array:23 [
  "pii" => "S2173574308701977"
  "issn" => "21735743"
  "doi" => "10.1016/S2173-5743(08)70197-7"
  "estado" => "S300"
  "fechaPublicacion" => "2008-11-01"
  "aid" => "70197"
  "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "rev"
  "cita" => "Reumatol Clin. 2008;4:240-7"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1902
    "formatos" => array:3 [
      "EPUB" => 56
      "HTML" => 1346
      "PDF" => 500
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173574308701989"
    "issn" => "21735743"
    "doi" => "10.1016/S2173-5743(08)70198-9"
    "estado" => "S300"
    "fechaPublicacion" => "2008-11-01"
    "aid" => "70198"
    "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Reumatol Clin. 2008;4:248-50"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2358
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 1379
        "PDF" => 936
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Juvenile Dermatomyositis and Extensive Calcinosis. Treatment With Methylprednisolone and Methotrexate"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "248"
          "paginaFinal" => "250"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Dermatomiositis juvenil y calcinosis extensa. Tratamiento con metilprednisolona y metotrexato"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Zoilo Morel Ayala, Rogelio Martínez Ramírez, Samara Mendieta Zerón, Enrique Faugier Fuentes, Rocío Maldonado Velázquez"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Zoilo"
              "apellidos" => "Morel Ayala"
            ]
            1 => array:2 [
              "nombre" => "Rogelio"
              "apellidos" => "Martínez Ramírez"
            ]
            2 => array:2 [
              "nombre" => "Samara"
              "apellidos" => "Mendieta Zerón"
            ]
            3 => array:2 [
              "nombre" => "Enrique"
              "apellidos" => "Faugier Fuentes"
            ]
            4 => array:2 [
              "nombre" => "Rocío"
              "apellidos" => "Maldonado Velázquez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574308701989?idApp=UINPBA00004M"
    "url" => "/21735743/0000000400000006/v1_201305061550/S2173574308701989/v1_201305061550/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173574308701965"
    "issn" => "21735743"
    "doi" => "10.1016/S2173-5743(08)70196-5"
    "estado" => "S300"
    "fechaPublicacion" => "2008-11-01"
    "aid" => "70196"
    "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Reumatol Clin. 2008;4:232-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2221
      "formatos" => array:3 [
        "EPUB" => 44
        "HTML" => 1570
        "PDF" => 607
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Systematic Review on the Safety of Concomitant Use of Hypoglycemia-Inducing Drugs and Non-Steroidal Anti-Inflammatory Drugs in Patients With Musculoskeletal Pathology"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "232"
          "paginaFinal" => "239"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Revisión sistemática sobre la seguridad del uso concomitante de fármacos hipoglucemiantes y antiinflamatorios no esteroideos en pacientes con enfermedad reumática"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Estíbaliz Loza"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Estíbaliz"
              "apellidos" => "Loza"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574308701965?idApp=UINPBA00004M"
    "url" => "/21735743/0000000400000006/v1_201305061550/S2173574308701965/v1_201305061550/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "Responsiveness of Outcome Measures"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "240"
        "paginaFinal" => "247"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "María Jesús García de Yébenes Prous, Francisco Rodríguez Salvanés, Loreto Carmona Ortells"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "María Jesús"
            "apellidos" => "García de Yébenes Prous"
            "email" => array:1 [
              0 => "mjesus.garciadeyebenes@ser.es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Francisco Rodr&#237;guez"
            "apellidos" => "Salvan&#233;s"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Loreto Carmona"
            "apellidos" => "Ortells"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Unidad de Investigaci&#243;n&#44; Fundaci&#243;n Espa&#241;ola de Reumatolog&#237;a&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Agencia La&#237;n Entralgo&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; Unidad de Investigaci&#243;n&#46; Fundaci&#243;n Espa&#241;ola de Reumatolog&#237;a&#46; Marqu&#233;s del Duero&#44; 5&#44; 1&#46;&#176; A&#46; 28001 Madrid&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Sensibilidad al cambio de las medidas de desenlace"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2008-06-27"
    "fechaAceptado" => "2008-07-24"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec111945"
          "palabras" => array:3 [
            0 => "Responsiveness"
            1 => "Outcome measures"
            2 => "Responsiveness statistics"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec111944"
          "palabras" => array:3 [
            0 => "Sensibilidad al cambio"
            1 => "Medidas de desenlace"
