Influence of the natural history of disease on a previous diagnosis in patients with gout
Influencia de la historia natural de la enfermedad en el diagnóstico previo en pacientes con gota
Read
5734
Timeswas read the article
2570
Total PDF
3164
Total HTML
Share statistics
array:23 [ "pii" => "S2173574309701339" "issn" => "21735743" "doi" => "10.1016/S2173-5743(09)70133-9" "estado" => "S300" "fechaPublicacion" => "2009-11-01" "aid" => "70133" "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Reumatol Clin. 2009;5:248-51" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2072 "formatos" => array:3 [ "EPUB" => 43 "HTML" => 1491 "PDF" => 538 ] ] "itemSiguiente" => array:18 [ "pii" => "S2173574309701340" "issn" => "21735743" "doi" => "10.1016/S2173-5743(09)70134-0" "estado" => "S300" "fechaPublicacion" => "2009-11-01" "aid" => "70134" "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Reumatol Clin. 2009;5:259-63" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1114 "formatos" => array:3 [ "EPUB" => 38 "HTML" => 655 "PDF" => 421 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Primary hypertrophic osteoarthropathy (pachydermoperiostosis). Report of 2 familial cases and literature review" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "259" "paginaFinal" => "263" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Osteoartropatía hipertrófica primaria (paquidermoperiostosis). Aportación de 2 casos familiares y revisión de la literatura" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Norberto Gómez Rodríguez, Jesús Ibáñez Ruán, Marisol González Pérez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Norberto" "apellidos" => "Gómez Rodríguez" ] 1 => array:2 [ "nombre" => "Jesús" "apellidos" => "Ibáñez Ruán" ] 2 => array:2 [ "nombre" => "Marisol" "apellidos" => "González Pérez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309701340?idApp=UINPBA00004M" "url" => "/21735743/0000000500000006/v1_201305061600/S2173574309701340/v1_201305061600/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173574309701327" "issn" => "21735743" "doi" => "10.1016/S2173-5743(09)70132-7" "estado" => "S300" "fechaPublicacion" => "2009-11-01" "aid" => "70132" "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Reumatol Clin. 2009;5:244-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2152 "formatos" => array:3 [ "EPUB" => 42 "HTML" => 1432 "PDF" => 678 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "The joint hypermobility syndrome in a Cuban juvenile population" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "244" "paginaFinal" => "247" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de hipermovilidad articular en una población juvenil cubana" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francisco M. Menéndez Alejo, Damaris Díaz Lazaga, Verena Torrez Cárdenas, Vicente Martínez Rodríguez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Francisco M." "apellidos" => "Menéndez Alejo" ] 1 => array:2 [ "nombre" => "Damaris" "apellidos" => "Díaz Lazaga" ] 2 => array:2 [ "nombre" => "Verena" "apellidos" => "Torrez Cárdenas" ] 3 => array:2 [ "nombre" => "Vicente" "apellidos" => "Martínez Rodríguez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309701327?idApp=UINPBA00004M" "url" => "/21735743/0000000500000006/v1_201305061600/S2173574309701327/v1_201305061600/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Influence of the natural history of disease on a previous diagnosis in patients with gout" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "248" "paginaFinal" => "251" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Fernando Pérez Ruiz, Jesús Ruiz López, Ana María Herrero Beites" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Fernando" "apellidos" => "Pérez Ruiz" "email" => array:2 [ 0 => "fernando.perezruiz@osakidetza.net" 1 => "FPEREZRUIZ@telefonica.net" ] "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" => "Jesús" "apellidos" => "Ruiz López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Ana María" "apellidos" => "Herrero Beites" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Reumatología, Hospital de Cruces, Baracaldo, Vizcaya, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Medicina Familiar y Comunitaria, Centro de Salud de Sopelana, Vizcaya, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Rehabilitación, Hospital de Górliz, Vizcaya, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Influencia de la historia natural de la enfermedad en el diagnóstico previo en pacientes con gota" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-09-09" "fechaAceptado" => "2008-12-04" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112230" "palabras" => array:3 [ 0 => "Gout" 1 => "Diagnosis" 2 => "Evolutions" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112229" "palabras" => array:3 [ 0 => "Gota" 1 => "Diagnóstico" 2 => "Evolución" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The clinical diagnosis of gout can be quite precise in clinically typical forms. However, in c hronic or atypical forms, such precision tends to be diminished in clinical practice.