Characterization of patients with rheumatoid arthritis according to the health care level
Caracterización de pacientes con arthritis reumatoide según el nivel asistencial
Daniel Roig Vilasecaa,
, Montserrat Núñez Juárezb, Esther Núñez Juárezc, José Luis del Val Garcíac, Àlex Sánchez Plàd, Maria Bonet Llorache, on behalf of the ARQUALIS group 1
Corresponding author
a Unitat de Reumatología, CAE Cornellà, SAP Baix Llobregat, Barcelona, Spain
b Servicio de Reumatología, Instituto Clínico de Especialidades Medico-Quirúrgicas (ICEMEQ), Hospital Clínic, Barcelona, Spain
c SAP Suport al Diagnòstic i al Tractament, Institut Català de la Salut, Barcelona, Spain
d Departamento de Estadística, Universidad de Barcelona, Barcelona, Spain
e Servicio de Reumatología, Hospital de l’Alt Penedes, Barcelona, Spain
Read
4504
Timeswas read the article
2141
Total PDF
2363
Total HTML
Share statistics
array:23 [ "pii" => "S217357430970111X" "issn" => "21735743" "doi" => "10.1016/S2173-5743(09)70111-X" "estado" => "S300" "fechaPublicacion" => "2009-07-01" "aid" => "70111" "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Reumatol Clin. 2009;5:153-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1764 "formatos" => array:3 [ "EPUB" => 36 "HTML" => 1234 "PDF" => 494 ] ] "itemSiguiente" => array:18 [ "pii" => "S2173574309701121" "issn" => "21735743" "doi" => "10.1016/S2173-5743(09)70112-1" "estado" => "S300" "fechaPublicacion" => "2009-07-01" "aid" => "70112" "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Reumatol Clin. 2009;5:158-62" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2235 "formatos" => array:3 [ "EPUB" => 42 "HTML" => 1494 "PDF" => 699 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Clinical characteristics of children with scleroderma in a referral hospital" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "158" "paginaFinal" => "162" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Características clínicas de niños con esclerodesmia en un hospital de referencia" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Zoilo Morel, Eduardo Benadón, Enrique Faugier, María del Rocío Maldonado" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Zoilo" "apellidos" => "Morel" ] 1 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Benadón" ] 2 => array:2 [ "nombre" => "Enrique" "apellidos" => "Faugier" ] 3 => array:2 [ "nombre" => "María del" "apellidos" => "Rocío Maldonado" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309701121?idApp=UINPBA00004M" "url" => "/21735743/0000000500000004/v1_201305061557/S2173574309701121/v1_201305061557/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173574309701108" "issn" => "21735743" "doi" => "10.1016/S2173-5743(09)70110-8" "estado" => "S300" "fechaPublicacion" => "2009-07-01" "aid" => "70110" "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Reumatol Clin. 2009;5:147-52" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1820 "formatos" => array:3 [ "EPUB" => 43 "HTML" => 1101 "PDF" => 676 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Treating severe systemic lupus erythematosus with rituximab. An open study" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "147" "paginaFinal" => "152" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tratamiento del lupus eritematoso severo con rituximab. Un estudio abierto" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carlos Abud-Mendoza, Ricardo Moreno-Valdés, Enrique Cuevas-Orta, Antonio Borjas, Francisco Aranda, Fedra Irazoque, Lilia Andrade, M. Vigna-Pérez, R. González-Amaro" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Carlos" "apellidos" => "Abud-Mendoza" ] 1 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Moreno-Valdés" ] 2 => array:2 [ "nombre" => "Enrique" "apellidos" => "Cuevas-Orta" ] 3 => array:2 [ "nombre" => "Antonio" "apellidos" => "Borjas" ] 4 => array:2 [ "nombre" => "Francisco" "apellidos" => "Aranda" ] 5 => array:2 [ "nombre" => "Fedra" "apellidos" => "Irazoque" ] 6 => array:2 [ "nombre" => "Lilia" "apellidos" => "Andrade" ] 7 => array:2 [ "nombre" => "M." "apellidos" => "Vigna-Pérez" ] 8 => array:2 [ "nombre" => "R." "apellidos" => "González-Amaro" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309701108?idApp=UINPBA00004M" "url" => "/21735743/0000000500000004/v1_201305061557/S2173574309701108/v1_201305061557/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "titulo" => "Characterization of patients with rheumatoid arthritis according to the health care level" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "153" "paginaFinal" => "157" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Daniel Roig Vilaseca, Montserrat Núñez Juárez, Esther Núñez Juárez, José Luis del Val García, Àlex Sánchez Plà, Maria Bonet Llorach" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Daniel Roig" "apellidos" => "Vilaseca" "email" => array:1 [ 0 => "26188drv@comb.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" => "Montserrat Núñez" "apellidos" => "Juárez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Esther Núñez" "apellidos" => "Juárez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "José Luis del" "apellidos" => "Val García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "Àlex Sánchez" "apellidos" => "Plà" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 5 => array:3 [ "nombre" => "Maria Bonet" "apellidos" => "Llorach" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] 6 => array:2 [ "colaborador" => "on behalf of the ARQUALIS group" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "fn1" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Unitat de Reumatología, CAE Cornellà, SAP Baix Llobregat, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Reumatología, Instituto Clínico de Especialidades Medico-Quirúrgicas (ICEMEQ), Hospital Clínic, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "SAP Suport al Diagnòstic i al Tractament, Institut Català de la Salut, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Departamento de Estadística, Universidad de Barcelona, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Servicio de Reumatología, Hospital de l’Alt Penedes, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Caracterización de pacientes con arthritis reumatoide según el nivel asistencial" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-29" "fechaAceptado" => "2008-11-11" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112127" "palabras" => array:1 [ 0 => "Rheumatoid arthritis Health care system Population characteristics Clinical characteristics" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112126" "palabras" => array:1 [ 0 => "Artritis reumatoide Sistema de salud Características de la población Características clínicas" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To characterize rheumatoid arthritis patients seen in rheumatology units at different health care levels.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Questionnaire and clinical examination of rheumatoid arthritis patients seen as outpatients in rheumatology units from primary care, county hospitals and reference hospitals. Demographic, social, labor, and disease data were collected. Statistical study included a description of the variables and a multiple correspondence analysis to define patient profiles.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Eight hundred and twelve patients with rheumatoid arthritis were included. There were significant differences in patient profiles at the different care level. In primary care, patients were older, with basic studies, and with short duration and generally mild rheumatoid arthritis. In local hospitals the typical patient was a man, qualified worker, with low income, and an erosive disease with extraarticular manifestations. At reference hospitals prevailing patients were young women with a long duration disease and requiring biological therapy.