            2 => "Estad&#237;sticos de sensibilidad al cambio"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In medical research&#44; particularly in the field of rheumatology&#44; there is great interest about the concept of responsiveness of outcome measures as a sign of changes in the patient&#39;s health status&#46; However&#44; the terminology surrounding this concept and the methods of analysis are confusing and lacking in consensus&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present a review about the concept and analysis of responsiveness taking into account both&#44; the characteristics of the responsiveness and the type of design and predictable change in the sample being studied&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En la investigaci&#243;n m&#233;dica&#44; y en especial en el &#225;mbito de la reumatolog&#237;a&#44; hay gran inter&#233;s sobre el concepto de sensibilidad al cambio de un instrumento de medida como posible reflejo de modificaciones en la situaci&#243;n cl&#237;nica del paciente&#46; Sin embargo&#44; la terminolog&#237;a de este concepto y su metodolog&#237;a de an&#225;lisis est&#225;n rodeadas de confusi&#243;n y falta de consenso&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se presenta un trabajo de revisi&#243;n sobre el concepto y el an&#225;lisis de la sensibilidad al cambio teniendo en cuenta tanto las caracter&#237;sticas de la sensibilidad como el tipo de dise&#241;o y cambio previsible en la muestra en estudio&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:20 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring health status&#58; what are the necessary measurement properties&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;H&#46; Guyatt"
                            1 => "B&#46; Kirshner"
                            2 => "R&#46; Jaeschke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1992"
                        "volumen" => "45"
                        "paginaInicial" => "1341"
                        "paginaFinal" => "1345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1460470"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "On assessing responsiveness of health-related quality of life instruments&#58; guidelines for instrument evaluation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;B&#46; Terwee"
                            1 => "F&#46;W&#46; Dekker"
                            2 => "W&#46;M&#46; Wiersinga"
                            3 => "M&#46;F&#46; Prummel"
                            4 => "P&#46;M&#46; Bossuyt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Qual Life Res"
                        "fecha" => "2003"
                        "volumen" => "12"
                        "paginaInicial" => "349"
                        "paginaFinal" => "362"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12797708"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluating changes in health status&#58; reliability and responsiveness of five generic health status measures in workers with musculoskeletal disorders"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;E&#46; Beaton"
                            1 => "S&#46; Hogg-Johnson"
                            2 => "C&#46; Bombardier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1997"
                        "volumen" => "50"
                        "paginaInicial" => "79"
                        "paginaFinal" => "93"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9048693"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Methodological problems in the retrospective computation of responsiveness to change&#58; the lesson of Cronbach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;R&#46; Norman"
                            1 => "P&#46; Stratford"
                            2 => "G&#46; Regehr"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1997"
                        "volumen" => "50"
                        "paginaInicial" => "869"
                        "paginaFinal" => "879"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9291871"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Methods for assessing responsiveness&#58; a critical review and recommendations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;A&#46; Husted"
                            1 => "R&#46;J&#46; Cook"
                            2 => "V&#46;T&#46; Farewell"
                            3 => "D&#46;D&#46; Gladman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "2000"
                        "volumen" => "53"
                        "paginaInicial" => "459"
                        "paginaFinal" => "468"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10812317"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is a condition-specific instrument for patients with low back pain&#47;leg symptoms really necessary&#63; The responsiveness of the Oswestry Disability Index&#44; MODEMS&#44; and the SF-36"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46;L&#46; Walsh"
                            1 => "B&#46; Hanscom"
                            2 => "J&#46;D&#46; Lurie"
                            3 => "J&#46;N&#46; Weinstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.BRS.0000050654.97387.DF"
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "2003"
                        "volumen" => "28"
                        "paginaInicial" => "607"
                        "paginaFinal" => "615"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12642770"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reproducibility and responsiveness of evaluative outcome measures&#46; Theoretical considerations illustrated by an empirical example"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46;C&#46; de Vet"
                            1 => "L&#46;M&#46; Bouter"
                            2 => "P&#46;D&#46; Bezemer"
                            3 => "A&#46;J&#46; Beurskens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Technol Assess Health Care"
                        "fecha" => "2001"
