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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Ley de la voluntad anticipada en México
(2013)
Cantú Quintanilla, Guillermo Rafael
;
Alberú, Josefina
En la ciudad de México se dispone de una Ley de Voluntad Anticipada (LVA) desde 2008. Dicha ley tiene por objeto respetar la dignidad de la vida que declina y evitar tanto la obstinación como el abandono terapéutico de los pacientes en enfermedad terminal. Por otra parte, el artículo 8.o de la ley permite expresar el deseo de donar órganos para trasplante. Sin embargo, esta ley, que podría tener efectos benéficos para la procuración de órganos, es muy poco conocida según estudios que hemos realizado. Se llevó a cabo una investigación cualitativa con una entrevista semiestructurada, que había sido previamente validada, para documentar el conocimiento de los habitantes de la ciudad de México sobre la LVA.
Scopus© Citations 1 1 10
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Decreased Autonomy In Community-Dwelling Older Adults
(2019)
Sánchez-García, Sergio
;
García-Peña, Carmen
;
Ramírez-García, Eliseo
;
Moreno-Tamayo, Karla
;
Cantú Quintanilla, Guillermo Rafael
Purpose: The present study aims to explore characteristics associated with low perception of autonomy among community-dwelling older adults. Patients and methods: This original research was derived from a cross-sectional study based on the study COSFOMA with information from 1,252 (60 years and older) community-dwelling older adults whose data was obtained through a questionnaire that included sociodemographic characteristics, as well as different scales of geriatric assessment. The perception of autonomy was evaluated with the autonomy sub-scale of the Quality of Life Scale of Older Adults from the World Health Organization (World Health Organization Quality of Life of Older Adults, WHOQOL-OLD).
1 8Scopus© Citations 48
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Análisis de las características sociodemográficas de los pacientes con enfermedad renal crónica terminal: Diferencias en un periodo de seis años
(2012-07)
Cantú Quintanilla, Guillermo Rafael
;
Rodríguez, Graciela
;
Luque Coqui, Mercedes
;
Romero, Benjamín
;
Valverde, Saúl
Background. Chronic renal disease (CRD) is a disease with a strong impact on the childhood Mexican population with short-range limiting and serious consequences. Poverty and a social environment devoid of social justice hinder timely medical attention and long-range rehabilitation. The aim of this study was to determine the differences regarding sociodemographic features in patients under treatment at Hospital Infantil de México Federico Gómez, with a 6-year difference: patients diagnosed in 2003 as compared to those diagnosed in 2009. Methods. A retrospective comparative study was carried out with end-stage chronic renal disease (ESRD) patients with information obtained from the clinical files. Data were obtained on age, gender, renal insufficiency etiology, socioeconomic level, type of financing, place of origin, and whether patient entered a rehabilitation program (dialysis or transplant).
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Self-Management and Transition Readiness Assessment: Development, Reliability, and Factor Structure of the STARx Questionnaire
(2015)
Ferris, María E.
;
Cohen, Sarah E.
;
Haberman, Cara
;
Javalkar, Karina
;
Massengill, Susan F.
Introduction The Self-Management and Transition to Adulthood with Rx = Treatment (STARx) Questionnaire was developed to collect information on self-management and health care transition (HCT) skills, via self-report, in a broad population of adolescents and young adults (AYAs) with chronic conditions.
1 7Scopus© Citations 145
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Evaluation of physician–patient relationship and bioethical principles in COVID-19 patients
(2022)
Gómez Guerrero, Irma Eloísa
;
Arroyo-Valerio, América
;
Reding-Bernal, Arturo
;
Aguiñaga, Nuria
;
García, Ana Isabel
The COVID-19 pandemic has impacted medical care in many ways; previously, a patient would enter a hospital and had an approximate idea of what would happen upon his admission, the physician informed them about it, but in the last two years this scenario has changed. Therefore, our aim was to identify if bioethical principles are present in the physician–patient relationship and the effect of these in the health care provided, through an observational and descriptive study where patients answered the validated ReMePaB questionnaire that measures the presence of bioethical principles in the physician–patient relationship, on the seventh day of their hospital stay and 24 h after discharge, during the period from 1 August to 5 November 2020. In autonomy, an improvement in the score was observed in the second application compared to the first measurement; in the principle of non-vulnerability, the same scenario was observed for the first and second measurements, respectively. In the principles of beneficence, dignity, and justice, no statistically significant differences were observed. Considering the presence or absence of bioethical aspects in health care in this pandemic creates an area of opportunity to know the feelings of the patient during the care received and to maintain what is done well and improve those aspects that can be improved.
