Palliative care needs in Costa Rica by Province
DOI:
https://doi.org/10.51481/amc.v63i2.1112Keywords:
needs, care, paliative careAbstract
Background and aim. There is a lack of knowledge regarding palliative care needs in Costa Rica, which creates difficulties in being able to distribute resources properly. This study seeks to identify palliative care needs by province to serve as input for adequate planning and utilization of resources.
Methods. The methodology designed by the Lancet Commission on Palliative Care and Pain Relief based on severe health-related suffering was used for 20 diseases with the greatest probable need for palliative care using the database of the Costa Rican Institute of Statistics and Census and databases of the Ministry of Health and the Caja Costarricense del Seguro Social.
Results. In Costa Rica, 19502 people required palliative care in 2018, with neoplastic diseases occupying the first place, followed by cerebrovascular diseases, external causes, and HIV-AIDS. Most of the cases are in the central provinces of the country (San José, Alajuela, and Heredia) and the minority in Guanacaste.
Conclusions. It was possible to estimate the palliative care needs in Costa Rica by diagnoses and province of residence, documenting that the majority of needs are for non-oncological terminal diseases and in the provinces of San José, Alajuela and Heredia.
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References
World Health Organization (WHO). Global Atlas of Palliative Care 2nd Edition. London: Worldwide Palliative Care Alliance; 2020. Available http://www.thewhpca.org/resources/global-atlas-on-end-of-life-care (modified 30/4/2021).
Radbruch, Lukas et alt. Redefining Palliative Care-A New Consensus-Based Definition. Journal of Pain and Symptom Management. 2020; 60. 10.1016/j.jpainsymman.04.027.
Murtagh FE, Bausewein C, Verne J, Groeneveld EI, Kaloki YE, Higginson IJ. How many people need palliative care? A study developing and comparing methods for population-based estimates. Palliat Med. 2014 Jan; 28 (1): 49-58. doi: 10.1177/0269216313489367. Epub 2013 May 21. PMID: 23695827.
Grbich C, Maddocks I, Parker D, Brown M, Willis E, Piller N and Hofmeyer A. Identification of patients with noncancer diseases for palliative care services. Palliative and Supportive Care. 2005; 3: 5-14.
Mitchell H, Noble S, Finlay I and Nelson A. Defining the palliative care patient: its challenges and implications for service delivery. British Medical Journal Support Palliative Care. 2012.
Rosenwax LK, McNamara B, Blackmore AM, et al. Estimating the size of a potential palliative care population. Palliat Med. 2005; 19 (7): 556-562;
Gómez-Batiste X, Martinez-Munoz M, Blay C, et al. Identifying needs and improving palliative care of chronically ill patients: a community-oriented, population-based, public-health approach. Curr Opin Support Palliat Care. 2012; 6 (3): 371-378;
World Health Organization (WHO). Global Atlas of Palliative Care at the End of Life. London: Worldwide Palliative Care Alliance; 2014 Available at: http://www.thewpca.org/resources/global-atlas-of-palliative-care/.
Knaul FM, et alt. Lancet Commission on Palliative Care and Pain Relief Study Group. Alleviating the access abyss in palliative care and pain relief-an imperative of universal health coverage: the Lancet Commission report. Lancet. Apr 7;391(10128):1391-1454. doi: 10.1016/S0140-6736(17)32513-8. Epub 2017 Oct 12. Erratum in: Lancet. 2018 Mar 9: PMID: 29032993.
Sleeman, Katherine, De Brito, Maja & Etkind, Simon & Nkhoma, Kennedy & Guo, Ping & Higginson, Irene & Gomes, Barbara & Harding, Richard. The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions. The Lancet Global Health. 2019; 7. 10.1016/S2214-109X (19) 30172-X;
Lancet Commission on Palliative Care and Pain Relief. Lancet Commission on global access to palliative care and pain. Technical note and data appendix report; . 2017, 12 Octubre. Recuperado de: https://www.mia.as.miami.edu/_assets/pdf/Data%20appendix%20LCGAPCPC%20Oct122017_ONLINE-DRAFT%2012OCT17.pdf.
de la Peña Enrique, Millares Lourdes, Díaz Alejandro, Taddia Claudia Bustamante. Experiencia de éxito: resumen ejecutivo [Internet]. Washington DC, EE.UU : Banco Interamericano de Desarrollo.; 2016. Disponible en: https://publications.iadb.org/publications/spanish/document/Experiencias-de-%C3%A9xito-en-seguridad-vial-en-Am%C3%A9rica-Latina-y-el-Caribe-Resumen-ejecutivo.pdf.
Bohián P. Estadísticas de siniestros viales con víctimas en Costa Rica para el período 2012-2016 [Internet]. Dialnet.unirioja.es. 2020 [cited 31 July 2020]. Available from: https://dialnet.unirioja.es/descarga/articulo/7594405.pdf
3. Páramo D. Actualización en la prevalencia y carga de la enfermedad cerebrovascular en Costa Rica en el período comprendido entre 2009-2019. [Internet]. Revistamedicacr.com. 2020 [cited 31 January 2021]. Available from: http://www.revistamedicacr.com/index.php/rmcr/article/view/313.
Rodríguez Montero P, Rodríguez Montero P. Aspectos epidemiológicos del virus de inmunodeficiencia humana en costa rica [Internet]. Scielo.sa.cr. 2018 [cited 31 January 2021]. Available from: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-14292018000200118.
Mata-Azofeifa, Z , Baraquiso Pazos, M. Análisis de la mortalidad por tuberculosis, en Costa Rica [Internet]. Scielo.sa.cr. 2020 [cited 28 Nov. 2020]. Available from: https://www.scielo.sa.cr/pdf/amc/v62n3/0001-6002-amc-62-03-126.pdf.
Martyn CN and Pippard EC. Usefulness of mortality data in determining the geography and time trends of dementia. J Epidemiol Community Health8. 1988; 42(2): 134-137.
Fornaguera J, Segura N, Montero-Herrera B. Enfermedad de Alzheimer en Costa Rica. Una realidad poco investigada. [Internet]. 2018 [cited 5 January 2021]. Available from: https://www.researchgate.net/publication/334469816_Enfermedad_de_Alzheimer_en_Costa_Rica_Una_realidad_poco_investigada/citation/download.
Chinchilla, Jairo, Evans-Meza, Ronald, Bonilla Roger y Romero Águeda). Evolución de la carga por enfermedades pulmonares crónicas en Costa Rica, 1990-2014. REV HISP CIENC SALUD. 2018; 4 (2): 65-77.
Field D and Addington-Hall J. Extending specialist palliative care to all? Soc Sci 1999, 1271-1280.
Phillips NJ, Reay J and Martyn CN. Validity of mortality data for Parkinson's disease. J Epidemiol Community Health. 1999; 53 (9): 587-558.
Li SQ, Cass A and Cunningham J. Cause of death in patients with end-stage renal disease: assessing concordance of death certificates with registry reports. Aust N Z J Public Health. 2003; 27(4): 419-424.
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