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From childhood to adulthood: health care use in individuals with cerebral palsy.

Identifieur interne : 000932 ( Main/Exploration ); précédent : 000931; suivant : 000933

From childhood to adulthood: health care use in individuals with cerebral palsy.

Auteurs : Marion Roquet [France] ; Ronan Garlantezec [France] ; Olivier Remy-Neris [France] ; Elise Sacaze [France] ; Philippe Gallien [France] ; Juliette Ropars [France] ; Laetitia Houx [France] ; Christelle Pons [France] ; Sylvain Brochard [France]

Source :

RBID : pubmed:30171608

Descripteurs français

English descriptors

Abstract

AIM

To analyse the health care usage of individuals with cerebral palsy (CP) as a function of age and ambulatory status.

METHOD

In total, 970 self-administered questionnaires relating to health care usage were sent, via a clinical network of professionals and institutions, to children and adults with CP in Brittany, France. Frequency of use of different aspects of health care were analysed as a function of age and ambulatory status. Multivariate logistic regression evaluated differences in the frequency of each health care type with age; the transition from childhood to adulthood was specifically analysed.

RESULTS

The response rate was 53% (282 adults, 230 children). Use of medication (particularly psychotropic and analgesic) increased with age, while physical-types of health care (rehabilitation, physical medicine and rehabilitation follow-up, and equipment) decreased with age, independently of ambulatory status. Use of other treatments, such as botulinum toxin injections, was not influenced by age. The provision of rehabilitation was particularly affected by the period of transition.

INTERPRETATION

Although health care needs change naturally in adulthood, the large decrease in usage of specific types of rehabilitation after the transition to adulthood suggested individuals had difficulty accessing this type of health care after childhood. These results provide objectives for the development of patient-centred, transitional consultations, and longitudinal studies.

WHAT THIS PAPER ADDS

Use of medication, particularly psychotropic and analgesic drugs, increased with age in individuals with cerebral palsy. Use of orthoses, physical medicine and rehabilitation physician follow-up, and rehabilitation decreased with age. Transition from childhood to adulthood involved significant changes in health care usage.


DOI: 10.1111/dmcn.14003
PubMed: 30171608


Affiliations:


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Le document en format XML

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<nlm:affiliation>Fondation Ildys, Brest, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<placeName>
<region type="region">Région Bretagne</region>
<region type="old region">Région Bretagne</region>
<settlement type="city">Brest</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Université de Bretagne Occidentale, Brest, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université de Bretagne Occidentale, Brest</wicri:regionArea>
<placeName>
<region type="region">Région Bretagne</region>
<region type="old region">Région Bretagne</region>
<settlement type="city">Brest</settlement>
</placeName>
<orgName type="university">Université de Bretagne Occidentale</orgName>
</affiliation>
<affiliation wicri:level="3">
<nlm:affiliation>Laboratoire de Traitement de l'Information Médicale, INSERM, UMR 1101, Brest, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire de Traitement de l'Information Médicale, INSERM, UMR 1101, Brest</wicri:regionArea>
<placeName>
<region type="region">Région Bretagne</region>
<region type="old region">Région Bretagne</region>
<settlement type="city">Brest</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Developmental medicine and child neurology</title>
<idno type="eISSN">1469-8749</idno>
<imprint>
<date when="2018" type="published">2018</date>
</imprint>
</series>
</biblStruct>
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<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Age Factors (MeSH)</term>
<term>Cerebral Palsy (psychology)</term>
<term>Cerebral Palsy (rehabilitation)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Delivery of Health Care (methods)</term>
<term>Disease Progression (MeSH)</term>
<term>Female (MeSH)</term>
<term>France (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Patient Acceptance of Health Care (MeSH)</term>
<term>Process Assessment, Health Care (methods)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Acceptation des soins par les patients (MeSH)</term>
<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Paralysie cérébrale (psychologie)</term>
<term>Paralysie cérébrale (rééducation et réadaptation)</term>
<term>Prestations des soins de santé (méthodes)</term>
<term>Études rétrospectives (MeSH)</term>
<term>Évolution de la maladie (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Delivery of Health Care</term>
<term>Process Assessment, Health Care</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Prestations des soins de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Paralysie cérébrale</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Cerebral Palsy</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Cerebral Palsy</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Paralysie cérébrale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Patient Acceptance of Health Care</term>
<term>Retrospective Studies</term>
<term>Surveys and Questionnaires</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Acceptation des soins par les patients</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>France</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Études rétrospectives</term>
<term>Évolution de la maladie</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>France</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>AIM</b>
</p>
<p>To analyse the health care usage of individuals with cerebral palsy (CP) as a function of age and ambulatory status.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHOD</b>
</p>
<p>In total, 970 self-administered questionnaires relating to health care usage were sent, via a clinical network of professionals and institutions, to children and adults with CP in Brittany, France. Frequency of use of different aspects of health care were analysed as a function of age and ambulatory status. Multivariate logistic regression evaluated differences in the frequency of each health care type with age; the transition from childhood to adulthood was specifically analysed.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The response rate was 53% (282 adults, 230 children). Use of medication (particularly psychotropic and analgesic) increased with age, while physical-types of health care (rehabilitation, physical medicine and rehabilitation follow-up, and equipment) decreased with age, independently of ambulatory status. Use of other treatments, such as botulinum toxin injections, was not influenced by age. The provision of rehabilitation was particularly affected by the period of transition.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERPRETATION</b>
</p>
<p>Although health care needs change naturally in adulthood, the large decrease in usage of specific types of rehabilitation after the transition to adulthood suggested individuals had difficulty accessing this type of health care after childhood. These results provide objectives for the development of patient-centred, transitional consultations, and longitudinal studies.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>WHAT THIS PAPER ADDS</b>
</p>
<p>Use of medication, particularly psychotropic and analgesic drugs, increased with age in individuals with cerebral palsy. Use of orthoses, physical medicine and rehabilitation physician follow-up, and rehabilitation decreased with age. Transition from childhood to adulthood involved significant changes in health care usage.</p>
</div>
</front>
</TEI>
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<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">30171608</PMID>
<DateCompleted>
<Year>2019</Year>
<Month>01</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2019</Year>
<Month>12</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1469-8749</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>60</Volume>
<Issue>12</Issue>
<PubDate>
<Year>2018</Year>
<Month>12</Month>
</PubDate>
</JournalIssue>
<Title>Developmental medicine and child neurology</Title>
<ISOAbbreviation>Dev Med Child Neurol</ISOAbbreviation>
</Journal>
<ArticleTitle>From childhood to adulthood: health care use in individuals with cerebral palsy.</ArticleTitle>
<Pagination>
<MedlinePgn>1271-1277</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/dmcn.14003</ELocationID>
<Abstract>
<AbstractText Label="AIM">To analyse the health care usage of individuals with cerebral palsy (CP) as a function of age and ambulatory status.</AbstractText>
<AbstractText Label="METHOD">In total, 970 self-administered questionnaires relating to health care usage were sent, via a clinical network of professionals and institutions, to children and adults with CP in Brittany, France. Frequency of use of different aspects of health care were analysed as a function of age and ambulatory status. Multivariate logistic regression evaluated differences in the frequency of each health care type with age; the transition from childhood to adulthood was specifically analysed.</AbstractText>
<AbstractText Label="RESULTS">The response rate was 53% (282 adults, 230 children). Use of medication (particularly psychotropic and analgesic) increased with age, while physical-types of health care (rehabilitation, physical medicine and rehabilitation follow-up, and equipment) decreased with age, independently of ambulatory status. Use of other treatments, such as botulinum toxin injections, was not influenced by age. The provision of rehabilitation was particularly affected by the period of transition.</AbstractText>
<AbstractText Label="INTERPRETATION">Although health care needs change naturally in adulthood, the large decrease in usage of specific types of rehabilitation after the transition to adulthood suggested individuals had difficulty accessing this type of health care after childhood. These results provide objectives for the development of patient-centred, transitional consultations, and longitudinal studies.</AbstractText>