                        "volumen" => "17"
                        "paginaInicial" => "479"
                        "paginaFinal" => "487"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11758292"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessing sensitivity to change&#58; choosing the appropriate change coefficient"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;W&#46; Stratford"
                            1 => "D&#46;L&#46; Riddle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1477-7525-3-23"
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Qual Life Outcomes"
                        "fecha" => "2005"
                        "volumen" => "3"
                        "paginaInicial" => "23"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15811176"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The reliability&#44; validity and sensitivity to change of the Chinese version of SF-36 in oriental patients with rheumatoid arthritis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "E&#46;T&#46; Koh"
                            1 => "K&#46;P&#46; Leong"
                            2 => "I&#46;Y&#46; Tsou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rheumatology &#40;Oxford&#41;"
                        "fecha" => "2006"
                        "volumen" => "45"
                        "paginaInicial" => "1023"
                        "paginaFinal" => "1028"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A taxonomy for responsiveness"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;E&#46; Beaton"
                            1 => "C&#46; Bombardier"
                            2 => "J&#46;N&#46; Katz"
                            3 => "J&#46;G&#46; Wright"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "2001"
                        "volumen" => "54"
                        "paginaInicial" => "1204"
                        "paginaFinal" => "1217"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11750189"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Responsiveness and sensitivity to change of SLE disease activity measures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Corzillius"
                            1 => "P&#46; Fortin"
                            2 => "G&#46; Stucki"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lupus"
                        "fecha" => "1999"
                        "volumen" => "8"
                        "paginaInicial" => "655"
                        "paginaFinal" => "659"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10568903"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparisons of five health status instruments for orthopedic evaluation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;H&#46; Liang"
                            1 => "A&#46;H&#46; Fossel"
                            2 => "M&#46;G&#46; Larson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Care"
                        "fecha" => "1990"
                        "volumen" => "28"
                        "paginaInicial" => "632"
                        "paginaFinal" => "642"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2366602"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Many faces of the minimal clinically important difference &#40;MCID&#41;&#58; a literature review and directions for future research"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;E&#46; Beaton"
                            1 => "M&#46; Boers"
                            2 => "G&#46;A&#46; Wells"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Rheumatol"
                        "fecha" => "2002"
                        "volumen" => "14"
                        "paginaInicial" => "109"
                        "paginaFinal" => "114"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11845014"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessing the responsiveness of functional scales to clinical change&#58; an analogy to diagnostic test performance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;A&#46; Deyo"
                            1 => "R&#46;M&#46; Centor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Chronic Dis"
                        "fecha" => "1986"
                        "volumen" => "39"
                        "paginaInicial" => "897"
                        "paginaFinal" => "906"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2947907"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Health status measures&#58; strategies and analytic methods for assessing change scores"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;W&#46; Stratford"
                            1 => "F&#46;M&#46; Binkley"
                            2 => "D&#46;L&#46; Riddle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Phys Ther"
                        "fecha" => "1996"
                        "volumen" => "76"
                        "paginaInicial" => "1109"
                        "paginaFinal" => "1123"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8863764"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Issues in the use of change scores in randomized trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46;R&#46; Norman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1989"
                        "volumen" => "42"
                        "paginaInicial" => "1097"
                        "paginaFinal" => "1105"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2809664"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring functional disability in early rheumatoid arthritis&#58; the validity&#44; reliability and responsiveness of the Recent-Onset Arthritis Disability &#40;ROAD&#41; index"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Salaffi"