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">There are significant differences in rheumatoid arthritis patient profiles at different health care levels.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Determinar las características de los pacientes con artritis reumatoide (AR) que acuden a consultas de reumatología en diferentes niveles asistenciales.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Entrevista y evaluación clínica a pacientes con AR en consultas de reumatología de centros de especialidades, de atención primaria y de hospitales comarcales y de tercer nivel. Se recogieron datos generales, sociolaborales y de la enfermedad. Se realizó un estudio descriptivo y un análisis de correspondencias múltiples para establecer perfiles característicos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se entrevistaron 812 pacientes. Se observaron diferencias significativas entre las características de los pacientes de cada nivel asistencial. En las consultas de reumatología de atención primaria predominan los pacientes de edad avanzada (mayores de 75 años), con estudios básicos y con un tipo de enfermedad de poco tiempo de evolución y, en general, poco grave. En los hospitales comarcales predominan los pacientes varones, obreros cualificados, con ingresos bajos, enfermedad erosiva y manifestaciones extraarticulares. En los hospitales de tercer nivel predominan las mujeres jóvenes con estudios, que padecen una enfermedad de larga evolución y que requieren tratamiento biológico.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Hay diferencias significativas en las características de los pacientes que acuden a cada uno de los niveles asistenciales.</p>" ] ] "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "1" "nota" => "<p class="elsevierStyleNotepara"><span class="elsevierStyleBold">Other members of the ARQUALIS group:</span> C. Alegre (Hospital Vall d’Hebron, Barcelona), X. Alzaga (SAP Muntanya, Barcelona), X. Arasa (Hospital Verge de la Cinta, Tortosa, Tarragona), D. Boquet (Hospital Arnau de Vilanova, Lleida), M.A. Campillo (SAP Dreta, Barcelona), M. Carandell (Hospital Sant Camil, Sant Pere de Ribes, Barcelona), M. Centelles (Hospital de Mataró, Mataró, Barcelona), T. Clavaguera (Hospital de Palamós, Palamós, Girona), L. Figueiras (SAP Cerdanyola, Cerdanyola del Vallés, Barcelona), C. Hoces (SAP Baix Llobregat Centre, Cornellà de Llobregat, Barcelona), E. Llopart (SAP Muntanya, Barcelona), M.D. Muñoz (Institut d’Estudis de la Salut), S. Ordóñez (Hospital Arnau de Vilanova, Lleida), M.R. Oriach (SAP Dreta, Barcelona), C. Trabado (SAP Esquerra, Barcelona).</p>" "identificador" => "fn1" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Costs, outcomes, and patient satisfaction by provider type for patients with rheumatic and musculoskeletal conditions: A critical review of the literature and proposed methodologic standards" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.H. Solomon" 1 => "D.W. Bates" 2 => "R.S. Panush" 3 => "J.N. Katz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1997" "volumen" => "127" "paginaInicial" => "52" "paginaFinal" => "60" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9214253" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Return to work after comparing outpatient patient multidisciplinary treatment programs versus treatment in general practice for patients with chronic widespread pain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.A. Skouen" 1 => "A. Grasdal" 2 => "E.M.H. Haldorsen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejpain.2005.02.005" "Revista" => array:6 [ "tituloSerie" => "Eur J Pain" "fecha" => "2006" "volumen" => "10" "paginaInicial" => "145" "paginaFinal" => "152" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16310718" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of a patient-centred approach in generalized