<AbstractText Label="WHAT THIS PAPER ADDS">Use of medication, particularly psychotropic and analgesic drugs, increased with age in individuals with cerebral palsy. Use of orthoses, physical medicine and rehabilitation physician follow-up, and rehabilitation decreased with age. Transition from childhood to adulthood involved significant changes in health care usage.</AbstractText>
<CopyrightInformation>© 2018 Mac Keith Press.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Roquet</LastName>
<ForeName>Marion</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Médecine Physique et de Réadaptation, CHRU Brest, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Fondation Ildys, Brest, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Garlantezec</LastName>
<ForeName>Ronan</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Département de Santé Publique, CHRU Rennes, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Remy-Neris</LastName>
<ForeName>Olivier</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>Médecine Physique et de Réadaptation, CHRU Brest, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Université de Bretagne Occidentale, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Laboratoire de Traitement de l'Information Médicale, INSERM, UMR 1101, Brest, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Sacaze</LastName>
<ForeName>Elise</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Service de Pédiatrie, CHRU Brest, Brest, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gallien</LastName>
<ForeName>Philippe</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Médecine Physique et de Réadaptation, CMPR Notre Dame De Lourde, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ropars</LastName>
<ForeName>Juliette</ForeName>
<Initials>J</Initials>
<Identifier Source="ORCID">0000-0003-3948-8632</Identifier>
<AffiliationInfo>
<Affiliation>Laboratoire de Traitement de l'Information Médicale, INSERM, UMR 1101, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Service de Pédiatrie, CHRU Brest, Brest, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Houx</LastName>
<ForeName>Laetitia</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Médecine Physique et de Réadaptation, CHRU Brest, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Fondation Ildys, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Laboratoire de Traitement de l'Information Médicale, INSERM, UMR 1101, Brest, France.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Pons</LastName>
<ForeName>Christelle</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Médecine Physique et de Réadaptation, CHRU Brest, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Fondation Ildys, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Laboratoire de Traitement de l'Information Médicale, INSERM, UMR 1101, Brest, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Brochard</LastName>
<ForeName>Sylvain</ForeName>
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<AffiliationInfo>
<Affiliation>Médecine Physique et de Réadaptation, CHRU Brest, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Fondation Ildys, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Université de Bretagne Occidentale, Brest, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Laboratoire de Traitement de l'Information Médicale, INSERM, UMR 1101, Brest, France.</Affiliation>
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<Language>eng</Language>
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<Year>2018</Year>
<Month>08</Month>
<Day>31</Day>
</ArticleDate>
</Article>
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<Country>England</Country>
<MedlineTA>Dev Med Child Neurol</MedlineTA>
<NlmUniqueID>0006761</NlmUniqueID>
<ISSNLinking>0012-1622</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002547" MajorTopicYN="N">Cerebral Palsy</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003695" MajorTopicYN="N">Delivery of Health Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010342" MajorTopicYN="Y">Patient Acceptance of Health Care</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D017064" MajorTopicYN="N">Process Assessment, Health Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="accepted">
<Year>2018</Year>
<Month>07</Month>
<Day>12</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2018</Year>
<Month>9</Month>
<Day>2</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
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<Year>2019</Year>
<Month>1</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez">
<Year>2018</Year>
<Month>9</Month>
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</History>
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</country>
<region>
<li>Région Bretagne</li>
</region>
<settlement>
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<li>Rennes</li>
</settlement>
<orgName>
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</list>
<tree>
<country name="France">
<region name="Région Bretagne">
<name sortKey="Roquet, Marion" sort="Roquet, Marion" uniqKey="Roquet M" first="Marion" last="Roquet">Marion Roquet</name>
</region>
<name sortKey="Brochard, Sylvain" sort="Brochard, Sylvain" uniqKey="Brochard S" first="Sylvain" last="Brochard">Sylvain Brochard</name>
<name sortKey="Brochard, Sylvain" sort="Brochard, Sylvain" uniqKey="Brochard S" first="Sylvain" last="Brochard">Sylvain Brochard</name>
<name sortKey="Brochard, Sylvain" sort="Brochard, Sylvain" uniqKey="Brochard S" first="Sylvain" last="Brochard">Sylvain Brochard</name>
<name sortKey="Brochard, Sylvain" sort="Brochard, Sylvain" uniqKey="Brochard S" first="Sylvain" last="Brochard">Sylvain Brochard</name>
<name sortKey="Gallien, Philippe" sort="Gallien, Philippe" uniqKey="Gallien P" first="Philippe" last="Gallien">Philippe Gallien</name>
<name sortKey="Garlantezec, Ronan" sort="Garlantezec, Ronan" uniqKey="Garlantezec R" first="Ronan" last="Garlantezec">Ronan Garlantezec</name>
<name sortKey="Houx, Laetitia" sort="Houx, Laetitia" uniqKey="Houx L" first="Laetitia" last="Houx">Laetitia Houx</name>
<name sortKey="Houx, Laetitia" sort="Houx, Laetitia" uniqKey="Houx L" first="Laetitia" last="Houx">Laetitia Houx</name>
<name sortKey="Houx, Laetitia" sort="Houx, Laetitia" uniqKey="Houx L" first="Laetitia" last="Houx">Laetitia Houx</name>
<name sortKey="Pons, Christelle" sort="Pons, Christelle" uniqKey="Pons C" first="Christelle" last="Pons">Christelle Pons</name>
<name sortKey="Pons, Christelle" sort="Pons, Christelle" uniqKey="Pons C" first="Christelle" last="Pons">Christelle Pons</name>
<name sortKey="Pons, Christelle" sort="Pons, Christelle" uniqKey="Pons C" first="Christelle" last="Pons">Christelle Pons</name>
<name sortKey="Remy Neris, Olivier" sort="Remy Neris, Olivier" uniqKey="Remy Neris O" first="Olivier" last="Remy-Neris">Olivier Remy-Neris</name>
<name sortKey="Remy Neris, Olivier" sort="Remy Neris, Olivier" uniqKey="Remy Neris O" first="Olivier" last="Remy-Neris">Olivier Remy-Neris</name>
<name sortKey="Remy Neris, Olivier" sort="Remy Neris, Olivier" uniqKey="Remy Neris O" first="Olivier" last="Remy-Neris">Olivier Remy-Neris</name>
<name sortKey="Ropars, Juliette" sort="Ropars, Juliette" uniqKey="Ropars J" first="Juliette" last="Ropars">Juliette Ropars</name>
<name sortKey="Ropars, Juliette" sort="Ropars, Juliette" uniqKey="Ropars J" first="Juliette" last="Ropars">Juliette Ropars</name>
<name sortKey="Roquet, Marion" sort="Roquet, Marion" uniqKey="Roquet M" first="Marion" last="Roquet">Marion Roquet</name>
<name sortKey="Sacaze, Elise" sort="Sacaze, Elise" uniqKey="Sacaze E" first="Elise" last="Sacaze">Elise Sacaze</name>
</country>
</tree>
</affiliations>
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