<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022016000400171</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de la caquexia oncológica en pacientes a nivel de atención primaria: un enfoque paliativo]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of cachexia related to cancer in patients at a primary level: a palliative approach]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of cachexia related to cancer in patients at a primary level: a palliative approach]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Arce]]></surname>
<given-names><![CDATA[Yirley]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abarca-Gómez]]></surname>
<given-names><![CDATA[Leandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Área de Salud de Atenas Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Caja Costarricense de Seguro Social Subárea de vigilancia epidemiológica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>58</volume>
<numero>4</numero>
<fpage>171</fpage>
<lpage>177</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022016000400171&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022016000400171&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022016000400171&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Justificación: La caquexia por cáncer es un síndrome multifactorial caracterizado por la pérdida de masa muscular (con o sin pérdida de tejido graso), que se asocia a un deterioro funcional y que no es posible revertir de manera completa solo con soporte nutricional. Su detección oportuna ayudaría a mejorar la calidad de vida de estos pacientes. El objetivo de esta investigación fue determinar la prevalencia de la caquexia oncológica en el EBAIS de San Isidro, en el Área de Salud de Atenas, Alajuela, Costa Rica, en pacientes diagnosticados con cáncer en el período 2010 - 2013, con el propósito de identificar y caracterizar este problema para proponer medidas de prevención y control en el ámbito de la atención integral y cuidados paliativos.  Metodología: Se realizó un estudio observacional, descriptivo de tipo transversal, en pacientes diagnosticados con enfermedad neoplásica y en condiciones paliativas. Se seleccionaron todos los pacientes con diagnósticos de enfermedad oncológica, según los códigos del CIE10 durante ese periodo en estudio. Se calcularon medidas de frecuencia, tendencia central y dispersión. Se utilizó EpiInfo 3.5.5  Resultados: El mayor porcentaje de pacientes con cáncer se ubica en el grupo de etario de 65 años y más, para un 48%. Los pacientes diagnosticados con cáncer en su mayoría eran del sexo femenino, para un 65,2%. El 52% de las personas estaban incluidas en el programa de Cuidados Paliativos. La prevalencia de caquexia oncológica en esta área de salud fue del 21,7%, siendo más frecuentes en los cánceres del tubo digestivo (8,7%) y de pulmón (4,3%).  Discusión: Se documentó presencia de caquexia oncológica en un 21,7% de individuos con cáncer evaluados en un nivel de atención primaria. Más de la mitad de las personas evaluadas estaban incluidas en un programa de cuidados paliativos, lo cual sobrepasa lo documentado en países como España.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Justification: Cancer cachexia is a multifactorial syndrome, characterized by loss of muscle mass (with or without loss of fat tissue) even before weight loss becomes apparent, which is associated to a functional impairment andwhich is not possible to revert completely alone with nutritional support. Timely identification would help increase the quality of life of these patients. To determine the prevalence of cancer cachexia at the EBAIS of San Isidro in the Health Area of Atenas, Alajuela, Costa Rica, in patients diagnosed with cancer in the period between 2010 to 2013 with the purpose of identifying and characterizing this problem to propose prevention and control measures as part of a of comprehensive and palliative care.  Methods: An observational, descriptive cross-sectional study was conducted in patients who were diagnosed with neoplastic disease and in palliative conditions. All patients with oncological disease diagnoses according to CIE10 codes were selected during the study period. Measures of frequency, central tendency and dispersion were calculated. EpiInfo 3.5.5 was used.  Results: The highest percentage of cancer patients was observed in the age group of 65 years and more, 48%. The patients diagnosed with cancer were mostly females, 65.2%. Of the patiens analized, 52% were included in the palliative care of the Health Area of Atenas. It was possible to determine the prevalence of cachexia (using a diagnostic criterion weight loss of more than 5% in the year after diagnosis of oncology cancer disease) of 21.7%, being more frequent in cancers of the digestive tube (8.7%), followed by lung cancer 4.3%.  Discussion: Cancer cachexia was documented in 21.7% of the cancer patients evaluated at a primary care level. More than half of the persons evaluated were included in the palliative care program, this is beyond what is documented for countries like Spain.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[caquexia oncológica]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[prevalencia]]></kwd>
<kwd lng="es"><![CDATA[Costa Rica]]></kwd>
<kwd lng="es"><![CDATA[Fuente: DeCS, BIREME]]></kwd>
<kwd lng="en"><![CDATA[Cachexia oncological]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[prevalence]]></kwd>
<kwd lng="en"><![CDATA[Costa Rica]]></kwd>
<kwd lng="en"><![CDATA[(Source: DeCS, BIREME)]]></kwd>
</kwd-group>
</article-meta>
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