                            1 => "A&#46; Stancati"
                            2 => "R&#46; Neri"
                            3 => "W&#46; Grassi"
                            4 => "S&#46; Bombardieri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Exp Rheumatol"
                        "fecha" => "2005"
                        "volumen" => "23"
                        "numero" => "Suppl 39"
                        "paginaInicial" => "S31"
                        "paginaFinal" => "S42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16273783"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Psychometric properties of the Rheumatoid Arthritis Disease Activity Index &#40;RADAI&#41; in a cohort of consecutive Dutch patients with RA starting antitumour necrosis factor treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46;M&#46; Veehof"
                            1 => "P&#46;M&#46; Ten Klooster"
                            2 => "E&#46; Taal"
                            3 => "P&#46;L&#46; van Riel"
                            4 => "M&#46;A&#46; van de Laar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2007.081984"
                      "Revista" => array:7 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2008"
                        "volumen" => "67"
                        "paginaInicial" => "789"
                        "paginaFinal" => "793"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17974597"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0033833810003863"
                          "estado" => "S300"
                          "issn" => "00338338"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comparison of different indices of responsiveness"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;G&#46; Wright"
                            1 => "N&#46;L&#46; Young"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1997"
                        "volumen" => "50"
                        "paginaInicial" => "239"
                        "paginaFinal" => "246"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9120522"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Responsiveness of the self-assessed rheumatoid arthritis disease activity index to a flare of disease activity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Fransen"
                            1 => "H&#46; Hauselmann"
                            2 => "B&#46;A&#46; Michel"
                            3 => "M&#46; Caravatti"
                            4 => "G&#46; Stucki"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/1529-0131(200101)44:1<53::AID-ANR8>3.0.CO;2-O"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arthritis Rheum"
                        "fecha" => "2001"
                        "volumen" => "44"
                        "paginaInicial" => "53"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11212176"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735743/0000000400000006/v1_201305061550/S2173574308701977/v1_201305061550/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "8383"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Review Article"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000400000006/v1_201305061550/S2173574308701977/v1_201305061550/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574308701977?idApp=UINPBA00004M"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Responsiveness of Outcome Measures
Sensibilidad al cambio de las medidas de desenlace
María Jesús García de Yébenes Prousa,
Corresponding author
mjesus.garciadeyebenes@ser.es

Correspondence: Unidad de Investigación. Fundación Española de Reumatología. Marqués del Duero, 5, 1.° A. 28001 Madrid. España.
, Francisco Rodríguez Salvanésb, Loreto Carmona Ortellsa
a Unidad de Investigación, Fundación Española de Reumatología, Madrid, Spain
b Agencia Laín Entralgo, Madrid, Spain
Read
5721
Times
was read the article
2743
Total PDF
2978
Total HTML
Share statistics
 array:23 [
  "pii" => "S2173574308701977"
  "issn" => "21735743"
  "doi" => "10.1016/S2173-5743(08)70197-7"
  "estado" => "S300"
  "fechaPublicacion" => "2008-11-01"
  "aid" => "70197"
  "copyright" => "Sociedad Espa&#241;ola de Reumatolog&#237;a and Colegio Mexicano de Reumatolog&#237;a"
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "rev"
  "cita" => "Reumatol Clin. 2008;4:240-7"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1902
    "formatos" => array:3 [
      "EPUB" => 56
      "HTML" => 1346
      "PDF" => 500
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173574308701989"
    "issn" => "21735743"
    "doi" => "10.1016/S2173-5743(08)70198-9"
    "estado" => "S300"
    "fechaPublicacion" => "2008-11-01"
    "aid" => "70198"
    "copyright" => "Sociedad Espa&#241;ola de Reumatolog&#237;a and Colegio Mexicano de Reumatolog&#237;a"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Reumatol Clin. 2008;4:248-50"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2358
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 1379
        "PDF" => 936
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Juvenile Dermatomyositis and Extensive Calcinosis&#46; Treatment With Methylprednisolone and Methotrexate"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "248"
          "paginaFinal" => "250"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Dermatomiositis juvenil y calcinosis extensa&#46; Tratamiento con metilprednisolona y metotrexato"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Zoilo Morel Ayala, Rogelio Mart&#237;nez Ram&#237;rez, Samara Mendieta Zer&#243;n, Enrique Faugier Fuentes, Roc&#237;o Maldonado Vel&#225;zquez"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Zoilo"
