Head and neck squamous cell carcinoma in solid organ transplant recipients.

PURPOSE: Characterize head and neck squamous cell carcinomas in solid transplant recipients and compare outcomes with non-transplanted population. METHODS: We carried a retrospective cohort analysis in a tertiary care center in Madrid, Spain. The study reviews 26 cases of non-cutaneous HNSCC diagnosed in solid organ transplant recipients between 2000 and 2017. We select a cohort of 130 (1:5) non-transplanted patients among all non-transplanted patients diagnosed during the same period for comparison purposes, through hierarchical clustering analysis. Univariate, overall and specific survival analysis and multivariate Cox proportional hazards regression were used to evaluate our objectives. RESULTS: The overall risk of non-cutaneous HNSCC in solid transplant recipients was 7.2 cases per 1000. Alcohol abuse (p = 0.021) and upfront surgery (p = 0.019) were more likely to occur in transplanted patients. Age > 60 was an independent predictor of worse outcomes both for overall (HR = 2.4, p < 0.001) and specific (HR = 2.1, p = 0.012) survival. Transplant significantly worse overall survival (HR = 2.1, p = 0.012) but no statistical significant differences were observed on specific survival (p = 0.392). CONCLUSIONS: Solid organ transplant recipients have a higher risk of suffering non-cutaneous HNSCC. The higher mortality rate of these patients does not appear to be directly related to suffering from head and neck cancer, although it seems to contribute to developing other fatal complications in these fragile patients.

Síndrome trófico trigeminal: causa infrecuente de ulceración nasal / Trigeminal trophic syndrome: An unusual cause of nasal ulceration

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Evaluación del uso del teléfono y email de apoyo tras prostatectomía radical robótica (PRR) / No disponible

La prostatectomía radical robótica Da Vinci añade al tratamiento quirúrgico del cáncer de próstata una nueva dimensión a la cirugía mínmera en España se realizó en 2005.El autocuidado es una estrategia importante para la protección de la salud y la prevención de la enfermedad, es un gran potencial para influir positivamente en la vida de las personas. La estrategia para afrontar el reto de la cronicidad en Euskadi nos dice que permitir el acceso y compartir información sobre el paciente y los procedimientos de asistencia sanitaria, desde el hospital hasta el centro de atención primaria e incluso en el domicilio del paciente, empieza a ser una necesidad manifiesta del sistema de salud, dada la tendencia a la reducción de la estancia media, la extensión de los procesos ambulatorios y la importancia de perfeccionar el conocimiento del paciente en relación con su autocuidado una vez que se encuentra en casa (12,16).En la Unidad de Urología de nuestro hospital HUA sede Txagorritxu de Vitoria, la enfermera responsable durante el ingreso informa y educa al paciente en los cuidados a seguir en su domicilio, realiza el informe de alta de enfermería (IAE) dirigido a la enfermera de referencia de Atención Primaria, en el que se detalla la intervención realizada, la existencia o no de complicaciones en el postoperatorio y los cuidados de enfermería pendientes al alta. Durante el postoperatorio, le entregamos una hoja de recomendaciones al alta (HRA) para que tenga tiempo de leerla y pueda consultarnos las dudas que le puedan surgir antes del alta hospitalaria. En la HRA abordamos cuatro áreas: la higiene, alimentación y actividad física, el cuidado de la sonda vesical, el cuidado de la herida quirúrgica y la heparina de bajo peso molecular (HBPM). Además, en ella se facilitan una dirección de correo electrónico y un número de telefono para los pacientes puedan consultar con las enfermeras que les han cuidado durante el ingreso de sus dudas. Se les invita a hacer uso del teléfono para que los pacientes puedan consultar con las enfermeras que les han cuidado durante el ingreso sus dudas. Se le invit a hacer uso del teléfono y el correo en cualquier momento desde el alta hasta que acuden a la primera consulta de urología para ser retirada la SV y desde odnde se´ran infomrados acerca de las posibles complicaciones a largo plazo. disfunción eréctil e incontinencia urinaria (15)

Da Vinci robotic radical prostatectomy adds to surgical treatment of the prostate cancer a new dimension to minimally invasive surgery, being a safe technique and reproducible and that allows improving the oncological and functional results. (1, 2, 3, 4). The first one in Spain was carried out in 2005. Self-care is an important strategy for health protection and illness prevention, it has a great potential to be positively influential in peoplelife. The strategy to face the challenge of chronicity in Basque Country explains that allowing the access and sharing information about patients and procedures of health assistance, from the Hospital to the Primary Care centre and even at the patient home, starts to be a declared need of the health system, given the trend of the reduction of the average stay, the extension of the ambulatory processes and the importance of perfecting the knowledge of the patient in relation to heir self-care once they are at home (12, 16).In the urology unit of our hospital HUA headquarters Txagorritxu of Vitoria, the responsible nurse during the admission informs and teach the patients the cares to follow at their homes, carries out the report of discharge of nursing (RDN) addressed to the reference nurse of Primary Care, in which the intervention carried out is detailed, the existence or not of complications in the postoperative and the pending cares of nursing in the discharge. Following surgery, we deliver a recommendations sheet at the discharge (RSD) so that they have time to read it and can ask us the doubts that can rise before the hospital discharge. In the RSD, we approach 4 areas: hygiene, feeding and physical activity, the care of the vesicle catheter, the care of the surgical wound and the heparin of low molecular weight (HLMW). Besides it, an email address and a telephone number are faciliated so that patients can ask the nurses who have taken care of them during teh admission their doubts. They are invited to use the telephone and the mail in any moment from the discharge until they go to the first urology practice to withdraw the VC and to use the telephone and the mail in any moment from the discharge until they go to the first urology practi e to withdraw the VC and from where will be informed about the possible long-term coplications. erectile dysfunction and urinary incontinence (15)