musculoskeletal chronic pain/fibromyalgia patients in primary care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Muñoz Álamo" 1 => "R. Ruiz Moral" 2 => "L.A. Pérula de Torres" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Patient Educ Couns" "fecha" => "2002" "volumen" => "48" "paginaInicial" => "23" "paginaFinal" => "31" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12220747" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "for the Society of General Internal Medicine AIDS Task Force" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "F.M. Hecht" 1 => "I.B. Wilson" 2 => "A.W. Wu" 3 => "R.L. Cook" 4 => "B.J. Turner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1999" "volumen" => "131" "paginaInicial" => "136" "paginaFinal" => "143" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10419430" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early referral recommendation for newly diagnosed rheumatoid arthritis: Evidence based development of a clinical guide" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P. Emery" 1 => "F.C. Breedveld" 2 => "M. Dougados" 3 => "J.R. Kalden" 4 => "M.H. Schiff" 5 => "J.S. Smolen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Rheum Dis" "fecha" => "2002" "volumen" => "61" "paginaInicial" => "290" "paginaFinal" => "297" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11874828" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The management of knee pain in primary care: Factors associated with consulting the GP and referrals to secondary care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H.L. Mitchell" 1 => "A.J. Carr" 2 => "D.L. Scott" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/rheumatology/kei214" "Revista" => array:6 [ "tituloSerie" => "Rheumatology" "fecha" => "2006" "volumen" => "45" "paginaInicial" => "771" "paginaFinal" => "776" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16461443" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Capacidad funcional en la artroparía psoriásica: análisis de 343 pacientes" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D. Reina Sanz" 1 => "J. del Blanco" 2 => "M. Bonet" 3 => "C. Castaño" 4 => "T. Clavaguera" 5 => "L. Mateo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clín (Barc)" "fecha" => "2007" "volumen" => "129" "paginaInicial" => "201" "paginaFinal" => "204" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "on behalf of the EPISER study gruop. The burden of musculoskeletal diseases in the general population of Spain: Results from the National Survey" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Carmona" 1 => "J. Ballina" 2 => "R. Gabriel" 3 => "A. Laffon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Rheum Dis" "fecha" => "2001" "volumen" => "60" "paginaInicial" => "1040" "paginaFinal" => "1045" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11602475" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Wolfe" 1 => "H.A. Smythe" 2 => "M.B. Yunus" 3 => "R.M. Bennett" 4 => "C. Bombardier" 5 => "D.L. Goldenberg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arthritis Rheum" "fecha" => "1990" "volumen" => "33" "paginaInicial" => "160" "paginaFinal" => "172" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2306288" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Progression of functional disability in patients with rheumatoid arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.M. Ward" 1 => "J.P. Leigh" 2 => "J.F. Fries" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Associations with Rheumatology subspecialty care. Arch Int Med" "fecha" => "1993" "volumen" => "153" "paginaInicial" => "2229" "paginaFinal" => "2237" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Arthritis in Canada: What do we know and what should we know" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "E.M. Badley" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "2005" "volumen" => "32" "numero" => "Suppl 72" "paginaInicial" => "39" "paginaFinal" => "41" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Boissier M-C. Do primary care physicians have a place in the management of rheumatoid arthritis?