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A cohort of 248 patients with a diagnosis of urate crystal arthropathy was studied, sent with a definite clinical evaluation, and data such as severity of the disease, joint distribution, and the presence of tophi were gathered. Precision data was analyzed with respect to the referral diagnosis according to the severity parameters and the type of physician sending the patient.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The best diagnostic precision was seen in the monoarticular forms that were sent both by the emergency room as well as by family physicians, but not in those sent by other specialists. The presence of oligoarticular forms reduced significantly the diagnostic precision in all of the specialties referring patients. The presence of tophi did not improve diagnostic precision.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Chronic and severe forms of gout are frequently wrongly evaluated from the clinical standpoint.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El diagnóstico clínico de la gota puede ser preciso en formas clínicamente típicas. Sin embargo, en las formas clínicas crónicas o atípicas dicha fiabilidad parece no darse en la práctica.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se ha estudiado una cohorte de 348 pacientes con diagnóstico de gota por cristales de urato, remitidos con una valoración diagnóstica definida, de los que se recogieron datos sobre la severidad de la enfermedad en cuanto a la distribución articular y la presencia de tofos. Se analizaron los datos de precisión respecto al diagnóstico de derivación según los parámetros de severidad clínica y los facultativos que remitían a los pacientes.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La mayor precisión diagnóstica se observó en las formas monoarticulares precedentes tanto en áreas de urgencias como en medicina familiar, pero no así en los remitidos por otras especialidades. La presencia de formas oligopoliarticulares redujo significativamente la precisión del diagnóstico de referencia en todos los grupos de facultativos. La presencia de tofos no favoreció la precisión diagnóstica.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Las formas crónicas y severas de la gota son frecuentemente mal evaluadas desde el punto de vista clínico.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "EULAR evidence based recommendations for gout. Part I. Diagnosis. Report of a Task Force of the EULAR Standing Committee for international clinical studies including therapeutics (ESCISIT)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "W. Zhang" 1 => "M. Doherty" 2 => "E. Pascual" 3 => "T. Bardin" 4 => "V. Barskova" 5 => "P. Conagham" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/ard.2006.055251" "Revista" => array:6 [ "tituloSerie" => "Ann Rheum Dis" "fecha" => "2006" "volumen" => "65" "paginaInicial" => "1301" "paginaFinal" => "1311" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16707533" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validity of gout diagnoses in administrative data" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L.R. Harrold" 1 => "K. Saag" 2 => "R.A. Yood" 3 => "T.R. Mikuls" 4 => "S.E. Andrade" 5 => "H. Fouyaici" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/art.22474" "Revista" => array:6 [ "tituloSerie" => "Arthritis Rheum" "fecha" => "2007" "volumen" => "57" "paginaInicial" => "103" "paginaFinal" => "108" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17266097" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The misdiagnosis of gout and hyperuricemia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. Wolfe" 1 => "M.A. Cathey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "1991" "volumen" => "18" "paginaInicial" => "1232" "paginaFinal" => "1234" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1941830" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gout: The best understood form of arthritis?