Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi

El cáncer de laringe es una patología altamente mórbida con un impacto muy importante en el estado nutricional del paciente, que así mismo influye en el desenlace posoperatorio de los pacientes candidatos a laringectomía total, sin embargo, sin conductas estandarizadas en el ámbito nutricional aplic...

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Fecha de publicación:
2024
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Universidad del Rosario
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Repositorio EdocUR - U. Rosario
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spa
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oai:repository.urosario.edu.co:10336/43128
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https://repository.urosario.edu.co/handle/10336/43128
Palabra clave:
Neoplasias laríngeas
Laringectomía total
Fístula faringocutánea
Valoración nutricional
Desnutrición
Nutrición oncológica
Perioperatorio
Laryngeal neoplasms
Total laryngectomy
Pharyngocutaneous fistula
Nutritional assessment
Malnutrition
Oncologic nutrition
Perioperative period
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Attribution-NonCommercial-ShareAlike 4.0 International
id EDOCUR2_22466c81c562e866405243a6b53f0a2b
oai_identifier_str oai:repository.urosario.edu.co:10336/43128
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
dc.title.none.fl_str_mv Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi
title Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi
spellingShingle Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi
Neoplasias laríngeas
Laringectomía total
Fístula faringocutánea
Valoración nutricional
Desnutrición
Nutrición oncológica
Perioperatorio
Laryngeal neoplasms
Total laryngectomy
Pharyngocutaneous fistula
Nutritional assessment
Malnutrition
Oncologic nutrition
Perioperative period
title_short Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi
title_full Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi
title_fullStr Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi
title_full_unstemmed Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi
title_sort Consenso colombiano de conductas nutricionales perioperatoria en laringectomía total: metodología delphi
dc.contributor.advisor.none.fl_str_mv Tupac Ramírez, Adonis
Berbesi, Dedsy
dc.subject.none.fl_str_mv Neoplasias laríngeas
Laringectomía total
Fístula faringocutánea
Valoración nutricional
Desnutrición
Nutrición oncológica
Perioperatorio
topic Neoplasias laríngeas
Laringectomía total
Fístula faringocutánea
Valoración nutricional
Desnutrición
Nutrición oncológica
Perioperatorio
Laryngeal neoplasms
Total laryngectomy
Pharyngocutaneous fistula
Nutritional assessment
Malnutrition
Oncologic nutrition
Perioperative period
dc.subject.keyword.none.fl_str_mv Laryngeal neoplasms
Total laryngectomy
Pharyngocutaneous fistula
Nutritional assessment
Malnutrition
Oncologic nutrition
Perioperative period
description El cáncer de laringe es una patología altamente mórbida con un impacto muy importante en el estado nutricional del paciente, que así mismo influye en el desenlace posoperatorio de los pacientes candidatos a laringectomía total, sin embargo, sin conductas estandarizadas en el ámbito nutricional aplicables a estos pacientes. Objetivo: Realizar un consenso con recomendaciones basadas en la evidenica para la práctica clínica en torno a las conductas nutricionales empleadas en el preoperatorio y postoperatorio de pacientes adultos sometidos a laringectomías totales en Colombia. Métodos: Se realizo una revisión sistemática de la literatura para la construcción de recomendaciones evaluadas por 14 cirujanos de cabeza y cuello del país. Los miembros del panel recibieron 16 recomendaciones basadas en la evidencia las cuales fueron calificadas por los expertos utilizando la escala Likert de 5 puntos además de la posibilidad de una respuesta abierta. Se definió consenso de acuerdo o desacuerdo con un porcentaje de respuestas unánimes en uno o dos ítems (negativo o positivo) mayor al 70%. Resultados: 14 cirujanos de cabeza y cuello aceptaron participar en el consenso. Un total de 10 recomendaciones alcanzaron consenso en primera vuelta, las 6 recomendaciones restantes se sometieron a segunda vuelta en la cual 3 de estas consiguieron consenso. Como resultado final se obtuvieron 13 recomendaciones finales basadas en la literatura científica en torno a las conductas nutricionales perioperatorias en laringectomía total. Conclusiones: El tratamiento nutricional integral de los pacientes sometidos a laringectomía total implica un enfoque polifacético y multidisciplinario, que incluye la evaluación preoperatoria, inicio de vía oral temprana teniendo en cuenta la individualización de cada caso, inicio de las vías de alimentación adecuadas y consideración de la vía oral como primera opción. Este enfoque, respaldado por las pruebas científicas disponibles, pretende optimizar el estado nutricional del paciente y favorecer su recuperación y bienestar a largo plazo.
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-07-26T20:38:12Z
dc.date.available.none.fl_str_mv 2024-07-26T20:38:12Z
dc.date.created.none.fl_str_mv 2024-07-07
dc.type.none.fl_str_mv bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.document.none.fl_str_mv Trabajo de grado
dc.type.spa.none.fl_str_mv Trabajo de grado
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/43128
url https://repository.urosario.edu.co/handle/10336/43128
dc.language.iso.none.fl_str_mv spa
language spa
dc.rights.*.fl_str_mv Attribution-NonCommercial-ShareAlike 4.0 International
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.none.fl_str_mv Abierto (Texto Completo)
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
rights_invalid_str_mv Attribution-NonCommercial-ShareAlike 4.0 International
Abierto (Texto Completo)
http://creativecommons.org/licenses/by-nc-sa/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.extent.none.fl_str_mv 131 PP
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad del Rosario
Universidad CES. Facultad de Medicina
dc.publisher.department.none.fl_str_mv Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.none.fl_str_mv Especialización en Epidemiología
publisher.none.fl_str_mv Universidad del Rosario
Universidad CES. Facultad de Medicina
institution Universidad del Rosario
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Lin, A; Ye, J; Wang, Z; Li, P; Analysis of post operative efficacy and pharyngeal fistula healing in patients with laryngeal cancer treated with post operative enteral nutrition support nursing combined with early oral feeding. Disponible en: http://dx.doi.org/10.3892/ol.2020.11503. Disponible en: 10.3892/ol.2020.11503.
