Epidemiological Study of Prostate Cancer in the Province of Salamanca (2006-2015)

Objectives: Knowing the incidence of prostate cancer in Salamanca and its evolution, as well as the age at diagnosis and its evolution. In addition, analyzing the mortality from prostate cancer in the province of Salamanca. Methods: Descriptive and analytical, longitudinal and retrospective observational study. From the collection of data from the Pathological Anatomy service and the Clinical Documentation service of the Hospital Complex of Salamanca a database was developed for the calculation of incidence rates. The information collected on mortality was obtained through the National Institute of Statistics. For regression analysis, segmented “jointpoint” models were developed. Results: 2676 males diagnosed with prostate cancer were recorded in the province of Salamanca (period 2006-2015). The risk of prostate cancer up to age 74 in 2006 was 6.23%, almost double in 2010. The evolution of mortality rates adjusted to the European population in the province of Salamanca during the period 2006-2015 showed a slight decrease. Conclusions: In general, Prostate cancer incidence rates increased progressively over the years studied, similar to Spain’s overall rates. These rates increased as age progressed. In general, our incidence rates were lower than those reported by the provinces of northern Spain (except Vizcaya) and higher than those recorded by the provinces of southern Spain. In Europe, our rate was surpassed by countries in northern and western Europe and lower than countries in southern and eastern Europe, and part of central Europe. Countries like U.S.A had rates higher than ours, while Canada accounted for a similar rate. On the other hand, mortality rates remained stable during the middle of the study period, suffering from then on a non-statistically significant anual decrease (AU)

La presencia de familiares durante las maniobras de resucitación cardiopulmonar, una revisión de la literatura / Family presence during cardiopulmonary resuscitation, a bibliographic review

Objetivos: conocer el estado actual del conocimiento sobre la presencia de familiares durante las maniobras de resucitación e identificar los factores que influyen en que esta se produzca. Material y método: se realizó una revisión bibliográfica que integra el análisis de 15 artículos, a través de la consulta de diferentes bases de datos: Pubmed, IME, CINHAL e IBECS con los términos “protocol”; “family presence”; “critical care”; “family presence during resuscitation”, “nurseautonomy”, durante el periodo 1987 y 2011 y sin limitación de idioma. Se incluyeron artículos que trataran sobre series basadas en actitudes y experiencias del profesional enfermero, estudios realizados en España y en otros países, y el uso de protocolos relacionados con la RCP-familia. Resultados y conclusiones: la cultura, el profesional sanitario, la existencia de protocolos y la unidad hospitalaria, son factores que influyen la consideración y aceptación de la presencia de familiares durante la RCP. La mayoría de la literatura consultada está favor de la presencia de la familia, pero con la existencia de unos protocolos escritos bien definidos que marquen las directrices del equipo sanitario. Programas de entrenamiento dirigidos a los profesionales y la figura de un “facilitador de la familia” puede valorarse como una nueva perspectiva en los cuidados dé los pacientes. Es necesaria más investigación sobre esta práctica (AU)

Objectives: to learn about the current situation of knowledge regarding presence of relatives during resuscitation maneuvers, and to identify the factors which drive its occurrence. Materials and method: A bibliographic review was conducted, consisting of the analysis of 15 articles, by searching the terms “protocol”; “family presence”; “critical care”; “family presence during resuscitation”, “nurse autonomy” in different databases: Pubmed, IME, CINHAL and IBECS, during the period 1987 and 2011, and without language limitation. This review included articles dealing with series based on attitudes and experiences of the professional nurse, studies conducted in Spain and other countries, and the use of protocols associated with CPR-family. Results and conclusions: culture, the healthcare professional, existing protocols, and hospital unit, are factors which have an impact on the consideration and acceptance of family presence during CPR. Most publications reviewed are in favor of relatives being present, but as long as there are well-defined written protocols to establish guidelines for the healthcare team. Training programs targeted at professionals, and the concept of a “Family Facilitator”, may be assessed as a new perspective inpatient care. More research into this practice is required (AU)