              "apellidos" => "Morel Ayala"
            ]
            1 => array:2 [
              "nombre" => "Rogelio"
              "apellidos" => "Mart&#237;nez Ram&#237;rez"
            ]
            2 => array:2 [
              "nombre" => "Samara"
              "apellidos" => "Mendieta Zer&#243;n"
            ]
            3 => array:2 [
              "nombre" => "Enrique"
              "apellidos" => "Faugier Fuentes"
            ]
            4 => array:2 [
              "nombre" => "Roc&#237;o"
              "apellidos" => "Maldonado Vel&#225;zquez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574308701989?idApp=UINPBA00004M"
    "url" => "/21735743/0000000400000006/v1_201305061550/S2173574308701989/v1_201305061550/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173574308701965"
    "issn" => "21735743"
    "doi" => "10.1016/S2173-5743(08)70196-5"
    "estado" => "S300"
    "fechaPublicacion" => "2008-11-01"
    "aid" => "70196"
    "copyright" => "Sociedad Espa&#241;ola de Reumatolog&#237;a and Colegio Mexicano de Reumatolog&#237;a"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Reumatol Clin. 2008;4:232-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2221
      "formatos" => array:3 [
        "EPUB" => 44
        "HTML" => 1570
        "PDF" => 607
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Systematic Review on the Safety of Concomitant Use of Hypoglycemia-Inducing Drugs and Non-Steroidal Anti-Inflammatory Drugs in Patients With Musculoskeletal Pathology"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "232"
          "paginaFinal" => "239"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Revisi&#243;n sistem&#225;tica sobre la seguridad del uso concomitante de f&#225;rmacos hipoglucemiantes y antiinflamatorios no esteroideos en pacientes con enfermedad reum&#225;tica"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Est&#237;baliz Loza"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Est&#237;baliz"
              "apellidos" => "Loza"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574308701965?idApp=UINPBA00004M"
    "url" => "/21735743/0000000400000006/v1_201305061550/S2173574308701965/v1_201305061550/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "Responsiveness of Outcome Measures"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "240"
        "paginaFinal" => "247"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Mar&#237;a Jes&#250;s Garc&#237;a de Y&#233;benes Prous, Francisco Rodr&#237;guez Salvan&#233;s, Loreto Carmona Ortells"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Mar&#237;a Jes&#250;s"
            "apellidos" => "Garc&#237;a de Y&#233;benes Prous"
            "email" => array:1 [
              0 => "mjesus&#46;garciadeyebenes&#64;ser&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Francisco Rodr&#237;guez"
            "apellidos" => "Salvan&#233;s"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Loreto Carmona"
            "apellidos" => "Ortells"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Unidad de Investigaci&#243;n&#44; Fundaci&#243;n Espa&#241;ola de Reumatolog&#237;a&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Agencia La&#237;n Entralgo&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; Unidad de Investigaci&#243;n&#46; Fundaci&#243;n Espa&#241;ola de Reumatolog&#237;a&#46; Marqu&#233;s del Duero&#44; 5&#44; 1&#46;&#176; A&#46; 28001 Madrid&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Sensibilidad al cambio de las medidas de desenlace"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2008-06-27"
    "fechaAceptado" => "2008-07-24"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec111945"
          "palabras" => array:3 [
            0 => "Responsiveness"
            1 => "Outcome measures"
            2 => "Responsiveness statistics"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec111944"
          "palabras" => array:3 [
            0 => "Sensibilidad al cambio"
            1 => "Medidas de desenlace"
            2 => "Estad&#237;sticos de sensibilidad al cambio"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In medical research&#44; particularly in the field of rheumatology&#44; there is great interest about the concept of responsiveness of outcome measures as a sign of changes in the patient&#39;s health status&#46; However&#44; the terminology surrounding this concept and the methods of analysis are confusing and lacking in consensus&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present a review about the concept and analysis of responsiveness taking into account both&#44; the characteristics of the responsiveness and the type of design and predictable change in the sample being studied&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En la investigaci&#243;n m&#233;dica&#44; y en especial en el &#225;mbito de la reumatolog&#237;a&#44; hay gran inter&#233;s sobre el concepto de sensibilidad al cambio de un instrumento de medida como posible reflejo de modificaciones en la situaci&#243;n cl&#237;nica del paciente&#46; Sin embargo&#44; la terminolog&#237;a de este concepto y su metodolog&#237;a de an&#225;lisis est&#225;n rodeadas de confusi&#243;n y falta de consenso&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se presenta un trabajo de revisi&#243;n sobre el concepto y el an&#225;lisis de la sensibilidad al cambio teniendo en cuenta tanto las caracter&#237;sticas de la sensibilidad como el tipo de dise&#241;o y cambio previsible en la muestra en estudio&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:20 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring health status&#58; what are the necessary measurement properties&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;H&#46; Guyatt"
