Breast reconstruction and risk of lymphedema after mastectomy: A prospective cohort study with 10 years of follow-up.
Identifieur interne : 000A31 ( PubMed/Checkpoint ); précédent : 000A30; suivant : 000A32Breast reconstruction and risk of lymphedema after mastectomy: A prospective cohort study with 10 years of follow-up.
Auteurs : Monique M. Menezes [Brésil] ; Marcelo A. Bello [Brésil] ; Eduardo Millen [Brésil] ; Frederico A S. Lucas [Brésil] ; Flávia N. Carvalho [Brésil] ; Mauro F C. Andrade [Brésil] ; Ana Carolina P R. Pereira [Brésil] ; Rosalina J. Koifman [Brésil] ; Anke Bergmann [Brésil]Source :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Tumeurs du sein.
- effets indésirables : Mastectomie.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Lymphoedème, Mammoplastie, Prévision, Stade de la tumeur, Tumeurs du sein, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy.
- diagnosis : Breast Neoplasms.
- etiology : Lymphedema.
- methods : Mammaplasty.
- surgery : Breast Neoplasms, Lymphedema.
- Female, Follow-Up Studies, Forecasting, Humans, Middle Aged, Neoplasm Staging, Prospective Studies, Risk Factors.
Abstract
The aim of this study is to assess the incidence and risk factors for lymphedema in women submitted to mastectomy, with or without breast reconstruction.
DOI: 10.1016/j.bjps.2016.06.001
PubMed: 27373492
Affiliations:
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Electronic address: moniquemaron@gmail.com.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Bello, Marcelo A" sort="Bello, Marcelo A" uniqKey="Bello M" first="Marcelo A" last="Bello">Marcelo A. Bello</name><affiliation wicri:level="3"><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. 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Electronic address: carol_padula@hotmail.com.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Koifman, Rosalina J" sort="Koifman, Rosalina J" uniqKey="Koifman R" first="Rosalina J" last="Koifman">Rosalina J. Koifman</name><affiliation wicri:level="3"><nlm:affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: rosalina.koifman@hotmail.com.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name><affiliation wicri:level="3"><nlm:affiliation>Instituto Nacional de Câncer, Programa de Carcinogese Molecular, Rio de Janeiro, Brazil. 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Menezes</name><affiliation wicri:level="3"><nlm:affiliation>Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro, Brazil. Electronic address: moniquemaron@gmail.com.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Bello, Marcelo A" sort="Bello, Marcelo A" uniqKey="Bello M" first="Marcelo A" last="Bello">Marcelo A. Bello</name><affiliation wicri:level="3"><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: mabello@inca.gov.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Millen, Eduardo" sort="Millen, Eduardo" uniqKey="Millen E" first="Eduardo" last="Millen">Eduardo Millen</name><affiliation wicri:level="3"><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: eduardomillen@uol.com.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Lucas, Frederico A S" sort="Lucas, Frederico A S" uniqKey="Lucas F" first="Frederico A S" last="Lucas">Frederico A S. Lucas</name><affiliation wicri:level="3"><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fredericolucas@uol.com.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Carvalho, Flavia N" sort="Carvalho, Flavia N" uniqKey="Carvalho F" first="Flávia N" last="Carvalho">Flávia N. Carvalho</name><affiliation wicri:level="3"><nlm:affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fcarvalho@inca.gov.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Andrade, Mauro F C" sort="Andrade, Mauro F C" uniqKey="Andrade M" first="Mauro F C" last="Andrade">Mauro F C. Andrade</name><affiliation wicri:level="4"><nlm:affiliation>Faculdade de Medicina da Universidade de São Paulo, Laboratório de Anatomia Médico Cirúrgica, São Paulo, Brazil. Electronic address: mauroand@uol.com.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Faculdade de Medicina da Universidade de São Paulo, Laboratório de Anatomia Médico Cirúrgica, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Pereira, Ana Carolina P R" sort="Pereira, Ana Carolina P R" uniqKey="Pereira A" first="Ana Carolina P R" last="Pereira">Ana Carolina P R. Pereira</name><affiliation wicri:level="3"><nlm:affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: carol_padula@hotmail.com.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Koifman, Rosalina J" sort="Koifman, Rosalina J" uniqKey="Koifman R" first="Rosalina J" last="Koifman">Rosalina J. Koifman</name><affiliation wicri:level="3"><nlm:affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: rosalina.koifman@hotmail.com.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name><affiliation wicri:level="3"><nlm:affiliation>Instituto Nacional de Câncer, Programa de Carcinogese Molecular, Rio de Janeiro, Brazil. Electronic address: abergmann@inca.gov.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Instituto Nacional de Câncer, Programa de Carcinogese Molecular, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast Neoplasms (diagnosis)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Forecasting</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Mammaplasty (methods)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mammoplastie ()</term><term>Mastectomie (effets indésirables)</term><term>Prévision</term><term>Stade de la tumeur</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (diagnostic)</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Follow-Up Studies</term><term>Forecasting</term><term>Humans</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Mammoplastie</term><term>Prévision</term><term>Stade de la tumeur</term><term>Tumeurs du sein</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study is to assess the incidence and risk factors for lymphedema in women submitted to mastectomy, with or without breast reconstruction.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27373492</PMID><DateCreated><Year>2016</Year><Month>08</Month><Day>15</Day></DateCreated><DateCompleted><Year>2017</Year><Month>04</Month><Day>13</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-0539</ISSN><JournalIssue CitedMedium="Internet"><Volume>69</Volume><Issue>9</Issue><PubDate><Year>2016</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title><ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation></Journal><ArticleTitle>Breast reconstruction and risk of lymphedema after mastectomy: A prospective cohort study with 10 years of follow-up.