{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T20:46:11Z","timestamp":1791665171356,"version":"4.3.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T00:00:00Z","timestamp":1573516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Palliative care (PC) for patients with malignant hematological diseases is scarcely documented, particularly in low- and middle-income countries. This study aimed to document PC provided to patients with hematologic malignancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Bidirectional study conducted from July 2016 to June 2019 at the hematology and palliative care departments at a reference center in Northeast Mexico for low-income open population uninsured patients. Clinical records and electronic files of patients with malignant hematological diseases of both sexes and all ages attending an academic hematology center were reviewed. Statistical analysis was performed with the SPSS version 22 program. Acute and chronic leukemias, multiple myeloma, Hodgkin lymphoma, non-Hodgkin lymphoma, and others were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Five-hundred ten patients were studied, of which 148 (29%) died. Eighty-one (15.88%) patients including 31 (20.9%) who died received PC. Median age at palliative diagnosis was 42 (2-91) years. The most common symptom was pain (69.7%). The most frequent reason for palliative referral was treatment-refractory disease (39%). During the last week of life, 19 (95%) of 20 patients had blood sampling; 17 (85%) received antibiotics; 16 (80%) had a urinalysis performed; 16 (80%) received analgesia, including paracetamol (11, 35.5%) and buprenorphine (7, 22.6%); 10 (50%) received blood products; 9 (45%) were intubated; and central venous catheters were inserted in 5 (25%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Palliative care was provided to a minority of patients with hematologic malignancies and considerable improvement is required in its timely use and extension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1049909119887951","type":"journal-article","created":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T09:05:43Z","timestamp":1573549543000},"page":"600-605","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Palliative Care for Patients With Hematologic Malignancies in a Low-Middle Income Country: Prevalence of Symptoms and the Need for Improving Quality of Attention at the End of Life"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6804-9095","authenticated-orcid":false,"given":"Jos\u00e9 Carlos","family":"Jaime-P\u00e9rez","sequence":"first","affiliation":[{"name":"Department of Hematology, Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez University Hospital, School of Medicine, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Monterrey, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9179-3047","authenticated-orcid":false,"given":"Grecia Abigayl","family":"Turrubiates-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Hematology, Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez University Hospital, School of Medicine, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Monterrey, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Nava-Obreg\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Pain and Palliative Care Clinic, Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez University Hospital, School of Medicine, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Monterrey, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blanca","family":"Coronado-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Pain and Palliative Care Clinic, Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez University Hospital, School of Medicine, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Monterrey, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Homero","family":"Guti\u00e9rrez-Aguirre","sequence":"additional","affiliation":[{"name":"Department of Hematology, Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez University Hospital, School of Medicine, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Monterrey, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga Graciela","family":"Cant\u00fa-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Hematology, Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez University Hospital, School of Medicine, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Monterrey, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Herrera-Garza","sequence":"additional","affiliation":[{"name":"Department of Hematology, Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez University Hospital, School of Medicine, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Monterrey, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"G\u00f3mez-Almaguer","sequence":"additional","affiliation":[{"name":"Department of Hematology, Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez University Hospital, School of Medicine, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Monterrey, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,11,12]]},"reference":[{"key":"bibr1-1049909119887951","unstructured":"World Health Organization. WHO Definition of Palliative Care. 2012. https:\/\/www.who.int\/cancer\/palliative\/definition\/en\/. Accessed August 10, 2019."},{"key":"bibr2-1049909119887951","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0068"},{"key":"bibr3-1049909119887951","unstructured":"Organizaci\u00f3n Mundial de la Salud. Cuidados Paliativos. 2018. https:\/\/www.who.int\/es\/news-room\/fact-sheets\/detail\/palliative-care. Accessed August 10, 2019."},{"key":"bibr4-1049909119887951","unstructured":"Organizaci\u00f3n Mundial de la Salud. Primer Atlas Mundial De Las Necesidades De Cuidados Paliativos no Atendidas. 2014. https:\/\/www.who.int\/mediacentre\/news\/releases\/2014\/palliative-care-20140128\/es\/. Accessed August 10, 2019."},{"key":"bibr5-1049909119887951","unstructured":"International Association for Hospice and Palliative Care. Palliative Care Definition. 2018. https:\/\/hospicecare.com\/what-we-do\/projects\/consensus-based-definition-of-palliative-care\/definition\/. Accessed August 10, 2019."},{"key":"bibr6-1049909119887951","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(02)00440-2"},{"key":"bibr7-1049909119887951","unstructured":"National Institute for Clinical Excellence. National Institute for Clinical Excellence. 2003. https:\/\/www.nice.org.uk\/guidance\/ng47\/evidence\/improving-outcomes-in-haematological-cancers-the-manual-2487893581. Accessed August 10, 2019."},{"key":"bibr8-1049909119887951","unstructured":"Pan American Health Organization. Principales Causas De Muerte. Muertes Reportadas Para Los Pa\u00edses y Territorios De Las Am\u00e9ricas. 2017. www.paho.org\/data\/index.php\/es\/mnu-mortalidad\/principales-causas-de-muerte.html. Accessed August 10, 2019."},{"key":"bibr9-1049909119887951","unstructured":"Inegi. \u201cEstad\u00edsticas a Prop\u00f3sito Del D\u00eda De Muertos\u201d (2 de Noviembre). 2017. https:\/\/www.inegi.org.mx\/contenidos\/saladeprensa\/aproposito\/2017\/muertos2017_Nal.pdf. 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