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. Hasselbacher" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arthritis Care Res" "fecha" => "1996" "volumen" => "9" "paginaInicial" => "5" "paginaFinal" => "8" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8945106" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalencia de la hiperuricemia y la gota en una muestra de población rural castellana de edad comprendida entre 40 y 50 años" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.M. González Buitrago" 1 => "A. Arroyo" 2 => "L. Vega" 3 => "N. Gracia Fernández" 4 => "A. de la Rúa" 5 => "J.A. Navajo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "1988" "volumen" => "182" "paginaInicial" => "454" "paginaFinal" => "458" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3262892" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Recent diuretic use and the risk of recurrent gout attacks: The online case-crossover gout study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D.J. Hunter" 1 => "M. York" 2 => "C.E. Chaisson" 3 => "R. Woods" 4 => "J. Niu" 5 => "Y. Zhang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Rheumatol" "fecha" => "2006" "volumen" => "33" "paginaInicial" => "1341" "paginaFinal" => "1345" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16758506" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0300893210000813" "estado" => "S300" "issn" => "03008932" ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preliminary criteria for the classification of the acute arthritis of primary gout" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "Wallace Sl" 1 => "H. Robinson" 2 => "A.T. Masi" 3 => "J.L. Decker" 4 => "D.J. McCarty" 5 => "T.F. Yü" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arthritis Rheum" "fecha" => "1977" "volumen" => "20" "paginaInicial" => "895" "paginaFinal" => "900" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/856219" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic dilemmas in unusual presentations of gout" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C.H.K. Chui" 1 => "J.H.K. Lee" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aust Fam Physician" "fecha" => "2007" "volumen" => "36" "paginaInicial" => "931" "paginaFinal" => "934" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18043781" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gouty arthritis in nodal osteoarthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.G. Fam" 1 => "J. Stein" 2 => "J. Rubenstein" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Rheumatol" "fecha" => "1996" "volumen" => "23" "paginaInicial" => "689" "paginaFinal" => "694" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Principles of current management of primary gout" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T.F. Yü" 1 => "A.B. Gutman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Am J Med Sci" "fecha" => "1967" "volumen" => "254" "paginaInicial" => "893" "paginaFinal" => "907" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4863805" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S014067360960252X" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "MR imaging of tophaceous gout" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.S. Yu" 1 => "C. Chung" 2 => "M. Retch" 3 => "T. Dailiana" 4 => "R. Jurdi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Roentgenol" "fecha" => "1997" "volumen" => "168" "paginaInicial" => "523" "paginaFinal" => "527" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Analysis for crystals in synovial fluid: training of the analysts results in high consistency" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "B. Lumbreras" 1 => "E. Pascual" 2 => "J. Frasquet" 3 => "J. González-Salinas" 4 => "E. Rodríguez" 5 => "I. Hernández-Aguado" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/ard.2004.027268" "Revista" => array:6 [ "tituloSerie" => "Ann Rheum Dis" "fecha" => "2005" "volumen" => "64" "paginaInicial" => "612" "paginaFinal" => "615" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15769916" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento de la gota: reflexiones desde el estudio GEMA" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Perez Ruiz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S1699-258X(08)76167-9" "Revista" => array:7 [ "tituloSerie" => "Reumatol Clin" "fecha" => "2008" "volumen" => "4" "numero" => "Supl 3" "paginaInicial" => "41" "paginaFinal" => "44" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21794563" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000500000006/v1_201305061600/S2173574309701339/v1_201305061600/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/21735743/0000000500000006/v1_201305061600/S2173574309701339/v1_201305061600/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309701339?idApp=UINPBA00004M" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 13 | 16 |