</ArticleTitle><Pagination><MedlinePgn>1218-26</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjps.2016.06.001</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1748-6815(16)30116-4</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study is to assess the incidence and risk factors for lymphedema in women submitted to mastectomy, with or without breast reconstruction.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cohort study was performed on women submitted to mastectomy with axillary lymphadenectomy in a single center. The follow-up included clinical evaluation and arm column measurements before surgery, at 30 days, 6 months, 5 years, and 10 years after surgery. For women subjected to late reconstruction, the time of occurrence of lymphedema (before or after reconstruction) was observed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We followed up on 622 patients submitted to mastectomy and axillary lymphadenectomy for an average period of 57 months after surgery. In total, 94 women were submitted to breast reconstruction, 47 (8%) of them immediate and 47 (8%) late reconstructions. Incidence of lymphedema in the whole group was 33% (n = 204). Among the patients submitted to reconstruction, 28% of them developed lymphedema, on average, 93 months (CI 95%, 88-98) after surgical treatment. In women not subjected to reconstruction, 179 (34%) developed lymphedema, on average, after 106 months (CI 95%, 96-116) (p = 0.03). Breast reconstruction reduced lymphedema risk in 36% (HR = 0.64, CI 96%, 0.42-0.98, p = 0.04). After adjustment for pathological staging and radiotherapy, this was not statistically significant (HR = 0.79, CI 95%, 0.52-1.21, p = 0.28).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Breast reconstruction does not increase the risk of lymphedema in long-term follow-up.</AbstractText><CopyrightInformation>Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Menezes</LastName><ForeName>Monique M</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Centro Universitário Augusto Motta, Programa de Pós-Graduação em Ciências da Reabilitação, Rio de Janeiro, Brazil. Electronic address: moniquemaron@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bello</LastName><ForeName>Marcelo A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: mabello@inca.gov.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Millen</LastName><ForeName>Eduardo</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: eduardomillen@uol.com.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lucas</LastName><ForeName>Frederico A S</ForeName><Initials>FA</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fredericolucas@uol.com.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carvalho</LastName><ForeName>Flávia N</ForeName><Initials>FN</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Hospital do Câncer III, Rio de Janeiro, Brazil. Electronic address: fcarvalho@inca.gov.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Andrade</LastName><ForeName>Mauro F C</ForeName><Initials>MF</Initials><AffiliationInfo><Affiliation>Faculdade de Medicina da Universidade de São Paulo, Laboratório de Anatomia Médico Cirúrgica, São Paulo, Brazil. Electronic address: mauroand@uol.com.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pereira</LastName><ForeName>Ana Carolina P R</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: carol_padula@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koifman</LastName><ForeName>Rosalina J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Escola Nacional de Saúde Publica Sergio Arouca, Programa de Pós-Graduação em Saúde Pública e Meio Ambiente, Rio de Janeiro, Brazil. Electronic address: rosalina.koifman@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bergmann</LastName><ForeName>Anke</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Instituto Nacional de Câncer, Programa de Carcinogese Molecular, Rio de Janeiro, Brazil. Electronic address: abergmann@inca.gov.br.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>06</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Plast Reconstr Aesthet Surg</MedlineTA><NlmUniqueID>101264239</NlmUniqueID><ISSNLinking>1748-6815</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005544" MajorTopicYN="Y">Forecasting</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016462" MajorTopicYN="N">Mammaplasty</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast neoplasia</Keyword><Keyword MajorTopicYN="N">Incidence</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Reconstruction</Keyword><Keyword MajorTopicYN="N">Risk factors</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>09</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>05</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>06</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27373492</ArticleId><ArticleId IdType="pii">S1748-6815(16)30116-4</ArticleId><ArticleId IdType="doi">10.1016/j.bjps.2016.06.001</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Brésil</li></country><region><li>État de Rio de Janeiro</li><li>État de São Paulo</li></region><settlement><li>Rio de Janeiro</li><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><country name="Brésil"><region name="État de Rio de Janeiro"><name sortKey="Menezes, Monique M" sort="Menezes, Monique M" uniqKey="Menezes M" first="Monique M" last="Menezes">Monique M. Menezes</name></region><name sortKey="Andrade, Mauro F C" sort="Andrade, Mauro F C" uniqKey="Andrade M" first="Mauro F C" last="Andrade">Mauro F C. Andrade</name><name sortKey="Bello, Marcelo A" sort="Bello, Marcelo A" uniqKey="Bello M" first="Marcelo A" last="Bello">Marcelo A. Bello</name><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name><name sortKey="Carvalho, Flavia N" sort="Carvalho, Flavia N" uniqKey="Carvalho F" first="Flávia N" last="Carvalho">Flávia N. Carvalho</name><name sortKey="Koifman, Rosalina J" sort="Koifman, Rosalina J" uniqKey="Koifman R" first="Rosalina J" last="Koifman">Rosalina J. Koifman</name><name sortKey="Lucas, Frederico A S" sort="Lucas, Frederico A S" uniqKey="Lucas F" first="Frederico A S" last="Lucas">Frederico A S. Lucas</name><name sortKey="Millen, Eduardo" sort="Millen, Eduardo" uniqKey="Millen E" first="Eduardo" last="Millen">Eduardo Millen</name><name sortKey="Pereira, Ana Carolina P R" sort="Pereira, Ana Carolina P R" uniqKey="Pereira A" first="Ana Carolina P R" last="Pereira">Ana Carolina P R. Pereira</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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