• Revista clínica española · Jan 2021

    Spanish and Portuguese Societies of Internal Medicine consensus guideline about best practice in end-of-life care.

    • J Díez-Manglano, L Á Sánchez Muñoz, R García Fenoll, E Freire, S Isasi de Isasmendi Pérez, A H Carneiro, O Torres Bonafonte, and en nombre del Comité Directivo de la Guía de Práctica Clínica.
    • Servicio de Medicina Interna, Hospital Royo Villanova, Zaragoza, España. Electronic address: jdiez@aragon.es.
    • Rev Clin Esp. 2021 Jan 1; 221 (1): 334433-44.

    AimTo develop consensus recommendations about good clinical practice rules for caring end-of-life patients.MethodsA 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.ResultsThe 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.ConclusionsThe panel formulated and provided the rationale for recommendations on good clinical practice rules for caring end-of-life patients.Copyright © 2020 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

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