<?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>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2021000100075</article-id>
<article-id pub-id-type="doi">10.24950/semi/spmi/1/2021</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Guia de Consenso para a Prática Clínica sobre Boas Práticas nos Cuidados em Fim de Vida, das Sociedades Espanhola e Portuguesa de Medicina Interna]]></article-title>
<article-title xml:lang="en"><![CDATA[Spanish and Portuguese Societies of Internal Medicine Consensus Guideline about Best Practice in End-of-Life Care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díez-Manglano]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[L.Á. Sánchez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fenoll]]></surname>
<given-names><![CDATA[R. García]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Freire]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[S. Isasi de Isasmendi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[A.H.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonafonte]]></surname>
<given-names><![CDATA[O. Torres]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Royo Villanova Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Universitario Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Valladolid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Miguel Servet Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Hospitalar e Universitário do Porto Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital da Luz Arrábida Departamento de Medicina, Urgência e UCI ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universitat Autònoma de Barcelona Hospital de Sant Pau Servicio de Medicina Interna]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>28</volume>
<numero>1</numero>
<fpage>75</fpage>
<lpage>92</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2021000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2021000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2021000100075&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo   Objectivo: Estabelecer recomendações de consenso sobre boas práticas clínicas no acompanhamento de doentes em fim de vida.  Métodos: Uma comissão de 12 peritos espanhóis e portugueses propôs 37 recomendações. Realizou-se um processo Delphi em 2 rondas, com a participação dum painel com105 membros, englobando internistas, outros clínicos, enfermeiros, doentes, juristas, especialistas em bioética, gestores de saúde, políticos e jornalistas. Para cada recomendação, foi enviado um questionário com uma escala de Likert com 5 categorias por questão. Definiu-se consenso forte quando &gt; 95% das respostas estavam totalmente de acordo ou &gt; 90% estavam de acordo e totalmente de acordo; consenso fraco quando &gt; 90% estavam totalmente de acordo ou &gt; 80% estavam de acordo e totalmente de acordo.  Resultados:  O painel abordou sete áreas específicas com 37 recomendações que abarcam: Identificação do doente; Conhecimento dos valores e preferências do doente; Informação; Necessidades do doente; Acompanhamento e cuidados; Sedação paliativa e Cuidados pós-morte.  Conclusões: Um Processo Delphi, com participação multidisciplinar, permitiu estabelecer, normas de boas práticas clínicas para os cuidados em fim de vida com envolvimento de doentes, agentes sociais e profissionais de saúde.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract   Aim:  To develop consensus recommendations about good clinical practice rules for caring end-of-life patients.  Methods:  A steering committee of 12 Spanish and Portuguese experts proposed 37 recommendations. A two rounds Delphi method was performed, with participation of 105 panellists including internists, other clinicians, nurses, patients, lawyers, bioethicists, health managers, politicians, and journalists. A questionnaire with 5 Likert-type answers for each recommendation was sent to panellists. Strong consensus was defined as &gt; 95% answers completely agree or &gt; 90% agree or completely agree; and weak consensus when &gt; 90% answers completely agree or &gt; 80% agree or completely agree.  Results:  The panel addressed seven specific areas for 37 recommendations spanning: Identification of patients; Knowledge of the disease, Patient&#8217;s Values and preferences; Information; Patient&#8217;s needs; Support and care; Palliative sedation, and After death care.  Conclusions:  The panel formulated and provided the rationale for recommendations on good clinical practice rules for caring end-of-life patients.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Boas práticas]]></kwd>
<kwd lng="pt"><![CDATA[Consenso]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados em Fim de Vida]]></kwd>
<kwd lng="pt"><![CDATA[Guia para a Prática Clínica]]></kwd>
<kwd lng="en"><![CDATA[Best practice]]></kwd>
<kwd lng="en"><![CDATA[Consensus]]></kwd>
<kwd lng="en"><![CDATA[End-of-Life Care]]></kwd>
<kwd lng="en"><![CDATA[Guideline]]></kwd>
</kwd-group>
</article-meta>
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