://orcid.org/0000-0003-4345-745X], Sánchez-Cárdenas, Miguel Antonio [ https://orcid.org/0000-0002-0788-4289], Rodríguez-Campos, Luisa Fernanda [ https://orcid.org/0000-0002-0649-9119], Moyano, Jairo [https://orcid.org/0000-0002-4534-4136], Gamboa Garay, Oscar [https://orcid.org/0000-0002-9329-6810], Buitrago Lina [https://orcid.org/0000-0002-6129-4095], and De Lima, Liliana [https://orcid.org/0000-0002-0435-1620]
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Opioids ,Availability of health services ,Accessibility of health services ,Accesibilidad a los Servicios de Salud ,Palliative care ,Analgésicos opioides ,Colombia ,Cuidados paliativos ,Barreras de acceso a los servicios de salud - Abstract
Introducción: El acceso a medicamentos esenciales, incluidos los opioides, es un componente del derecho a la salud. Objetivo: Identificar las barreras de disponibilidad y acceso a los opioides para dolor y cuidados paliativos. Métodos: Encuesta virtual a prescriptores colombianos. Las barreras de disponibilidad se analizaron para cada centro (distribución y/o dispensación ) y las barreras de acceso se analizaron por tipo. Los análisis descriptivos se realizaron utilizando frecuencias relativas. La sig-nificancia dentro de categorías y regiones se midió utilizando la prueba exacta de Fischer. Resultados: De los 1208 prescriptores invitados, 806 (66.7%) respondieron la encuesta. Disponibilidad: el 76,43% reportó barreras. La barrera más citada fue la relacionada con las “farmacias autorizadas por las aseguradoras de salud”, donde los opioides con frecuencia no están disponibles. Acceso: el 74,6% reportó barreras. Se citó con mayor frecuencia la “Dificultad para obtener la autorización de pago de medicamentos por parte de las aseguradoras”. Se observaron diferencias significativas entre regiones y “costos” (p=0,02). La falta de coordi-nación entre las entidades de adquisición y distribución afecta la disponibilidad. La limitada conciencia y los procedimientos burocráticos afectan la accesibilidad. Conclusiones: Existen barreras de disponibilidad y acceso a los opioides en Colombia, las cuales están relacionadas con la estructura dispo-nible para garantizar un suministro equitativo. Desde el punto de vista de los prescriptores, los problemas relacionados con la disponibili-dad de las farmacias, la prescripción y el costo de los medicamentos, obstaculizan el tratamiento adecuado del dolor. Abstract Introduction: Access to essential medicines, including opioids, is a component of the right to health. Objective: To identify barriers to opioid availability and accessibility for pain and palliative care. Methods: Online survey with Colombian prescribers. Availability barriers were analyzed for each facility (distribution and/or dispensing). Accessibility barriers were analyzed by type. Descriptive analyses were conducted using relative frequencies. Significance within categories and regions was measured using Fisher's exact test. Results: Out of 1,208 prescribers invited, 806 (66.7%) completed the survey. Availability: 76.43% reported barriers. The most cited barrier was “Pharmacies authorized by health insurance companies”, where opioids are frequently unavailable. Accessibility: 74.6% reported barriers. Most frequently cited was “Difficulty securing payment authorization for medication from health insurance companies”. Significant differences were observed in terms of regions and “Cost” (p=0.02). Lack of coordination among procuring and distributing agencies affects availability. Limited awareness and bureaucratic procedures affect accessibility. Conclusions: There are barriers to opioid availability and access in Colombia, related to the existing structure for guaranteeing equitable supply. From the perspective of healthcare providers, problems related to pharmacy availability, prescription and cost of medicines hinder pain treatment.
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- 2022
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