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MGA, Berg; EL, Rasmussen-Conrad; KH, Wei; H, Lintz-Luidens; JHAM, Kaanders; MAW, Merkx; Comparison of the effect of individual dietary counselling and of standard nutritional care on weight loss in patients with head and neck cancer undergoing radiotherapy. En: Br J Nutr [Internet. Disponible en: 10.1017/S0007114510001315.
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spelling Tupac Ramírez, Adonis1bbf4fa7-ce34-4149-ac59-0162bbf3bce3Berbesi, Dedsybc43b9f1-a575-4364-afcf-b897e1cd8427Norato Ortíz, Chiara TheresaOchoa Bonet, Cecilia EstefaníaMorales Huertas, María del PilarEspecialista en Epidemiología (en Convenio con el CES)EspecializaciónFull timed9d0f36b-9213-4989-9c14-70841340c35532eeb031-28b3-482a-a209-fa455195249c11120304-c208-4044-9bd1-cffdf3c961fc2024-07-26T20:38:12Z2024-07-26T20:38:12Z2024-07-07El cáncer de laringe es una patología altamente mórbida con un impacto muy importante en el estado nutricional del paciente, que así mismo influye en el desenlace posoperatorio de los pacientes candidatos a laringectomía total, sin embargo, sin conductas estandarizadas en el ámbito nutricional aplicables a estos pacientes. Objetivo: Realizar un consenso con recomendaciones basadas en la evidenica para la práctica clínica en torno a las conductas nutricionales empleadas en el preoperatorio y postoperatorio de pacientes adultos sometidos a laringectomías totales en Colombia. Métodos: Se realizo una revisión sistemática de la literatura para la construcción de recomendaciones evaluadas por 14 cirujanos de cabeza y cuello del país. Los miembros del panel recibieron 16 recomendaciones basadas en la evidencia las cuales fueron calificadas por los expertos utilizando la escala Likert de 5 puntos además de la posibilidad de una respuesta abierta. Se definió consenso de acuerdo o desacuerdo con un porcentaje de respuestas unánimes en uno o dos ítems (negativo o positivo) mayor al 70%. Resultados: 14 cirujanos de cabeza y cuello aceptaron participar en el consenso. Un total de 10 recomendaciones alcanzaron consenso en primera vuelta, las 6 recomendaciones restantes se sometieron a segunda vuelta en la cual 3 de estas consiguieron consenso. Como resultado final se obtuvieron 13 recomendaciones finales basadas en la literatura científica en torno a las conductas nutricionales perioperatorias en laringectomía total. Conclusiones: El tratamiento nutricional integral de los pacientes sometidos a laringectomía total implica un enfoque polifacético y multidisciplinario, que incluye la evaluación preoperatoria, inicio de vía oral temprana teniendo en cuenta la individualización de cada caso, inicio de las vías de alimentación adecuadas y consideración de la vía oral como primera opción. Este enfoque, respaldado por las pruebas científicas disponibles, pretende optimizar el estado nutricional del paciente y favorecer su recuperación y bienestar a largo plazo.Laryngeal cancer is a highly morbid pathology with a very important impact on the nutritional status of the patient, which likewise influences the postoperative outcome of patients who are candidates for total laryngectomy, however without standardized behaviors in the nutritional field applicable to these patients. Objective: To make a consensus with recommendations based on scientific evidence for clinical practice regarding the nutritional behaviors used preoperatively and postoperatively in adult patients undergoing total laryngectomy in Colombia. Methods: A Delphi consensus was reached among 14 head and neck surgeons in the country. The panel members received 16 evidence-based recommendations which were rated by the experts using the 5-point Likert scale plus the possibility of an open response. Consensus was defined as agreement or disagreement with a percentage of unanimous responses on one or two items (negative or positive) greater than 70%. Results: A total of 14 head and neck surgeons agreed to participate in the consensus. A total of 10 recommendations reached consensus in the first round, the remaining 6 recommendations were submitted to a second round in which 3 of them reached consensus. As a final result, 13 final recommendations were obtained regarding perioperative nutritional behaviors in total laryngectomy. Conclusions: Comprehensive nutritional management of patients undergoing total laryngectomy involves a multifaceted and multidisciplinary approach, including preoperative assessment, early oral route initiation taking into account the individualization of each case, initiation of appropriate feeding routes and consideration of the oral route as the first option . This approach, supported by the available scientific evidence, aims to optimize the patient's nutritional status and promote long-term recovery and well-being.131 PPapplication/pdfhttps://repository.urosario.edu.co/handle/10336/43128spaUniversidad del RosarioUniversidad CES. Facultad de MedicinaEscuela de Medicina y Ciencias de la SaludEspecialización en EpidemiologíaAttribution-NonCommercial-ShareAlike 4.0 InternationalAbierto (Texto Completo)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.http://creativecommons.org/licenses/by-nc-sa/4.0/http://purl.org/coar/access_right/c_abf2G.L.O.B.O.C.A.N.; Today cancer. 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