Cantú Quintanilla, Guillermo Rafael

Main Affiliation

Facultad de Ciencias de la Salud - CampCM

Preferred name

Official Name

Cantú Quintanilla, Guillermo Rafael

ORCID

0000-0002-3493-2207

Researcher ID

HKV-7734-2022

Scopus Author ID

36843684600

Now showing 1 - 10 of 29

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A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E. Manual on health self-management and patient-reported outcomes among low-income young adult Mexicans on chronic dialysis: Feasibility study
(2022)
Brito-Suárez, Juliette Marie
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Medina-Hernández, Elba
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Medeiros, Mara
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Cantú Quintanilla, Guillermo Rafael
;
Morales-Buenrostro, Luis Eduardo
We evaluated disease knowledge/self-management skills among low-income Mexican young adults maintained on dialysis and to test the effectiveness of the A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E (AYNIL) Manual – Spanish Version on patient-reported outcomes. This is a low literacy teaching tool designed with patients and educators' input.
1 11Scopus© Citations 6
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Revisión de modelos para el análisis de dilemas éticos
(2015)
Ruíz-Cano, Jennifer
;
Cantú Quintanilla, Guillermo Rafael
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Ávila-Montiel, Diana
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Gamboa-Marrufo, José Domingo
;
Juárez-Villegas, Luis E.
En la práctica médica pediátrica es frecuente encontrar a pacientes en circunstancias que representan un dilema ético para los profesionales de la salud. Un dilema corresponde a una situación en la que los preceptos morales o las obligaciones de similar obligatoriedad ética se encuentran en conflicto, de forma que cualquier solución posible al dilema es moralmente intolerable. Una revisión de la literatura permitió identificar diferentes modelos que abordan esta clase de dilemas. Se localizaron artículos utilizando las bases de datos Ebsco Host, ProQuest, Ovid e InMex, así como metabuscadores como metacrawler. Algunos de los modelos analizados fueron los siguientes: el Modelo de Anne Davis, el Método de Nijmegen, el Método de Diego Gracia, el Método Integral, el Modelo del Centro de Ética Médica de Bochum, el Modelo de Brody y Payton, el Modelo de Curtin y Flaherty, el Modelo de Thompson y Thompson, la Fórmula SAD, el Modelo de Javier Morata, el Modelo de Elaine Congress, el Modelo IFSW, el Modelo de Loewenberg y Dolgoff, el Modelo de la Ley Social, el Método DOER, el Modelo de Brommer, el Modelo de Corey y Callanan, el Modelo de Pope y Vasquez, el Modelo de Bush, Connell y Denney, el Modelo de Ferrell, Gresham y Fraedrich y el Modelo de Hunt y Vitell. Los criterios compartidos entre los diferentes modelos fueron los siguientes: a) la especificación del dilema ético; b) la descripción de los hechos a considerar; c) la definición de valores, principios y la postura ética que será tomada en consideración; y d) la toma de decisiones con la identificación de alternativas de solución. De acuerdo con la literatura revisada, se explican algunos modelos con el fin de identificar y ejemplificar elementos críticos que pudieran ser utilizados de manera práctica por los Comités de Ética Clínica u Hospitalaria en las instituciones de salud pediátrica en México.
1Scopus© Citations 7 14
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Validation of the Patient Dignity Inventory in Mexican Cancer Patients
(2021)
Rodríguez-Mayoral, Oscar
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Galindo-Vázquez, Oscar
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Allende Pérez, Silvia
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Arzate-Mireles, Cinthya
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Peña-Nieves, Adriana
Introduction: The Patient Dignity Inventory (PDI) is a reliable screening instrument for a variety of problems (physical, existential, and social) that affect the dignity of patients during their end of life. The PDI has been translated into several different languages and has been validated in different settings. As such, it is important to validate the instrument in patients with cancer in Mexico to assess dignity in this population. The aim of this study was to translate and validate the Spanish version of the PDI in Mexican patients with cancer. Methods: This is a cross-sectional study that included patients with cancer, both those enrolled and not enrolled in palliative care, at the Instituto Nacional de Cancerología in Mexico City from September 2018 to August 2019. A translation and back translation were performed to obtain the Mexican version of the PDI (PDI-Mx) instrument. Patients completed the PDI-Mx, the Hospital Anxiety and Depression Scale (HADS), and functional scales (Eastern Cooperative Oncology Group [ECOG] and Karnofsky). Psychometric properties were evaluated by determining internal consistency, exploratory and confirmatory factor analysis (CFA), and concurrent validity with the HADS. Results: We included 290 participants with cancer (145 in palliative care and 145 not enrolled in palliative care). The Cronbach's alpha of the PDI-Mx was 0.95. There was a significant correlation with the HADS (rs = 0.757, p < 0.0001). The factor analysis showed four factors that explain 64.7% of the model. The CFA presented adequate indicators, which show the adjustment of the structure that indicates a balanced and parsimonious model. Conclusions: The Mexican version of the PDI shows adequate psychometric properties in patients with cancer. We suggest the use of PDI-Mx in clinical care and research. The study was approved by the Institutional Review Board and Ethics Committee with numbers (016/063/CPI) and (CEI/1115/16) respectively.
