Transplants in Brazil: where are we?

Pêgo-Fernandes, Paulo Manuel; Medina-Pestana, José; Garcı́a, Valter Duro

doi:10.6061/clinics/2019/e832

“…A população brasileira está envelhecendo 10 em um cenário no qual a média de medicações por idoso em ambulatório é 4,5 11 , o que revela potencial aumento do número de pacientes polimedicados e de custos adversidades correlatas. O Brasil é também o segundo maior país em número de transplantes de órgãos sólidos 12 , procedimento de alto custo e morbidade, com risco maior de falha e consequente custo humano e sanitário na ausência de adequada observação da terapia imunossupressora 13 .…”

Section: Introductionunclassified

Simulação de polimedicação e percepções sobre farmacoterapia em estudantes de universidade no Ceará: estudo-piloto

Bezerra

¹

,

Pereira

²

,

Sarubbi

³

et al. 2021

Rev. bras. educ. med.

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Introduction: Given the high prevalence of polypharmacy patients, it is paramount that they be handled with an effective therapeutic alliance and with safe and feasible treatments. Empathy towards the patient is essential, and the lack of prescriber experience may hamper such bond. Objectives: This study simulates a polypharmacy regimen among medical students, aiming to promote reflections about the daily challenges faced by patients. Methods: It is a prospective study in a single, non-blind group. The participants were medical students and residents from our institution, all of whom followed a 7-day placebo prescription. They answered questionnaires on their perceptions of medication adherence and concordance before and after the simulation. Results: twenty-eight volunteers participated, 27 of which (96.4%) forgot to take at least one pill during the experiment. Among the lower undergraduates, 28.57% interrupted at least one medication. As for the higher undergraduates and residents, this happened with 71.43% of them. There were more adherence failures than predicted by the participants themselves. In realistic dosages, levothyroxine, angiotensin-converting enzyme inhibitors and metformin were the drugs reported to be the most difficult. 96% of the volunteers strongly agreed that doctor and patient’s agreement regarding the treatment correlates with good adherence. Conclusion: Understanding the factors that affect adherence and how to handle them is essential for a doctor, as well as a good bond with the patient. The teaching of these abilities is very necessary. Further studies are needed to reach more undergraduate students and to highlight the relevance of simulations in the medical education setting.

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“…Os transplantes de órgãos sólidos ganharam impulso nas últimas décadas e consolidaram-se como opção terapêutica eficaz para pacientes com doença terminal de órgãos. A evolução desses procedimentos se deve, especialmente, a avanços nas técnicas cirúrgicas, na preservação dos órgãos, à melhoria do cuidado pré-operatório e ao uso de imunossupressores mais seletivos (PÊGO-FERNANDES; PESTANA; GARCIA, 2019).…”

Section: Introductionunclassified

O Processo De Trabalho Do Enfermeiro Em Cirurgias De Remoção De Órgãos Sólidos Para Transplante

Silva

¹

,

Carvalho

²

,

Faria

³

et al. 2021

RAHIS

0

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O objetivo deste estudo é descrever o processo de trabalho do enfermeiro em cirurgias de remoção de órgãos sólidos para transplante. Metodologia: Estudo descritivo, exploratório e qualitativo. A coleta de dados foi realizada com 9 enfermeiros, por meio de entrevista semiestruturada e a análise dos dados foi realizada através da técnica de análise de conteúdo. Referencial teórico: O referencial foi subsidiado por contextualizações no campo de uma “Breve contextualização histórica e legal” e reflexões sobre “A equipe de enfermagem nos transplantes”. Análise e discussão dos resultados: Os resultados foram organizados categorias temáticas, a saber: Perfil profissional dos participantes; Organização dos materiais e insumos para a cirurgia de remoção de órgãos sólidos; Documentação do doador e processo de remoção; Início da cirurgia e perfusão; Acondicionamento e transporte dos órgãos. Conclusão: Este estudo apresenta elementos de fundamentação para que enfermeiros formulem seus checklists, impressos sistemáticos, fluxos assistenciais e tenham uma melhora na organização do processo de trabalho relacionado à cirurgia de órgãos sólidos para transplantes.

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“…The Brazilian population is aging 10 in a scenario in which the average number of medications per elderly in an outpatient setting is 4.5 11 , disclosing a potential increase in the number of polymedicated patients and associated adversity costs. Brazil is also the second-largest country in the number of solid-organ transplants 12 , a procedure with high cost and morbidity, with a higher risk of failure and consequent human and health costs in the absence of adequate adherence to the immunosuppressive therapy 13 .…”

Section: Introductionmentioning

confidence: 99%

Polypharmacy simulation and pharmacotherapy perceptions among students from a university in Ceará: a pilot study

Bezerra

¹

,

Pereira

²

,

Sarubbi

³

et al. 2021

Rev. bras. educ. med.

0

View full text Add to dashboard Cite

Introduction: Given the high prevalence of polypharmacy patients, it is paramount that they be handled with an effective therapeutic alliance and with safe and feasible treatments. Empathy towards the patient is essential, and the lack of prescriber experience may hamper such bond. Objectives: This study simulates a polypharmacy regimen among medical students, aiming to promote reflections about the daily challenges faced by patients. Methods: It is a prospective study in a single, non-blind group. The participants were medical students and residents from our institution, all of whom followed a 7-day placebo prescription. They answered questionnaires on their perceptions of medication adherence and concordance before and after the simulation. Results: twenty-eight volunteers participated, 27 of which (96.4%) forgot to take at least one pill during the experiment. Among the lower undergraduates, 28.57% interrupted at least one medication. As for the higher undergraduates and residents, this happened with 71.43% of them. There were more adherence failures than predicted by the participants themselves. In realistic dosages, levothyroxine, angiotensin-converting enzyme inhibitors and metformin were the drugs reported to be the most difficult. 96% of the volunteers strongly agreed that doctor and patient’s agreement regarding the treatment correlates with good adherence. Conclusion: Understanding the factors that affect adherence and how to handle them is essential for a doctor, as well as a good bond with the patient. The teaching of these abilities is very necessary. Further studies are needed to reach more undergraduate students and to highlight the relevance of simulations in the medical education setting.

show abstract

Transplants in Brazil: where are we?

Cited by 10 publications

References 1 publication

Simulação de polimedicação e percepções sobre farmacoterapia em estudantes de universidade no Ceará: estudo-piloto

Simulação de polimedicação e percepções sobre farmacoterapia em estudantes de universidade no Ceará: estudo-piloto

O Processo De Trabalho Do Enfermeiro Em Cirurgias De Remoção De Órgãos Sólidos Para Transplante

Polypharmacy simulation and pharmacotherapy perceptions among students from a university in Ceará: a pilot study

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