<?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>2183-6914</journal-id>
<journal-title><![CDATA[Revista Onconews]]></journal-title>
<abbrev-journal-title><![CDATA[Revista Onconews]]></abbrev-journal-title>
<issn>2183-6914</issn>
<publisher>
<publisher-name><![CDATA[Associação de Enfermagem Oncológica Portuguesa (AEOP)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-69142025000200200</article-id>
<article-id pub-id-type="doi">10.31877/on.2025.51.06</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Nurse-Led Gastrostomy Care: A Business Case]]></article-title>
<article-title xml:lang="pt"><![CDATA[Cuidados conduzidos por enfermeiros em gastrostomia: Proposta de Valor]]></article-title>
<article-title xml:lang="es"><![CDATA[Atención de gastrostomía dirigida por enfermeras: una propuesta de valor]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Davide Miguel da Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Ana Sofia Magalhães]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</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>
<numero>51</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-69142025000200200&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-69142025000200200&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-69142025000200200&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Percutaneous gastrostomy tube placement is a crucial method for providing long-term enteric nutrition in patients with cancer. The process involves four stages: decision-making consultation, hospital admission, device implantation in a hybrid operating room, and discharge to the community. Post-discharge care is typically physician-led, aligning with Portuguese health policies. However, expanding nurse-led interventions could alleviate physician burden, enhance care integration, and improve outcomes such as quality of life, patient engagement, and satisfaction. Nurses&#8217; involvement, guided by clinical expertise and person-centered care principles, ensures effective follow-up tailored to individual needs. While nurse-led care shows promise, its economic impact remains underexplored, raising concerns about cost-efficiency in community-based gastrostomy management. This article advocates for a nurse-led model to optimize care for gastrostomy patients, addressing gaps in current practices while maintaining quality and potentially achieving greater cost-effectiveness.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A sonda de gastrostomia percutânea radiológica é crucial para fornecer nutrição entérica em doentes com cancro. Envolve quatro etapas: consulta para tomada de decisão, admissão hospitalar, implantação do dispositivo numa sala híbrida e alta para a comunidade. Os cuidados são liderados por médicos. No entanto, a expansão das intervenções lideradas por enfermeiros pode aliviar a carga sobre o radiologista de intervenção, melhorar a integração dos cuidados e potenciar resultados como a qualidade de vida, o envolvimento do doente e a sua satisfação. O envolvimento do enfermeiro especialista em enfermagem médico-cirúrgica, guiado por expertise clínica e princípios de cuidados centrados na pessoa, assegura acompanhamento eficaz e individualizado. Embora os cuidados liderados por enfermeiros mostrem potencial, o seu impacto económico permanece pouco explorado, levantando preocupações sobre a eficiência de custos na gestão da gastrostomia. Este artigo defende um modelo alternativo para otimizar os cuidados, abordando lacunas enquanto mantém a qualidade e, potencialmente, alcança maior custo-efetividade.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La sonda de gastrostomía percutánea radiológica es esencial para proporcionar nutrición enteral en pacientes con cáncer. Incluye cuatro etapas: consulta para toma de decisiones, ingreso hospitalario, implantación del dispositivo en sala híbrida y alta a la comunidad, con atención habitualmente dirigida por médicos. Ampliar las intervenciones lideradas por enfermeras podría aliviar la carga médica, mejorar la integración de los cuidados y potenciar resultados como calidad de vida, participación y satisfacción del paciente. La intervención de enfermeras especializadas, basada en experiencia clínica y principios de atención centrada en la persona, asegura un seguimiento efectivo y personalizado. Aunque estas intervenciones muestran gran potencial, su impacto económico no ha sido explorado a fondo, lo que plantea dudas sobre la eficiencia del manejo comunitario de la gastrostomía. Este artículo aboga por un modelo liderado por enfermeras para optimizar la atención, abordar deficiencias actuales y mejorar la relación costo-beneficio.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[gastrostomy]]></kwd>
<kwd lng="en"><![CDATA[nurse specialists]]></kwd>
<kwd lng="en"><![CDATA[business case]]></kwd>
<kwd lng="en"><![CDATA[nurse-led]]></kwd>
<kwd lng="en"><![CDATA[person-centred]]></kwd>
<kwd lng="en"><![CDATA[nursing consultation]]></kwd>
<kwd lng="pt"><![CDATA[gastrostomia]]></kwd>
<kwd lng="pt"><![CDATA[enfermeiro especialista]]></kwd>
<kwd lng="pt"><![CDATA[proposta de valor]]></kwd>
<kwd lng="pt"><![CDATA[cuidado centrado na pessoa]]></kwd>
<kwd lng="pt"><![CDATA[consulta de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[cuidados conduzidos por enfermeiro]]></kwd>
<kwd lng="es"><![CDATA[gastrostomía]]></kwd>
<kwd lng="es"><![CDATA[enfermera especialista]]></kwd>
<kwd lng="es"><![CDATA[atención dirigida por enfermeras]]></kwd>
<kwd lng="es"><![CDATA[propuesta de valor]]></kwd>
<kwd lng="es"><![CDATA[atención centrada en la persona]]></kwd>
<kwd lng="es"><![CDATA[consulta de enfermeira]]></kwd>
</kwd-group>
</article-meta>
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