<?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>2594-2166</journal-id>
<journal-title><![CDATA[Medicina y ética]]></journal-title>
<abbrev-journal-title><![CDATA[Med. ética]]></abbrev-journal-title>
<issn>2594-2166</issn>
<publisher>
<publisher-name><![CDATA[Universidad Anáhuac México, Facultad de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2594-21662025000200584</article-id>
<article-id pub-id-type="doi">10.36105/mye.2025v36n2.04</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y necesidades paliativas de pacientes con insuficiencia hepática no oncológica atendidos en un servicio de cuidados paliativos]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical characteristics and palliative needs of patients with non-oncological liver failure care in a palliative care service]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Navarro]]></surname>
<given-names><![CDATA[Martha Esthela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Templos Esteban]]></surname>
<given-names><![CDATA[Luz Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Valdés]]></surname>
<given-names><![CDATA[Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González Clínica de Dolor y Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González Clínica de Dolor y Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González Clínica de Dolor y Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>584</fpage>
<lpage>635</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2594-21662025000200584&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2594-21662025000200584&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2594-21662025000200584&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La insuficiencia hepática representa la cuarta causa de muerte en México. El tratamiento exclusivamente es de soporte sintomático, ya que la única terapia curativa es el trasplante hepático, y México es uno de los países con menos trasplantes a nivel mundial, resultando vital la inclusión de cuidados paliativos tempranos. El objetivo del presente artículo es el de describir las características clínicas y necesidades paliativas de pacientes con insuficiencia hepática no oncológica en el servicio de cuidados paliativos del Hospital Gea González. Se llevó a cabo un estudio observacional y retrospectivo, de 80 expedientes de pacientes con insuficiencia hepática no oncológica, atendidos de enero de 2021 a junio de 2023. Todos los pacientes requerían cuidado paliativo, de acuerdo con la escala de necesidades paliativas (NECPAL), y el 80% tenía criterios de enfermedad crónica avanzada, siendo la principal etiología el alcoholismo. Se justifica la necesidad de incluir un programa de cuidados paliativos tempranos, lo que repercutirá en menor impacto económico, social y psicológico en las familias mexicanas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary Liver failure is the fourth leading cause of death in Mexico. Treatment is exclusively symptomatic support, since the only curative therapy is liver transplantation, and Mexico is one of the countries with the fewest transplants worldwide, making the inclusion of early palliative care vital. The aim of this article is to describe the clinical characteristics and palliative needs of patients with non-oncologic liver failure in the palliative care service of the Hospital Gea González. An observational and retrospective study was carried out, of 80 records of patients with non-oncologic liver failure, attended from January 2021 to June 2023. All patients required palliative care, according to the palliative needs scale (NECPAL), and 80% had advanced chronic disease criteria, the main etiology being alcoholism. The need to include an early palliative care program is justified, which will have a lesser economic, social and psychological impact on Mexican families.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[alcoholismo]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[alcoholism]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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