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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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
;
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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Effect of Oral Nutritional Supplementation With and Without Exercise on Nutritional Status and Physical Function of Adult Hemodialysis Patients: A Parallel Controlled Clinical Trial (AVANTE-HEMO Study)
(2020)
Martin-Alemañy, Geovana
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Espinosa-Cuevas, María de los Ángeles
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Pérez Vera, Monserrat Gabriela
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Wilund, Kenneth R.
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Miranda-Alatriste, Paola
Objective: Protein energy wasting affects the nutritional status (NS) and physical function (PF) of dialysis patients. Among the different anabolic strategies to improve NS and PF, oral nutritional supplementation (ONS) and resistance exercise (RE) or aerobic exercise (AE) have been shown to be effective. Nevertheless, the combination of both anabolic strategies has not been completely evaluated. The aim of this study is to assess the effect of exercise combined with ONS versus ONS without exercise during hemodialysis sessions on PF and NS indicators. Methods: Young hemodialysis patients (29 ± 9.3 years) with predominantly unknown causes of renal disease (80%) were divided into the following 3 groups during a period of 12 weeks: (1) ONS (n = 15), (2) ONS + RE (n = 15), and (3) ONS + AE (n = 15). Anthropometric, biochemical, PF, and quality of life measurements were recorded at baseline and after 3 months. Repeated measures analysis of variance and effect sizes (Cohen's d) were used to assess the effect of exercise and nutrition (ISRCTN registry 10251828).
Scopus© Citations 34 36 2
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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.
Scopus© Citations 14 34 2
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Utilidad del método Delphi para la construcción de acuerdos en la asignación de riñones de donante fallecido en seis hospitales de México
(2010-09)
Cantú Quintanilla, Guillermo Rafael
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Reyes, Alfonso
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Romero Navarro, Benjamín
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Luque Coqui, Mercedes
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Rodríguez Ortega, Graciela
Objetivos: Conocer los criterios médicos y su prioridad en la asignación de riñones de paciente fallecido en Pediatría, entre los integrantes de los Comités Internos de Trasplantes de seis hospitales. Valorar si con el método Delphi es posible construir consensos para mejorar la heterogeneidad de criterios en la asignación de órganos para trasplante renal entre los médicos adscritos a los servicios de Nefrología y Cirugía en seis centros hospitalarios de México. Metodología: Se realizó un estudio con el método de expertos Delphi con tres fases y dos circulaciones para identificar comportamientos y tendencias con la sinergia del debate en un grupo. Se aplicó el índice de Kappa para evaluar concordancia de los resultados. Resultados: Los resultados de la primera circulación muestran la heterogeneidad de criterios para la asignación de órganos de donador fallecido dentro de cada hospital y de los seis hospitales comparados entre si. Con los resultados de la segunda circulación en cuatro hospitales aumentó el consenso para la elección tanto del primer como del segundo receptor. El cociente de Kappa muestra la habilidad de los resultados. Conclusión: Vemos necesario desarrollar un sistema de puntaje para la asignación de órganos de donador fallecido en México, en el que será conveniente incluir el HLA. El método Delphi permite conocer la prioridad de los criterios médicos para la asignación de riñones de donador fallecido, y ayuda a construir consensos que permitan a los Comités Internos de Trasplantes de México minimizar la subjetividad del personal involucrado en la asignación de órganos.
Scopus© Citations 3 52 1
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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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Revisión de modelos para el análisis de dilemas éticos
(2015)
Ruíz-Cano, Jennifer
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Cantú Quintanilla, Guillermo Rafael
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Ávila-Montiel, Diana
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Gamboa-Marrufo, José Domingo
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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.
Scopus© Citations 6 20 1
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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.
30 1
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Evaluation of physician–patient relationship and bioethical principles in COVID-19 patients
(2022)
Gómez Guerrero, Irma Eloísa
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Arroyo-Valerio, América
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Reding-Bernal, Arturo
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Aguiñaga, Nuria
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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 16 2
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A Comparative Study of the Traditional Method, and a Point-Score System for Allocation of Deceased-Donor Kidneys: A National Multicenter Study in Mexico
(2011)
Cantú Quintanilla, Guillermo Rafael
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Alberú-Gomez, Josefina
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Reyes-Acevedo, Rafael
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Medeiros, Mara
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Villa, María De La Salud
Background: The National Transplant Center in Mexico has ruled that deceased-donor kidney allocation is a function of each hospital's Internal Transplant Committee. The aim of this study was to compare and analyze results for of the traditional method and a point-score system in the allocation of deceased patient's kidneys. Methods: The 12 major kidney transplant centers in the country having a deceased-donor program were invited to participate. Only 3 of them replied to the invitation during 2010. A point-score system was proposed to them, comprising blood group, waiting list time, HLA type, and donor and recipient ages. Once the final recipient was chosen, an explanation of reasons for the choice was requested. Thirty-eight transplants were presented. Kappa coefficient was used to measure degree of agreement in both allocation systems. Organs donated for transplantation came from patients between 4 and 54 years old, including 52% female, 52% O+ blood type, 31% A+, and 11% B+, 44% cranial-encephalic trauma, and 44% brain hemorrhage.
Scopus© Citations 1 16 1
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Ley de la voluntad anticipada en México
(2013)
Cantú Quintanilla, Guillermo Rafael
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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 22 1

Cantú Quintanilla, Guillermo Rafael

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