                            1 => "B&#46; Kirshner"
                            2 => "R&#46; Jaeschke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1992"
                        "volumen" => "45"
                        "paginaInicial" => "1341"
                        "paginaFinal" => "1345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1460470"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "On assessing responsiveness of health-related quality of life instruments&#58; guidelines for instrument evaluation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;B&#46; Terwee"
                            1 => "F&#46;W&#46; Dekker"
                            2 => "W&#46;M&#46; Wiersinga"
                            3 => "M&#46;F&#46; Prummel"
                            4 => "P&#46;M&#46; Bossuyt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Qual Life Res"
                        "fecha" => "2003"
                        "volumen" => "12"
                        "paginaInicial" => "349"
                        "paginaFinal" => "362"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12797708"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluating changes in health status&#58; reliability and responsiveness of five generic health status measures in workers with musculoskeletal disorders"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;E&#46; Beaton"
                            1 => "S&#46; Hogg-Johnson"
                            2 => "C&#46; Bombardier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1997"
                        "volumen" => "50"
                        "paginaInicial" => "79"
                        "paginaFinal" => "93"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9048693"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Methodological problems in the retrospective computation of responsiveness to change&#58; the lesson of Cronbach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;R&#46; Norman"
                            1 => "P&#46; Stratford"
                            2 => "G&#46; Regehr"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1997"
                        "volumen" => "50"
                        "paginaInicial" => "869"
                        "paginaFinal" => "879"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9291871"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Methods for assessing responsiveness&#58; a critical review and recommendations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;A&#46; Husted"
                            1 => "R&#46;J&#46; Cook"
                            2 => "V&#46;T&#46; Farewell"
                            3 => "D&#46;D&#46; Gladman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "2000"
                        "volumen" => "53"
                        "paginaInicial" => "459"
                        "paginaFinal" => "468"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10812317"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is a condition-specific instrument for patients with low back pain&#47;leg symptoms really necessary&#63; The responsiveness of the Oswestry Disability Index&#44; MODEMS&#44; and the SF-36"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46;L&#46; Walsh"
                            1 => "B&#46; Hanscom"
                            2 => "J&#46;D&#46; Lurie"
                            3 => "J&#46;N&#46; Weinstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.BRS.0000050654.97387.DF"
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "2003"
                        "volumen" => "28"
                        "paginaInicial" => "607"
                        "paginaFinal" => "615"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12642770"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reproducibility and responsiveness of evaluative outcome measures&#46; Theoretical considerations illustrated by an empirical example"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46;C&#46; de Vet"
                            1 => "L&#46;M&#46; Bouter"
                            2 => "P&#46;D&#46; Bezemer"
                            3 => "A&#46;J&#46; Beurskens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Technol Assess Health Care"
                        "fecha" => "2001"
                        "volumen" => "17"
                        "paginaInicial" => "479"
                        "paginaFinal" => "487"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11758292"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessing sensitivity to change&#58; choosing the appropriate change coefficient"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;W&#46; Stratford"
                            1 => "D&#46;L&#46; Riddle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1477-7525-3-23"
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Qual Life Outcomes"
                        "fecha" => "2005"
                        "volumen" => "3"
                        "paginaInicial" => "23"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15811176"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The reliability&#44; validity and sensitivity to change of the Chinese version of SF-36 in oriental patients with rheumatoid arthritis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "E&#46;T&#46; Koh"
                            1 => "K&#46;P&#46; Leong"
                            2 => "I&#46;Y&#46; Tsou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rheumatology &#40;Oxford&#41;"
                        "fecha" => "2006"
