Influencia psicoemocional de la pandemia por COVID-19 en la experiencia farmacoterapéutica de los pacientes con patologías reumáticas / Psycho-emotional influence of COVID-19 pandemic on medication experience of patients with rheumatic diseases

Objetivo: Realizar una revisión bibliográfica para conocer el impacto de la influencia psicoemocional de la pandemia sobre la experiencia farmacoterapéutica de pacientes con patologías reumáticas tratados con fármacos antirreumáticos modificadores de la enfermedad. Métodos: Se seleccionaron artículos con metodología cualitativa, cuantitativa o mixta disponibles en inglés o castellano. Las bases de datos consultadas fueron Medline, Cochrane Library y PsycInfo. Se eligieron como términos MeSH para realizar la búsqueda: “COVID-19”, “Rheumatic Diseases”, “Qualitative”. Resultados: Se localizaron 8 publicaciones. Se examinaron títulos y resúmenes incluyendo 3 artículos y excluyendo 5. Emergieron otros 3 artículos que cumplían criterios de inclusión pero carecían de los términos MeSH seleccionados. Se analizaron un total de 6 artículos. Conclusiones: La pandemia y el aislamiento social han impactado en la salud mental de los pacientes con patologías reumáticas desencadenando como respuestas emocionales ansiedad, fatiga y estrés. En la mayoría de casos éstos han mantenido su tratamiento. Se distingue su autogestión y conocimiento de la enfermedad y la conciencia acerca de la importancia de continuar con su tratamiento para mantener la estabilidad de su patología. (AU)

Objective: To review the scientific literature concerning psycho-emotional impact of the COVID-19 pandemic on the medication experience of patients with rheumatic diseases treated with disease-modifying antirheumatic drugs. Methods: Articles selected were qualitative, quantitative or mixed methodology available in English or Spanish. Databases consulted were Medline, Cochrane Library and PsycInfo. «COVID-19», «Rheumatic Diseases», «Qualitative» MeSH terms were chosen to perform the search. Results: 8 publications were located. Titles and abstracts were examined including 3 articles and excluding 5. Another 3 articles emerged that met the inclusion criteria but lacked the selected MeSH terms. A total of 6 articles were analyzed. Conclusions: Pandemic and social isolation have impacted on mental health of patients with rheumatic diseases, triggering anxiety, fatigue and stress as emotional responses. In most cases they maintained their treatment. Self-management and knowledge about their disease and awareness of the importance of continuing treatments to maintain the stability of their pathology are distinguished. (AU)

[Hyponutrition prevalence among patients with digestive neoplasm before surgery]. / Prevalencia de desnutrición en pacientes con neoplasia digestiva previa cirugía.

OBJECTIVE: To analyze the prevalence and degree of hyponutrition among patients with resectable digestive neoplasm that will be submitted to surgery. MATERIAL AND METHODS: Observational cross-sectional descriptive study carried out from november of 2005 to march of 2006, assessing the nutritional status of all patients aged > or = 18 years with resectable digestive neoplasm submitted to scheduled surgery at the General and Digestive Surgery Department of the Hospital Complex of Orense (Spain). Eighty patients were studied, 41 men and 39 women aged 27-92 years. RESULTS: Diagnosis categorization was as follows: colonic neoplasm 27 patients, rectal neoplasm 24, gastric neoplasm 23, and pancreatic neoplasm 6. Fifty-three percent of the patients assessed had lost 5% of their usual weight within the previous 3 months. Serum albumin levels were lower than 3.5 mg/dL in 49% of the cases. Patient-Generated Subjective Global Assessment shows a hyponutrition prevalence of 50% (29% with moderate hyponutrition or at risk for hyponutrition and 21% with severe hyponutrition). Hyponutrition was related to age, increasing with increasing age (p < 0.05), and to the kind of digestive neoplasm (higher prevalence among patients with gastric neoplasm). CONCLUSIONS: Hyponutrition prevalence among patients with resectable digestive neoplasm is high. There is a similarity between the relative data relating to percentage of weight loss, serum albumin levels, and nutritional assessment obtained by applying the Patient-Generated Subjective Global Assessment. Further studies on hyponutrition prevalence among oncologic patients at our setting would be desirable.

Prevalencia de desnutrición en pacientes con neoplasia digestiva previa cirugía / Hyponutrition prevalence among patients with digestive beoplasm befote surgery

Objetivo: Analizar la prevalencia y el grado de desnutrición de los pacientes con neoplasia digestiva resecable que van a ser sometidos a intervención quirúrgica. Material y método: Estudio transversal, observacional y descriptivo de noviembre de 2005 a marzo de 2006 basado en la valoración nutricional de todos los pacientes mayores de edad con neoplasia digestiva resecable programados para intervención quirúrgica en el Servicio de Cirugía General y Digestiva del Complexo Hospitalario de Ourense. Se incluyeron 80 pacientes, 41 hombres y 39 mujeres de edades comprendidas entre los 27 y los 92 años. Resultados: La distribución por diagnósticos fue la siguiente: neoplasia de colon 27 pacientes, neoplasia de recto 24, neoplasia gástrica 23 y neoplasia pancreática 6. El 53% de los pacientes valorados había perdido más de un 5% de su peso habitual en los 3 meses previos. Las cifras de albúmina plasmática eran inferiores a 3,5 mg/dl en el 49% de los casos. La Valoración Global Subjetiva Generada por el Paciente muestra una prevalencia de desnutrición del 50% (29% desnutrición moderada o riesgo de desnutrición y 21% desnutrición severa). La desnutrición se relacionó con la edad, siendo más frecuente al aumentar ésta (p < 0,05) y con el tipo de neoplasia digestiva (mayor prevalencia en pacientes con neoplasia gástrica). Conclusiones: La prevalencia de desnutrición en pacientes con neoplasia digestiva resecable es elevada. Existe similitud entre los datos relativos al porcentaje de pérdida de peso, cifras de albúmina plasmática y valoración nutricional obtenida al aplicar la Valoración Global Subjetiva Generada por el Paciente. Sería deseable que se realizasen más estudios de prevalencia de desnutrición en pacientes oncológicos en nuestro medio (AU)

Objective: To analyze the prevalence and degree of hyponutrition among patients with resectable digestive neoplasm that will be submitted to surgery. Material and methods: Observational cross-sectional descriptive study carried out from november of 2005 to march of 2006, assessing the nutritional status of all patients aged ≥18 years with resectable digestive neoplasm submitted to scheduled surgery at the General and Digestive Surgery Department of the Hospital Complex of Orense (Spain). Eighty patients were studied, 41 men and 39 women aged 27-92 years. Result: Diagnosis categorization was as follows: colonic neoplasm 27 patients, rectal neoplasm 24, gastric neoplasm 23, and pancreatic neoplasm 6. Fifty-three percent of the patients assessed had lost 5% of their usual weight within the previous 3 months. Serum albumin levels were lower than 3.5 mg/dL in 49% of the cases. Patient-Generated Subjective Global Assessment shows a hyponutrition prevalence of 50% (29% with moderate hyponutrition or at risk for hyponutrition and 21% with severe hyponutrition). Hyponutrition was related to age, increasing with increasing age (p < 0.05), and to the kind of digestive neoplasm (higher prevalence among patients with gastric neoplasm). Conclusion: Hyponutrition prevalence among patients with resectable digestive neoplasm is high. There is a similarity between the relative data relating to percentage of weight loss, serum albumin levels, and nutritional assessment obtained by applying the Patient-Generated Subjective Global Assessment. Further studies on hyponutrition prevalence among oncologic patients at our setting would be desirable (AU)