Scopus© Citations 1 2 16
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La trascendencia del Consentimiento Informado en bioética y la complejidad de informar al paciente terminal su pronóstico en la primera visita: Visión del paciente y familiares en el Instituto Nacional de Cancerología
(2013)
Allende-Péreza, Silvia
;
Cantú Quintanilla, Guillermo Rafael
;
Verástegui-Avilés, Emma
In Mexico, Informed Consent (IC) is an ethical obligation and a legal requirement specified in laws however, some studies have suggested that the right to self-determination, which is the basis of respect for patient autonomy movement Anglo-American applied ethics, must be adapted to the particularities of the Mexican context. The majority of patients treated at the Instituto Nacional de Cancerología (INCan) are women with breast or cervical neoplasia, followed by cancers of the digestive tract. A significant percentage of patients seen are illiterate and more than half have six years or less of schooling. In terms of occupation, almost 70% of patients are unemployed or non-formal jobs, with monthly incomes of less than 3,000.00 pesos. We conducted a qualitative, ethnographic and phenomenological method with participant observation technique depth interviews with 10 cases. The situational collective case study was conducted in the palliative care service. Our study showed that to ensure that the signing of IC in palliative care is made by the patient and family is required to fully consider the physical and emotional condition. The document should provide clear, concise and jargon explicit about palliative care, models of care, referral and against reference. Your application will be accurate and in their proper perspective the risk of iatrogenic informative according to the strict application standpoint of patients and families surveyed. The vision of 95% of patients on the IC showed to be for information about care and palliative medicine and signed the document.
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Justicia distributiva y trasplante renal
(Publicia, 2015)
Cantú Quintanilla, Guillermo Rafael
;
GUILLERMO RAFAEL CANTÚ QUINTANILLA;218029
Se trata de un trabajo de investigación que tiene grandes implicaciones bioéticas en uno de los campos con mayor futuro en nuestro país: los trasplantes. La asignación de órganos de un paciente fallecido para trasplantes en México reclama una mayor equidad, claridad y transparencia. Para eso, se revisan las teorías de la justicia distributiva y sus modelos de segmentación. Este trabajo consigue, con una metodología rigurosa, clarificar cuáles son los criterios sanitarios para la distribución de riñones para trasplante: probabilidad de éxito, tiempo en lista de espera, adherencia terapéutica, redes de apoyo familiar, disponibilidad de un donador vivo y sufrimiento del paciente con un cierto orden jerárquico. En la discusión se relacionan estos criterios con las teorías y patrones de distribución de la justicia.
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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
;
Gómez Guerrero, Irma
;
Garcia-Villalobos, Gloria
;
Martin Alemañy, Geovana
;
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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A Multisystemic Approach to Psychosocial Evaluations of Vascularized Composite Allotransplantation Candidates
(2020)
Farías-Yapur, Anneke
;
Iglesias, Martín
;
González-Chávez, Alberto
;
Cantú Quintanilla, Guillermo Rafael
Purpose of Review: This report seeks to shed light on multisystem domains of interest in vascularized composite allotransplantation (VCA) to improve patients’ psychosocial assessment and candidacy, to decrease environmental barriers to transplant success, and to add to the discussion concerning bioethical dilemmas associated to VCA. Recent Findings: Psychosocial assessment tools cover availability, accessibility, and common sense of the treatment at microsystem and individual levels. However, macro-, exo-, and mesosystem risk factors remain unevaluated. Readers are invited to expand and complement the factors described in the review. Summary: Psychosocial assessment of individual and microsystem domains in VCA is not enough for patients in developing countries where higher contextual barriers to treatment adherence are expected. To expand contextual domains of interest, Bronfenbrenner’s social-ecological theory and Ungar’s multisystemic social-ecological theory of resilience are taken into consideration. © 2020, Springer Nature Switzerland AG.
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Mortality in Patients With Chronic Renal Disease Without Health Insurance in Mexico: Opportunities for a National Renal Health Policy
(2018)
Valdez-Ortiz, Rafael
;
Navarro-Reynoso, Francisco
;
Olvera-Soto, Guadalupe
;
Martin-Alemañy, Geovana
;
Rodríguez-Matías, Adrian
Despite a systematic increase in the coverage of patients with end-stage renal disease (ESRD) who have received dialytic therapies and transplantation over the past 2 decades, the Mexican health system currently still does not have a program to provide full coverage of ESRD. Our aim was to analyze mortality in patients with ESRD without health insurance.
2 7Scopus© Citations 33

Cantú Quintanilla, Guillermo Rafael

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