                        "volumen" => "45"
                        "paginaInicial" => "1023"
                        "paginaFinal" => "1028"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A taxonomy for responsiveness"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;E&#46; Beaton"
                            1 => "C&#46; Bombardier"
                            2 => "J&#46;N&#46; Katz"
                            3 => "J&#46;G&#46; Wright"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "2001"
                        "volumen" => "54"
                        "paginaInicial" => "1204"
                        "paginaFinal" => "1217"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11750189"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Responsiveness and sensitivity to change of SLE disease activity measures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Corzillius"
                            1 => "P&#46; Fortin"
                            2 => "G&#46; Stucki"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lupus"
                        "fecha" => "1999"
                        "volumen" => "8"
                        "paginaInicial" => "655"
                        "paginaFinal" => "659"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10568903"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparisons of five health status instruments for orthopedic evaluation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;H&#46; Liang"
                            1 => "A&#46;H&#46; Fossel"
                            2 => "M&#46;G&#46; Larson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Care"
                        "fecha" => "1990"
                        "volumen" => "28"
                        "paginaInicial" => "632"
                        "paginaFinal" => "642"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2366602"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Many faces of the minimal clinically important difference &#40;MCID&#41;&#58; a literature review and directions for future research"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;E&#46; Beaton"
                            1 => "M&#46; Boers"
                            2 => "G&#46;A&#46; Wells"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Rheumatol"
                        "fecha" => "2002"
                        "volumen" => "14"
                        "paginaInicial" => "109"
                        "paginaFinal" => "114"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11845014"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessing the responsiveness of functional scales to clinical change&#58; an analogy to diagnostic test performance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;A&#46; Deyo"
                            1 => "R&#46;M&#46; Centor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Chronic Dis"
                        "fecha" => "1986"
                        "volumen" => "39"
                        "paginaInicial" => "897"
                        "paginaFinal" => "906"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2947907"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Health status measures&#58; strategies and analytic methods for assessing change scores"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;W&#46; Stratford"
                            1 => "F&#46;M&#46; Binkley"
                            2 => "D&#46;L&#46; Riddle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Phys Ther"
                        "fecha" => "1996"
                        "volumen" => "76"
                        "paginaInicial" => "1109"
                        "paginaFinal" => "1123"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8863764"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Issues in the use of change scores in randomized trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46;R&#46; Norman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1989"
                        "volumen" => "42"
                        "paginaInicial" => "1097"
                        "paginaFinal" => "1105"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2809664"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring functional disability in early rheumatoid arthritis&#58; the validity&#44; reliability and responsiveness of the Recent-Onset Arthritis Disability &#40;ROAD&#41; index"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Salaffi"
                            1 => "A&#46; Stancati"
                            2 => "R&#46; Neri"
                            3 => "W&#46; Grassi"
                            4 => "S&#46; Bombardieri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Exp Rheumatol"
                        "fecha" => "2005"
                        "volumen" => "23"
                        "numero" => "Suppl 39"
                        "paginaInicial" => "S31"
                        "paginaFinal" => "S42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16273783"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Psychometric properties of the Rheumatoid Arthritis Disease Activity Index &#40;RADAI&#41; in a cohort of consecutive Dutch patients with RA starting antitumour necrosis factor treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46;M&#46; Veehof"
                            1 => "P&#46;M&#46; Ten Klooster"
                            2 => "E&#46; Taal"
                            3 => "P&#46;L&#46; van Riel"
                            4 => "M&#46;A&#46; van de Laar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2007.081984"
