Skip to main content

Table 6 Clinical guidelines and pathways identified (n = 12)

From: Integrated palliative care in the Spanish context: a systematic review of the literature

Category

Reference

Date

Title

Disease

Setting

Emmanuel’s criteriaa n (%)

Recommendations based on…b

Guidelines in non-cancer

Aldasoro et al. [22]

2012

Necesidades en cuidados paliativos de las enfermedades no oncológicas. Un estudio cualitativo desde la perspectiva de profesionales, pacientes y personas cuidadoras (Needs in PC of the non oncologic diseases. A qualitative study from the professionals perspective, patients and carers)

Non cancer

All settings

4 (36 %)

Other options: Mixed methods corresponding to the “focused ethnography”

Pathways in non-cancer

Arnedillo et al. [23]

2012

Consenso sobre Atención Integral de las Agudizaciones de la Enfermedad Pulmonar Obstructiva Crónica ATINA-EPOC (Consensus on integrated care of acute exacerbations of chronic obstructive pulmonary disease ATINA-EPOC)

COPD

Not applicable

8 (73 %)

Consensus methods only

Pathways in non-cancer

Gómez-Batiste et al. [24]

2011

Proyecto NECPAL CCOMS-ICO. Identificación y atención integral-integrada de personas con enfermedades crónicas avanzadas en servicios de salud y sociales (NECPAL CCOMS-ICO Project. Identification and Integral-integrated attention of patients with advanced chronic diseases in health and social services)

Advanced chronic diseases

All settings

5 (45 %)

Systematic review and consensus methods

Pathway general approach

Agustín et al. [17]

2011

Manual para el manejo del paciente en Cuidados Paliativos en Urgencias Extrahospitalarias (Manual for patient management in PC in Extrahospital emergencies)

Cancer

Emergencies outside the hospitals

4 (36 %)

Consensus methods only

Guidelines general approach

SECPAL [15]

2010

Guía de Cuidados Paliativos (Palliative Care Guideline)

Cáncer and non cáncer

All settings

3 (27 %)

Unclear methods

Guidelines general approach

Colomer et al. [16]

2009

Unidad de Cuidados Paliativos: Estándares y recomendaciones (Palliative Care Unit: Standards and recommendations)

Cáncer and non cáncer

All settings

8 (73 %)

Systematic review and consensus methods

Guidelines general approach

Arrieta et al. [13]

2008

Guía de Práctica Clínica sobre Cuidados Paliativos (Clinical practical guideline on Palliative care)

Cancer and non cancer

All settings

10 (91 %)

Systematic review, consensus methods, evidence based and quality assessment

Guidelines general approach

González et al. [14]

2008

Guía de Cuidados Paliativos de la Comunidad de Madrid (Palliative Care guidelines of the Autonomous Community of Madrid)

Cancer and non cancer

All settings

5 (45 %)

Unclear methods

Pathways general approach

Cía et al. [18]

2007

Proceso asistencial integrado de Cuidados Paliativos (Palliative Care Integrated assistential Process)

Cancer and non cancer

Home and hospital settings

7 (63 %)

Systematic review and consensus methods

Guidelines in cancer

Carvajal et al. [19]

2006

Guía de recomendaciones clínicas: Cáncer colorrectal (Clinical recommendation guideline: Colon cancer)

Colorrectal cancer

All settings

4 (36 %)

Systematic review and consensus methods

Pathways in cancer

Naveira et al. [53]

2005

Cuidados paliativos en el enfermo oncologico. Documentos para la gestión integrada de procesos asistenciales relacionados con el cancer. Proyecto Oncoguias (Palliative Care for the oncologic patient. Documents for integrated management of assitential processes related to Cancer. “Oncoguías” Project)

Cancer

All settings

4 (36 %)

Unclear methods

Pathways general approach

Hernández et al. [17]

2004

Programa de cuidados domiciliarios en atención primaria (Home Care program in Primary attention)

Cancer and non cancer

Home setting

6 (56 %)

Unclear

  1. aThe 11 aspects assessed by “Emmanuel’s” are: discussion of illness limitations and prognosis; recommendations for conducting a whole patient assessment including the patient’s physical, social, psychological and spiritual issues, their family and community setting; recommendations for when to make these recommendations; recommendations on when PC should be integrated; assessment of the patient’s goals for care, continuous goal adjustment as the illness and the person’s disease progresses, PC interventions to reduce suffering, advance care planning, recommendations on involving a PC team, recommendations on PC at the last moments of life and recommendations on grief and bereavement [10]
  2. bThe guidelines/pathays’ recommendations were based on the following methods: 1) Systematic review, consensus methods, evidence based and quality assessment; 2) Systematic review and consensus methods; 3) Systematic review only; 4) Consensus methods only; 5) Unclear methods; 6) Other options