1 7Scopus© Citations 4
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Propuesta de un modelo de análisis del maltrato en la relación médico-paciente
(Sociedad Mexicana de Oncología, 2015)
Bautista-Rodríguez, Humberto
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Cantú Quintanilla, Guillermo Rafael
A model of analysis of the concept of “abuse”, filed as a complaint against health care personnel, is proposed. This model attempts to examine the abuse that takes place in the Physician-Patient relationship setting under the light of non-Civil Code binding Declarations, Codes and Articles that are not being respected due to a growing problem of abuse developing among health care personnel. The proposal aims to support medical units, and especially their Hospital Bioethics Committees, in order to make them aware of rights that are not being respected with regard to these complaints resulting from medical actions. © 2015, Sociedad Mexicana de Oncología
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Self-Management and Health Care Transition Among Adolescents and Young Adults With Chronic Kidney Disease: Medical and Psychosocial Considerations
(2017)
Díaz-González de Ferris, Maria E.
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Villar-Vilchis, Marta Del
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Guerrero, Ricardo
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Barajas-Valencia, Victor M.
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Vander-Schaaf, Emily B.
Health care transition (HCT) is a process that requires preparation as a continuum from pediatric- to adult-focused services. For adolescents and young adults with chronic or ESRD, this process can be prolonged due to their physical, psychological, family, or ecological factors. HCT preparation is a matter of patient safety and patient rights as the consequences of poor preparation at the time of transfer to adult-focused services are great, including rejection of organs, disease relapse, or even death. We present a case to illustrate important points of HCT preparation, with suggestions for intervention by the interdisciplinary team members who serve (and will serve) these survivors of pediatric-onset health conditions. To monitor the HCT process, yearly measurements of skill mastery need to take place guide interventions.
2 10Scopus© Citations 18
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Validation of the UNC TRxANSITION Scale™Version 3 Among Mexican Adolescents With Chronic Kidney Disease
(2015)
Cantú Quintanilla, Guillermo Rafael
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Ferris, María
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Otero, Araceli
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Gutiérrez-Almaraz, Anabel
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Valverde-Rosas, Saúl
Background: There is a lack of valid health care transition readiness (HCT) scales in Spanish. Objective: To provide initial validation of the UNC TRxANSITION Scale™ among Mexican adolescents and young adults (youth) with chronic kidney disease (CKD). Methods: We used the professionally translated/back translated, provider-administered UNC TRxANSITION Scale™ (Ferris et al., 2012). This 33-question scale measures HCT in ten sub-scales including knowledge about diagnosis or treatment, diet, reproductive health, school/work, insurance, ability to self-manage and looking for new health providers. Its maximum score is 10. We enrolled 163 Mexican adolescents (48.5% females) with CKD stage≥3, mean age of 15.1years (±2.1) and whose primary language is Spanish. There were 15 patients on hemodialysis (9.2%) and 30 transplant recipients (18.4%). Results were compared to those reported in adolescents with chronic conditions from the USA.
1 12Scopus© Citations 33
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Fe de errores de “Revisión de modelos para el análisis de dilemas éticos”
(2015)
Ruíz-Cano, Jennifer
;
Cantú Quintanilla, Guillermo Rafael
;
Ávila-Montiel, Diana
;
Gamboa-Marrufo, José Domingo
;
Juárez-Villegas, Luis E.
En el artículo titulado “Revisión de modelos para el análisis de dilemas éticos” publicado en el Boletín Médico del Hospital Infantil de México, Bol Med Hosp Infant Mex. 2015;72(2):89-98, se ha detectado un error en la filiación del Dr. Adalberto de Hoyos-Bermea, siendo los datos correctos: Instituto Politécnico Nacional, México, D.F. México.
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Impact of a bioethics and humanities program on the educational training of nephrology residents
(Oxford University Press (OUP), 2025-09-24)
Cantú Quintanilla, Guillermo Rafael
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Gómez Guerrero, Irma
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Garcia-Villalobos, Gloria
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Martin Alemañy, Geovana
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Aguiñaga-Chiñas, Nuria
