Development of the consensus of Palliative Care recommendations during the COVID-19 pandemic in Ecuador.

  • Tatiana Fernández Dávila Clínica Nuestra Señora de Guadalupe, ASECUP
  • Paula Hidalgo Andrade Universidad de Las Américas, ASECUP
  • Katty Débora Lozano Montesdeoca Ministerio de Salud Pública, ASECUP
  • Fausto Gady Torres Toala Pontificia Universidad Católica del Ecuador, SuportaMed, ASECUP

Abstract

Title: Development of the consensus of Palliative Care recommendations during the COVID-19 pandemic in Ecuador.

Introduction: The COVID-19 pandemic opened the door to multidisciplinary work from various health-related areas to benefit institutions, health workers, patients, and their families. In addition, the joint effort from researchers and service providers was evidenced worldwide through scientific publications, reflections, and evidence on the progress to stop the spread of the virus.

Objectives: This article seeks to present the work carried out by the Ecuadorian Association of Palliative Care as a contribution to the Emergency Operations Committee and the Ecuadorian Ministry of Public Health. We show the development of a guide of recommendations for Palliative Care during the COVID-19 pandemic through an evidence-based multidisciplinary consensus.

Materials and methods: A consensus was reached using the Delphi method, with a large panel of experts. Two consecutive rounds were made on a structured survey, built and presented on an online platform.

Results and conclusions: 11 topics and 19 PICO questions were asked. The criteria for completion of the round were median ≥ 7 or ≤ 3, IQR ≤ 0.40, and Interquartile deviation < 0.5. These criteria were obtained in all the questions posed. The document with the recommendations was published on the Ministry of Health website.

   

Downloads

Download data is not yet available.

Author Biographies

Tatiana Fernández Dávila, Clínica Nuestra Señora de Guadalupe, ASECUP

 

 
Paula Hidalgo Andrade, Universidad de Las Américas, ASECUP

 

   
Katty Débora Lozano Montesdeoca, Ministerio de Salud Pública, ASECUP

 

   
Fausto Gady Torres Toala, Pontificia Universidad Católica del Ecuador, SuportaMed, ASECUP

 

 

References

1. Organización Mundial de la Salud. Coronavirus (COVID-19) [Internet]. 2020 [citado el 6 de septiembre de 2020]. Disponible en: https://covid19.who.int/
2. Rosa WE, Davidson PM. Coronavirus disease 2019 (COVID-19): strengthening our resolve to achieve universal palliative care. Int Nurs Rev. el 1 de junio de 2020;67(2):160–3.
3. Radbruch L, Knaul FM, de Lima L, de Joncheere C, Bhadelia A. The key role of palliative care in response to the COVID-19 tsunami of suffering. Lancet [Internet]. 2020;395(10235):1467–9. Disponible en: http://dx.doi.org/10.1016/S0140-6736(20)30964-8
4. Radbruch L, De Lima L, Knaul F, Wenk R, Ali Z, Bhatnaghar S, et al. Redefining Palliative Care - A New Consensus-Based Definition. J Pain Symptom Manage. el 6 de mayo de 2020;Ahead of p.
5. Hawley P. Barriers to access to palliative care. Palliat Care Res Treat. 2017;10:1–6.
6. Organización Mundial de la Salud. National cancer control programmes. Policies and managerial guidelines [Internet]. 2a ed. Health & Development Networks (HDN), editor. Geneva: Organización Mundial de la Salud; 2002. 203 p. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/42494/9241545577.pdf;jsessionid=161E6CC7645510931C9A17170C546202?sequence=1
7. Smith S, Brick A, O’Hara S, Normand C. Evidence on the cost and cost-effectiveness of palliative care: A literature review. Palliat Med. febrero de 2014;28(2):130–50.
8. Anderson RE, Grant L. What is the value of palliative care provision in low-resource settings? BMJ Glob Heal. 2017;2:e000139.
9. Worldwide Palliative Care Alliance, World Health Organization. Global Atlas of Palliative Care at the End of Life [Internet]. Connor S, Sepulveda Bermedo M, editores. London: WPCA; 2014. 103 p. Disponible en: https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf
10. Hidalgo-Andrade P, Martínez-Rodríguez S. Barreras y recursos para cuidar: Un abordaje cualitativo fenomenológico a la realidad del cuidador formal. Med Paliativa. 2019;26(2):113–9.
11. Organización Mundial de la Salud. Clinical management of COVID-19: Interim guidance [Internet]. 2020. Disponible en: file:///C:/Users/paula.hidalgo/Downloads/WHO-2019-nCoV-clinical-2020.5-eng.pdf
12. Ministerio de Salud Pública. Consenso multidisciplinario informado en la evidencia sobre el tratamiento de covid-19 [Internet]. 2020. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2020/08/Consenso-Multidisciplinario-informado-en-la-evidencia-sobre-el-tratamiento-de-Covid-19-V9_11_08_2020_compressed.pdf
13. Fernández Dávila T, Hidalgo-Andrade P, Torres Toala FG, Lozano Montesdeoca KD, Figueroa Rosero A, Suárez Cisneros D, et al. Consenso de recomendaciones de cuidados paliativos en la pandemia por SARS-CoV-2/COVID-19 [Internet]. Quito; 2020. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2020/07/Consenso_de_recomendaciones_Cp_Pandemia_SARS-CoV-2-COVID-19_2020.pdf
14. Organización Panamericana de la Salud. Seminario web: Cuidados Paliativos durante COVID-19 [Internet]. 2020. Disponible en: https://www.paho.org/es/node/71350
15. Bhadelia A, Grant L, De Lima L, Knaul F. How pandemics affect health systems and resource allocation: impact on palliative care [Internet]. 2020. Disponible en: http://globalpalliativecare.org/covid-19/uploads/briefing-notes/brieifing-note-how-pandemics-affect-health-systems-and-resource-allocation-impact-on-palliative-care.pdf
16. Skulmoski G, Hartman F, Krahn J. The Delphi Method for graduate research. J Inf Techonology Educ. 2007;6:1–20.
17. Jiménez Ruiz CA, Buljubasich D, Riesco Miranda JA, Acuña Izcaray A, de Granda Orive JI, Chatkin JM, et al. Using PICO methodology to answer questions about smoking in COPD patients. Arch Bronconeumol. 2017;53(11):622–8.
18. López-Gómez E. El método Delphi en la investigación actual en educación: Una revisión teórica y metodológica. Educ XX1. 2018;21(1):17–40.
Published
2020-11-22
How to Cite
1.
Fernández Dávila T, Hidalgo Andrade P, Lozano Montesdeoca KD, Torres Toala FG. Development of the consensus of Palliative Care recommendations during the COVID-19 pandemic in Ecuador. PFR [Internet]. 2020Nov.22 [cited 2025Mar.13];5(3). Available from: https://practicafamiliarrural.org/index.php/pfr/article/view/167