<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992014000300134</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Correlación del estado funcional de Karnofsky con la supervivencia de pacientes con tumores de origen gastrointestinal en un servicio de cuidados paliativos]]></article-title>
<article-title xml:lang="en"><![CDATA[The correlation of Karnofsky Performance Status with survival in patients with gastrointestinal tumors in a palliative care unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Guerrero]]></surname>
<given-names><![CDATA[Mariana I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Gómez]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Allende Pérez]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Gómez]]></surname>
<given-names><![CDATA[Angel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna Ortiz]]></surname>
<given-names><![CDATA[Kuauhyama]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Pedraza]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cancerología Servicio de Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico ABC Departamento de Anestesiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Médico ABC Departamento de Ortopedia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Cancerología División de Cirugía ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<fpage>134</fpage>
<lpage>137</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992014000300134&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992014000300134&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992014000300134&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Antecedentes: El cáncer es un problema de salud que actualmente se enfoca en prevención y tratamiento; sin embargo, es alto el número de pacientes con supervivencia menor de 6 meses, por lo que es mandatorio optimizar recursos. Nuestro objetivo es determinar si existe correlación del estado funcional de Karnofsky (EFK) con la supervivencia en pacientes con tumores de origen gastrointestinal en un servicio de cuidados paliativos (SCP). Método: Se revisaron 144 expedientes de pacientes con tumores gastrointestinales, y se obtuvo: datos demográficos, EFK, localización del tumor, tiempo de admisión al SCP, síntomas en primera visita, días entre el ingreso y la defunción, y sitio donde ocurrió. Los valores de EFK y días de ingreso hasta la muerte se correlacionaron con coefi ciente de Spearman. Resultados: Del total de pacientes (n = 55), 23 eran varones y 32, mujeres; la media de edad era 63.91 ± 14.04 años; 14 pacientes presentaron un EFK del 60%. La admisión al SCP fue el día del diagnóstico en el 81.8%. La mediana de síntomas (ESAS) fue de 6. La mediana de supervivencia fue 24 días, y se observó una correlación estadísticamente signifi cativa (p = 0.001) entre EFK y la supervivencia. El sitio más frecuente de la defunción fue el hogar (65.5%). Conclusiones: En la optimización de recursos es importante poder predecir la supervivencia al evaluar a un paciente, y para esto nos es de gran utilidad el uso de la EFK; sin embargo, se requiere de más estudios para evaluar la utilidad de los síntomas como predictores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: Cancer is a public health problem, currently focusing on prevention and treatment; however, in many cases survival is still less than 6 months. For this reason, resource optimization is mandatory. Our objective is to determine if there is a correlation between the Karnofsky Performance Status (KPS) and overall survival in patients with gastrointestinal tumors in a Palliative Care Unit (PCU). Methods: We evaluated 144 consecutive records and examined demographic data, KPS, primary tumor site, time from diagnosis to admission to the PCU, total of symptoms in the first visit to the PCU, time from admission to PCU to the death, and the place of death. The correlation of the KPS and the survival was found using the Spearman correlation. The data were analyzed using SPSS 16.0 software. Results: The study included a total of 55 patients, of whom 23 were male and 32 were female and with a mean age of 63.91± 14.04 years. A KPS of 60% was found in 14 patients. The admission to the PCU was on the same day of diagnosis (81.8%). The median of positive symptoms (ESAS) was 6. The median of survival in the PCU was 24 days, demonstrating a statistically significant (P=.001) correlation between the KPS and survival. The most frequent place of death was at home (65.5%). Conclusions: As regards resource optimization, it is important to be able to predict the overall survival and the KPS is very useful to do this; however more studies are required to evaluate the usefulness of symptoms as predictors.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer]]></kwd>
<kwd lng="es"><![CDATA[Cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[Supervivencia global]]></kwd>
<kwd lng="es"><![CDATA[Tumores gastrointestinales]]></kwd>
<kwd lng="en"><![CDATA[Cancer]]></kwd>
<kwd lng="en"><![CDATA[Palliative care]]></kwd>
<kwd lng="en"><![CDATA[Overall survival]]></kwd>
<kwd lng="en"><![CDATA[Gastrointestinal tumors]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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