                      "Revista" => array:7 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2008"
                        "volumen" => "67"
                        "paginaInicial" => "789"
                        "paginaFinal" => "793"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17974597"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0033833810003863"
                          "estado" => "S300"
                          "issn" => "00338338"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comparison of different indices of responsiveness"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;G&#46; Wright"
                            1 => "N&#46;L&#46; Young"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Epidemiol"
                        "fecha" => "1997"
                        "volumen" => "50"
                        "paginaInicial" => "239"
                        "paginaFinal" => "246"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9120522"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Responsiveness of the self-assessed rheumatoid arthritis disease activity index to a flare of disease activity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Fransen"
                            1 => "H&#46; Hauselmann"
                            2 => "B&#46;A&#46; Michel"
                            3 => "M&#46; Caravatti"
                            4 => "G&#46; Stucki"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/1529-0131(200101)44:1<53::AID-ANR8>3.0.CO;2-O"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arthritis Rheum"
                        "fecha" => "2001"
                        "volumen" => "44"
                        "paginaInicial" => "53"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11212176"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735743/0000000400000006/v1_201305061550/S2173574308701977/v1_201305061550/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "8383"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Review Article"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000400000006/v1_201305061550/S2173574308701977/v1_201305061550/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574308701977?idApp=UINPBA00004M"
]
Article information
ISSN: 21735743
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 6 16 22
2024 October 33 77 110
2024 September 28 30 58
2024 August 38 42 80
2024 July 34 33 67
2024 June 29 77 106
2024 May 38 56 94
2024 April 32 66 98
2024 March 32 62 94
2024 February 17 55 72
2024 January 21 63 84
2023 December 15 85 100
2023 November 16 28 44
2023 October 25 58 83
2023 September 56 44 100
2023 August 26 29 55
2023 July 15 34 49
2023 June 19 32 51
2023 May 15 21 36
2023 April 10 23 33
2023 March 30 35 65
2023 February 17 33 50
2023 January 21 27 48
2022 December 28 34 62
2022 November 30 38 68
2022 October 19 42 61
2022 September 44 41 85
2022 August 68 51 119
2022 July 47 60 107
2022 June 51 53 104
2022 May 38 44 82
2022 April 29 63 92
2022 March 38 57 95
2022 February 19 32 51
2022 January 24 37 61
2021 December 21 43 64
2021 November 23 54 77
2021 October 40 52 92
2021 September 21 36 57
2021 August 26 42 68
2021 July 17 35 52
2021 June 17 46 63
2021 May 21 25 46
2021 April 90 65 155
2021 March 40 47 87
2021 February 37 22 59
2021 January 31 22 53
2020 December 36 22 58
2020 November 21 19 40
2020 October 9 5 14
2020 September 32 32 64
2020 August 15 18 33
2020 July 17 23 40
2020 June 19 23 42
2020 May 30 12 42
2020 April 27 11 38
2020 March 29 11 40
2020 February 5 0 5
2020 January 4 0 4
2019 December 3 0 3
2019 September 4 0 4
2019 July 2 0 2
2019 June 2 0 2
2019 March 4 0 4
2019 January 1 0 1
2018 December 1 0 1
2018 May 2 1 3
2018 April 20 8 28
2018 March 40 11 51
2018 February 10 3 13
2018 January 11 5 16
2017 December 14 6 20
2017 November 14 7 21
2017 October 18 10 28
2017 September 10 8 18
2017 August 9 7 16
2017 July 13 10 23
2017 June 26 20 46
2017 May 27 12 39
2017 April 19 7 26
2017 March 20 7 27
2017 February 8 6 14
2017 January 16 7 23
2016 December 37 15 52
2016 November 20 3 23
2016 October 36 8 44
2016 September 29 8 37
2016 August 29 10 39
2016 July 12 5 17
2016 April 1 0 1
2016 March 1 0 1
2015 December 3 0 3
2015 November 1 0 1
2015 October 1 0 1
2015 July 8 5 13
2015 June 13 8 21
2015 May 25 11 36
2015 April 28 13 41
2015 March 13 5 18
2015 February 13 8 21
2015 January 9 14 23
2014 December 19 23 42
2014 November 9 9 18
2014 October 15 13 28
2014 September 12 7 19
2014 August 24 14 38
2014 July 18 14 32
2014 June 32 10 42
2014 May 28 18 46
2014 April 28 7 35
2014 March 31 19 50
2014 February 31 14 45
2014 January 24 11 35
2013 December 18 9 27
2013 November 18 6 24
2013 October 28 9 37
2013 September 26 9 35
2013 August 29 8 37
2013 July 23 2 25
2013 June 18 8 26
2013 May 22 5 27
2013 April 25 6 31
2013 March 26 8 34
2013 February 17 4 21
2013 January 18 3 21
2012 December 18 4 22
2012 November 12 3 15
2012 October 8 6 14
2012 September 9 3 12
2012 May 2 0 2
2012 April 4 0 4
2012 March 5 0 5
2012 February 2 0 2
2012 January 1 0 1
2011 December 5 0 5
2011 November 2 0 2
2011 October 4 0 4
2011 June 3 0 3
2011 May 1 0 1
2011 April 1 0 1
2011 March 2 0 2
2011 February 4 0 4
2011 January 3 0 3
2010 December 3 0 3
2010 November 5 0 5
2010 October 9 0 9
2010 September 3 0 3
2010 August 2 0 2
2010 July 2 0 2
2010 May 8 0 8
2010 April 7 0 7
2010 March 2 0 2
2010 February 6 0 6
2010 January 5 0 5
2009 December 2 0 2
2009 November 7 0 7
2009 October 15 0 15
2009 September 9 0 9
2009 August 4 0 4
2009 July 3 0 3
2009 June 8 0 8
2009 May 6 0 6
2009 April 28 0 28
2009 March 10 0 10
Show all

Follow this link to access the full text of the article

Idiomas
Reumatología Clínica (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?