| 2024 October | 24 | 41 | 65 |
| 2024 September | 26 | 19 | 45 |
| 2024 August | 40 | 46 | 86 |
| 2024 July | 27 | 48 | 75 |
| 2024 June | 30 | 40 | 70 |
| 2024 May | 33 | 35 | 68 |
| 2024 April | 22 | 29 | 51 |
| 2024 March | 39 | 40 | 79 |
| 2024 February | 27 | 34 | 61 |
| 2024 January | 21 | 24 | 45 |
| 2023 December | 17 | 33 | 50 |
| 2023 November | 21 | 28 | 49 |
| 2023 October | 16 | 30 | 46 |
| 2023 September | 35 | 42 | 77 |
| 2023 August | 23 | 19 | 42 |
| 2023 July | 19 | 28 | 47 |
| 2023 June | 20 | 25 | 45 |
| 2023 May | 22 | 26 | 48 |
| 2023 April | 15 | 22 | 37 |
| 2023 March | 25 | 28 | 53 |
| 2023 February | 24 | 31 | 55 |
| 2023 January | 21 | 26 | 47 |
| 2022 December | 35 | 40 | 75 |
| 2022 November | 28 | 51 | 79 |
| 2022 October | 32 | 44 | 76 |
| 2022 September | 30 | 46 | 76 |
| 2022 August | 57 | 50 | 107 |
| 2022 July | 41 | 54 | 95 |
| 2022 June | 59 | 47 | 106 |
| 2022 May | 52 | 57 | 109 |
| 2022 April | 45 | 61 | 106 |
| 2022 March | 38 | 65 | 103 |
| 2022 February | 28 | 50 | 78 |
| 2022 January | 38 | 48 | 86 |
| 2021 December | 22 | 43 | 65 |
| 2021 November | 39 | 61 | 100 |
| 2021 October | 38 | 59 | 97 |
| 2021 September | 21 | 55 | 76 |
| 2021 August | 25 | 46 | 71 |
| 2021 July | 26 | 41 | 67 |
| 2021 June | 29 | 45 | 74 |
| 2021 May | 43 | 44 | 87 |
| 2021 April | 59 | 76 | 135 |
| 2021 March | 41 | 46 | 87 |
| 2021 February | 35 | 23 | 58 |
| 2021 January | 28 | 15 | 43 |
| 2020 December | 11 | 13 | 24 |
| 2020 November | 22 | 18 | 40 |
| 2020 October | 20 | 18 | 38 |
| 2020 September | 27 | 18 | 45 |
| 2020 August | 12 | 14 | 26 |
| 2020 July | 26 | 19 | 45 |
| 2020 June | 33 | 14 | 47 |
| 2020 May | 33 | 15 | 48 |
| 2020 April | 24 | 18 | 42 |
| 2020 March | 26 | 11 | 37 |
| 2020 January | 4 | 0 | 4 |
| 2019 September | 4 | 0 | 4 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 2 | 0 | 2 |
| 2018 May | 5 | 1 | 6 |
| 2018 April | 27 | 10 | 37 |
| 2018 March | 29 | 11 | 40 |
| 2018 February | 15 | 3 | 18 |
| 2018 January | 11 | 4 | 15 |
| 2017 December | 14 | 5 | 19 |
| 2017 November | 15 | 5 | 20 |
| 2017 October | 24 | 4 | 28 |
| 2017 September | 18 | 4 | 22 |
| 2017 August | 14 | 8 | 22 |
| 2017 July | 13 | 9 | 22 |
| 2017 June | 25 | 8 | 33 |
| 2017 May | 24 | 9 | 33 |
| 2017 April | 16 | 5 | 21 |
| 2017 March | 10 | 6 | 16 |
| 2017 February | 10 | 3 | 13 |
| 2017 January | 23 | 0 | 23 |
| 2016 December | 53 | 11 | 64 |
| 2016 November | 22 | 1 | 23 |
| 2016 October | 58 | 7 | 65 |
| 2016 September | 52 | 4 | 56 |
| 2016 August | 29 | 9 | 38 |
| 2016 July | 19 | 9 | 28 |
| 2016 June | 0 | 6 | 6 |
| 2016 May | 0 | 16 | 16 |
| 2016 April | 0 | 17 | 17 |
| 2016 March | 0 | 18 | 18 |
| 2016 January | 4 | 20 | 24 |
| 2015 December | 7 | 0 | 7 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 1 | 0 | 1 |
| 2015 July | 16 | 4 | 20 |
| 2015 June | 23 | 8 | 31 |
| 2015 May | 24 | 17 | 41 |
| 2015 April | 21 | 12 | 33 |
| 2015 March | 10 | 9 | 19 |
| 2015 February | 23 | 10 | 33 |
| 2015 January | 18 | 6 | 24 |
| 2014 December | 19 | 11 | 30 |
| 2014 November | 17 | 11 | 28 |
| 2014 October | 16 | 21 | 37 |
| 2014 September | 12 | 10 | 22 |
| 2014 August | 16 | 12 | 28 |
| 2014 July | 23 | 12 | 35 |
| 2014 June | 34 | 8 | 42 |
| 2014 May | 33 | 15 | 48 |
| 2014 April | 27 | 11 | 38 |
| 2014 March | 42 | 13 | 55 |
| 2014 February | 32 | 8 | 40 |
| 2014 January | 35 | 8 | 43 |
| 2013 December | 24 | 4 | 28 |
| 2013 November | 23 | 5 | 28 |
| 2013 October | 34 | 7 | 41 |
| 2013 September | 29 | 12 | 41 |
| 2013 August | 30 | 14 | 44 |
| 2013 July | 29 | 15 | 44 |
| 2013 June | 30 | 6 | 36 |
| 2013 May | 26 | 5 | 31 |
| 2013 April | 22 | 8 | 30 |
| 2013 March | 27 | 9 | 36 |
| 2013 February | 27 | 6 | 33 |
| 2013 January | 24 | 7 | 31 |
| 2012 December | 22 | 8 | 30 |
| 2012 November | 4 | 7 | 11 |
| 2012 October | 2 | 3 | 5 |
| 2012 September | 10 | 3 | 13 |
| 2012 June | 3 | 0 | 3 |
| 2012 May | 2 | 0 | 2 |
| 2012 April | 3 | 0 | 3 |
| 2012 March | 17 | 0 | 17 |
| 2012 February | 2 | 0 | 2 |
| 2012 January | 2 | 0 | 2 |
| 2011 December | 5 | 0 | 5 |
| 2011 November | 4 | 0 | 4 |
| 2011 October | 2 | 0 | 2 |
| 2011 September | 1 | 0 | 1 |
| 2011 August | 1 | 0 | 1 |
| 2011 July | 1 | 0 | 1 |
| 2011 June | 2 | 0 | 2 |
| 2011 May | 2 | 0 | 2 |
| 2011 March | 4 | 0 | 4 |
| 2011 February | 5 | 0 | 5 |
| 2011 January | 3 | 0 | 3 |
| 2010 December | 6 | 0 | 6 |
| 2010 November | 4 | 0 | 4 |
| 2010 October | 7 | 0 | 7 |
| 2010 September | 6 | 0 | 6 |
| 2010 August | 6 | 0 | 6 |
| 2010 July | 5 | 0 | 5 |
| 2010 June | 4 | 0 | 4 |
| 2010 May | 10 | 0 | 10 |
| 2010 April | 23 | 0 | 23 |
| 2010 March | 4 | 0 | 4 |
Show all