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.-C. Rat" 1 => "V. Henegariu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jbspin.2003.09.003" "Revista" => array:6 [ "tituloSerie" => "Joint Bone Spine" "fecha" => "2004" "volumen" => "71" "paginaInicial" => "190" "paginaFinal" => "197" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15182789" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early referral recommendations for ankylosing spondylitis (including pre-radiographic and radiographic forms) in primary care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Sieper" 1 => "M. Rudwaleit" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/ard.2004.028753" "Revista" => array:6 [ "tituloSerie" => "Ann Rheum Dis" "fecha" => "2005" "volumen" => "64" "paginaInicial" => "659" "paginaFinal" => "663" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15528281" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reform of the primary health care: The case of Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "I. Larizgoitia" 1 => "B. Starfield" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Health Policy" "fecha" => "1997" "volumen" => "41" "paginaInicial" => "121" "paginaFinal" => "137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10169298" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rheumatology patient preferences for timing and location of out-patients clinic" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.M.J. Douglas" 1 => "T. Potter" 2 => "G.J. Treharne" 3 => "K. Obrenovic" 4 => "E.D. Hale" 5 => "A. Pace" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/rheumatology/keh403" "Revista" => array:6 [ "tituloSerie" => "Rheumatology" "fecha" => "2005" "volumen" => "44" "paginaInicial" => "80" "paginaFinal" => "82" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15367747" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Health services in Rheumatology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.M. Ward" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Curr Op Rheumatol" "fecha" => "2000" "volumen" => "12" "paginaInicial" => "99" "paginaFinal" => "103" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiology of adult rheumatoid artritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Y. Alamanos" 1 => "A.A. Drosos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Autoimmunity Rev" "fecha" => "2005" "volumen" => "4" "paginaInicial" => "130" "paginaFinal" => "136" "itemHostRev" => array:3 [ "pii" => "S1575092209719436" "estado" => "S300" "issn" => "15750922" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000500000004/v1_201305061557/S217357430970111X/v1_201305061557/en/main.assets" "Apartado" => array:4 [ "identificador" => "17338" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original Article" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000500000004/v1_201305061557/S217357430970111X/v1_201305061557/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357430970111X?idApp=UINPBA00004M" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 20 | 27 |
| 2024 October | 18 | 36 | 54 |
| 2024 September | 19 | 13 | 32 |
| 2024 August | 36 | 38 | 74 |
| 2024 July | 22 | 29 | 51 |
| 2024 June | 24 | 23 | 47 |
| 2024 May | 28 | 27 | 55 |
| 2024 April | 19 | 19 | 38 |
| 2024 March | 31 | 39 | 70 |
| 2024 February | 34 | 23 | 57 |
| 2024 January | 22 | 22 | 44 |
| 2023 December | 12 | 31 | 43 |
| 2023 November | 16 | 26 | 42 |
| 2023 October | 18 | 26 | 44 |
| 2023 September | 32 | 38 | 70 |
| 2023 August | 17 | 19 | 36 |
| 2023 July | 23 | 27 | 50 |
| 2023 June | 18 | 20 | 38 |
| 2023 May | 20 | 4 | 24 |
| 2023 April | 11 | 7 | 18 |
| 2023 March | 21 | 23 | 44 |
| 2023 February | 16 | 32 | 48 |