Background: Modern medical training must integrate not only clinical skills but also ethical and humanistic competencies. In 2013, a structured program in bioethics and humanism was implemented as part of a nephrology residency curriculum. The objective of this study was to evaluate the impact of a 3-year humanism and bioethics program for nephrology residents that focused on improving clinical communication, reducing complaint and lawsuit numbers, increasing patient satisfaction, and supporting decision-making centered on quality of life. Methods: A longitudinal, ambispective cohort (2010–19), our 3-year curriculum delivered weekly 1-h sessions for 6 months/year to 45 residents and was facilitated by three faculty instructors across six core themes. To relate outcomes to the intervention, analyses were anchored to the 2013 launch and compared pre-program (2010–13) versus post-program (2014–19) rates of formal complaints, legal claims, patient satisfaction and maximum benefit discharges. Results: Formal complaints decreased from 47.8 to 26.0 per year [incidence rate ratio (IRR) 0.54, 95% confidence interval (CI) 0.44–0.67; P < .001; Holm <0.001]. Legal claims were reduced from 4.25 to 0.17 per year (IRR 0.039, 95% CI 0.005–0.295; P = .0016; Holm = 0.0016). Maximum benefit discharges increased from 4.25 to 76.5 per year (IRR 18.0, 95% CI 11.09–29.21; P < .001; Holm <0.001). For satisfaction, the ordinal logistic model showed an odds ratio (OR) of 3.53 (95% CI 1.96–6.38; P < .001; Holm = 0.0001), consistent with the dichotomous sensitivity analysis (≥4 vs ≤3) (OR 4.08, 95% CI 2.16–7.71; P < .000). Conclusions: The humanism and bioethics program was proven to be an effective and transformative educational tool that promoted ethical, empathetic and patient-centered nephrology practices. The positive impact of this program was evident in both clinical indicators and strengthened medical professionalism. ©The authors ©Oxford University Press (OUP) © Clinical Kidney Journal.
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The effects of resistance exercise and oral nutritional supplementation during hemodialysis on indicators of nutritional status and quality of life
(2016)
Martin-Alemañy, Geovana
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Valdez-Ortiz, Rafael
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Olvera-Soto, Guadalupe
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Gómez-Guerrero, Irma
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Aguire-Esquivel, Guillermo
Background: Protein-energy wasting (PEW) is common in patients undergoing hemodialysis (HD). Studies have assessed the positive effect of oral nutritional supplementation (ONS) or resistance exercise (RE) on nutritional status (NS) markers in patients undergoing HD. Methods: The aim of this study was to assess the effect of ONS and RE on NS and the quality of life (QOL) of 36 patients undergoing HD. In a randomized clinical trial, patients were divided into the following two groups: a control group (ONS) that received a can of ONS during their HD sessions and an intervention group (ONS + RE) that received a can of ONS and underwent a 40-min session of RE during their HD sessions. Both interventions lasted 12 weeks. The patients' anthropometric, biochemical, dietetic and bioelectrical impedance measurements as well as their QOL, evaluated using the Kidney Disease Quality of Life Short Form, were recorded.
Scopus© Citations 63 1 20
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Perceptions of COVID-19 patients in the use of bioethical principles and the physician-patient relationship: a qualitative approach
(BioMed Central Ltd, 2024)
Cantú Quintanilla, Guillermo Rafael
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Gómez-Guerrero, Irma Eloisa
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Aguiñaga-Chiñas, Nuria
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López Cervantes, Mariana
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Jaramillo Flores, Ignacio David
The COVID-19 pandemic has influenced the approach to the health-disease system, raising the question about the principles of bioethics present in physician–patient relations. The principles while widely accepted may not be sufficient for a comprehensive ethical analysis. Therefore, the aim of this study was to explore the perception of these principles and the physician–patient relationship during a hospital stay through a qualitative approach. Method: Sixteen semi-structured interviews took place to know the patients’ perception during their 2020 hospitalization for COVID-19. The data was analyzed through the constant comparison method, creating categories and comparing them. In the end, seven categories were established and were grouped in three: bioethical principles (dignity, charity, vulnerability, autonomy), doctor-patient relationship (participant commitment, informed consent, health staff-patient relationship) and the experience of the disease (illness, the role of the family). Results: The research found that most patients described a positive experience, with the feeling of having been well cared for with no sense of discrimination or injustice done. The majority also reported that their autonomy was respected in the treatment decisions. The evaluation of these attitudes is an area of opportunity, especially when the patients' vulnerability is at risk. Conclusions: The ethics of virtue offers a better reflection of how human beings manifest themselves by emphasizing the development of virtuous character and behaviors that allow them to realize their values in life. Authorized by the Research Ethics Committee with registration: DI/18/105-B/3/308. © The Author(s) 2024.
1 17Scopus© Citations 1

Cantú Quintanilla, Guillermo Rafael

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