RESUMO
The evolution of palliative care in Latin America has been slow compared with other parts of the world, especially developed countries. Current data show inequality in the development of palliative care in the region and those differences are also evident within countries between urban and rural populations. Peru is situated in the low-ranking group in terms of palliative care services in Latin America. The main reasons are a lack of education and funding and misconceptions about palliative care. Limited access to the use of opioids and regulatory barriers are also common features. The development of more palliative care units in Peru, as well as in other Latin American countries, is needed to ensure access to adequate and timely treatment for patients receiving palliative care.
Assuntos
Analgésicos Opioides , Cuidados Paliativos , Humanos , América Latina , Peru , Analgésicos Opioides/uso terapêutico , População RuralRESUMO
La Unidad Oncológica del Hospital General Santa Rosa, es el primer servicio descentralizado para atención de Cáncer en el Perú, por convenio con el Instituto Nacional de Enfermedades Neoplásicas. Se presenta una serie de casos de cáncer digestivo operados, como un reporte piloto en un Hospital General. 50 casos fueron incluídos, siendo los más frecuentemente tratados: cáncer gástrico (38%), cáncer de colon (19%), cáncer de recto (14%) y otras localizaciones (29%). Se presentaron complicaciones en 18% de los casos, y un caso de mortalidad post operatoria asociado a comorbilidad. Se concluye que en el Hospital General Santa Rosa puede realizarse cirugía de alta complejidad, con baja morbi-mortalidad.
Hospital General Santa Rosa, to set up the first Oncology Departament with agreement to pay attention in cancer in association with Instituto Nacional de Enfermedades Neoplásicas, Lima-Perú. We present the cases of abdominal cancer trated with surgery in this Department. 50 cases was included: Gastric cancer (38%), colonic cancer (19%), rectal cancer (14%), and others (29%). Complications in 18% of cases and one case of PO mortatlity.