| 2023 January | 20 | 21 | 41 |
| 2022 December | 16 | 32 | 48 |
| 2022 November | 22 | 26 | 48 |
| 2022 October | 12 | 34 | 46 |
| 2022 September | 21 | 30 | 51 |
| 2022 August | 18 | 50 | 68 |
| 2022 July | 13 | 40 | 53 |
| 2022 June | 18 | 34 | 52 |
| 2022 May | 17 | 55 | 72 |
| 2022 April | 22 | 43 | 65 |
| 2022 March | 20 | 34 | 54 |
| 2022 February | 16 | 31 | 47 |
| 2022 January | 14 | 31 | 45 |
| 2021 December | 13 | 46 | 59 |
| 2021 November | 17 | 47 | 64 |
| 2021 October | 24 | 51 | 75 |
| 2021 September | 22 | 44 | 66 |
| 2021 August | 13 | 38 | 51 |
| 2021 July | 16 | 38 | 54 |
| 2021 June | 20 | 50 | 70 |
| 2021 May | 24 | 37 | 61 |
| 2021 April | 29 | 56 | 85 |
| 2021 March | 30 | 24 | 54 |
| 2021 February | 15 | 21 | 36 |
| 2021 January | 18 | 11 | 29 |
| 2020 December | 9 | 24 | 33 |
| 2020 November | 26 | 23 | 49 |
| 2020 October | 27 | 23 | 50 |
| 2020 September | 24 | 24 | 48 |
| 2020 August | 17 | 15 | 32 |
| 2020 July | 10 | 10 | 20 |
| 2020 June | 24 | 21 | 45 |
| 2020 May | 23 | 17 | 40 |
| 2020 April | 19 | 16 | 35 |
| 2020 March | 16 | 8 | 24 |
| 2020 February | 1 | 0 | 1 |
| 2019 May | 2 | 0 | 2 |
| 2019 April | 1 | 0 | 1 |
| 2018 May | 2 | 1 | 3 |
| 2018 April | 33 | 13 | 46 |
| 2018 March | 23 | 10 | 33 |
| 2018 February | 33 | 6 | 39 |
| 2018 January | 11 | 7 | 18 |
| 2017 December | 28 | 6 | 34 |
| 2017 November | 10 | 6 | 16 |
| 2017 October | 12 | 6 | 18 |
| 2017 September | 14 | 7 | 21 |
| 2017 August | 6 | 10 | 16 |
| 2017 July | 11 | 10 | 21 |
| 2017 June | 21 | 13 | 34 |
| 2017 May | 17 | 9 | 26 |
| 2017 April | 12 | 16 | 28 |
| 2017 March | 12 | 8 | 20 |
| 2017 February | 5 | 1 | 6 |
| 2017 January | 13 | 5 | 18 |
| 2016 December | 35 | 12 | 47 |
| 2016 November | 26 | 4 | 30 |
| 2016 October | 30 | 8 | 38 |
| 2016 September | 29 | 10 | 39 |
| 2016 August | 14 | 4 | 18 |
| 2016 July | 12 | 4 | 16 |
| 2016 May | 3 | 0 | 3 |
| 2016 April | 2 | 0 | 2 |
| 2016 March | 1 | 0 | 1 |
| 2015 December | 3 | 0 | 3 |
| 2015 September | 3 | 0 | 3 |
| 2015 August | 3 | 0 | 3 |
| 2015 July | 16 | 4 | 20 |
| 2015 June | 15 | 14 | 29 |
| 2015 May | 25 | 14 | 39 |
| 2015 April | 18 | 17 | 35 |
| 2015 March | 22 | 4 | 26 |
| 2015 February | 19 | 6 | 25 |
| 2015 January | 13 | 12 | 25 |
| 2014 December | 14 | 8 | 22 |
| 2014 November | 16 | 7 | 23 |
| 2014 October | 12 | 11 | 23 |
| 2014 September | 8 | 8 | 16 |
| 2014 August | 19 | 16 | 35 |
| 2014 July | 20 | 14 | 34 |
| 2014 June | 28 | 9 | 37 |
| 2014 May | 33 | 15 | 48 |
| 2014 April | 26 | 8 | 34 |
| 2014 March | 42 | 19 | 61 |
| 2014 February | 23 | 9 | 32 |
| 2014 January | 20 | 7 | 27 |
| 2013 December | 30 | 7 | 37 |
| 2013 November | 16 | 9 | 25 |
| 2013 October | 28 | 13 | 41 |
| 2013 September | 27 | 9 | 36 |
| 2013 August | 20 | 7 | 27 |
| 2013 July | 19 | 6 | 25 |
| 2013 June | 27 | 4 | 31 |
| 2013 May | 24 | 5 | 29 |
| 2013 April | 17 | 13 | 30 |
| 2013 March | 10 | 6 | 16 |
| 2013 February | 20 | 7 | 27 |
| 2013 January | 7 | 10 | 17 |
| 2012 December | 14 | 7 | 21 |
| 2012 November | 5 | 7 | 12 |
| 2012 October | 7 | 3 | 10 |
| 2012 September | 8 | 3 | 11 |
| 2012 June | 3 | 0 | 3 |
| 2012 April | 3 | 0 | 3 |
| 2012 March | 2 | 0 | 2 |
| 2012 February | 2 | 0 | 2 |
| 2012 January | 3 | 0 | 3 |
| 2011 December | 3 | 0 | 3 |
| 2011 November | 3 | 0 | 3 |
| 2011 October | 4 | 0 | 4 |
| 2011 September | 3 | 0 | 3 |
| 2011 August | 1 | 0 | 1 |
| 2011 July | 1 | 0 | 1 |
| 2011 June | 2 | 0 | 2 |
| 2011 May | 2 | 0 | 2 |
| 2011 March | 1 | 0 | 1 |
| 2011 February | 12 | 0 | 12 |
| 2011 January | 3 | 0 | 3 |
| 2010 December | 2 | 0 | 2 |
| 2010 November | 8 | 0 | 8 |
| 2010 October | 2 | 0 | 2 |
| 2010 September | 9 | 0 | 9 |
| 2010 August | 2 | 0 | 2 |
| 2010 July | 6 | 0 | 6 |
| 2010 May | 2 | 0 | 2 |
| 2010 April | 5 | 0 | 5 |
| 2010 March | 4 | 0 | 4 |
| 2010 February | 10 | 0 | 10 |
| 2010 January | 6 | 0 | 6 |
| 2009 December | 16 | 0 | 16 |
| 2009 November | 18 | 0 | 18 |
Show all
