King's Parkinson's disease pain scale, the first scale for pain in PD: An international validation.
Identifieur interne : 004381 ( Ncbi/Merge ); précédent : 004380; suivant : 004382King's Parkinson's disease pain scale, the first scale for pain in PD: An international validation.
Auteurs : K Ray Chaudhuri [Royaume-Uni] ; A. Rizos [Royaume-Uni] ; C. Trenkwalder [Allemagne] ; O. Rascol [France] ; S. Pal [Royaume-Uni] ; D. Martino [Royaume-Uni] ; C. Carroll [Royaume-Uni] ; D. Paviour [Royaume-Uni] ; C. Falup-Pecurariu [Roumanie] ; B. Kessel [Royaume-Uni] ; M. Silverdale [Royaume-Uni] ; A. Todorova [Royaume-Uni] ; A. Sauerbier [Royaume-Uni] ; P. Odin [Suède] ; A. Antonini [Italie] ; P. Martinez-Martin [Espagne]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2015.
Abstract
Pain is a key unmet need and a major aspect of non-motor symptoms of Parkinson's disease (PD). No specific validated scales exist to identify and grade the various types of pain in PD. We report an international, cross-sectional, open, multicenter, one-point-in-time evaluation with retest study of the first PD-specific pain scale, the King's PD Pain Scale. Its seven domains include 14 items, each item scored by severity (0-3) multiplied by frequency (0-4), resulting in a subscore of 0 to 12, with a total possible score range from 0 to 168. One hundred seventy-eight PD patients with otherwise unexplained pain (age [mean ± SD], 64.38 ± 11.38 y [range, 29-85]; 62.92% male; duration of disease, 5.40 ± 4.93 y) and 83 nonspousal non-PD controls, matched by age (64.25 ± 11.10 y) and sex (61.45% males) were studied. No missing data were noted, and floor effect was observed in all domains. The difference between mean and median King's PD Pain Scale total score was less than 10% of the maximum observed value. Skewness was marginally high (1.48 for patients). Factor analysis showed four factors in the King's PD Pain Scale, explaining 57% of the variance (Kaiser-Mayer-Olkin, 0.73; sphericity test). Cronbach's alpha was 0.78, item-total correlation mean value 0.40, and item homogeneity 0.22. Correlation coefficients of the King's PD Pain Scale domains and total score with other pain measures were high. Correlation with the Scale for Outcomes in PD-Motor, Non-Motor Symptoms Scale total score, and quality of life measures was high. The King's PD Pain Scale seems to be a reliable and valid scale for grade rating of various types of pain in PD. © 2015 International Parkinson and Movement Disorder Society.
DOI: 10.1002/mds.26270
PubMed: 26096067
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Antonini</name><affiliation wicri:level="1"><nlm:affiliation>Parkinson and Movement Disorders Unit; IRCCS Hospital San Camillo, Venice, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Parkinson and Movement Disorders Unit; IRCCS Hospital San Camillo, Venice</wicri:regionArea><wicri:noRegion>Venice</wicri:noRegion></affiliation></author><author><name sortKey="Martinez Martin, P" sort="Martinez Martin, P" uniqKey="Martinez Martin P" first="P" last="Martinez-Martin">P. Martinez-Martin</name><affiliation wicri:level="3"><nlm:affiliation>National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26096067</idno><idno type="pmid">26096067</idno><idno type="doi">10.1002/mds.26270</idno><idno type="wicri:Area/PubMed/Corpus">000137</idno><idno type="wicri:Area/PubMed/Curation">000137</idno><idno type="wicri:Area/PubMed/Checkpoint">000199</idno><idno type="wicri:Area/Ncbi/Merge">004381</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">King's Parkinson's disease pain scale, the first scale for pain in PD: An international validation.</title><author><name sortKey="Chaudhuri, K Ray" sort="Chaudhuri, K Ray" uniqKey="Chaudhuri K" first="K Ray" last="Chaudhuri">K Ray Chaudhuri</name><affiliation wicri:level="3"><nlm:affiliation>King's College Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>King's College Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Rizos, A" sort="Rizos, A" uniqKey="Rizos A" first="A" last="Rizos">A. Rizos</name><affiliation wicri:level="3"><nlm:affiliation>King's College Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>King's College Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Trenkwalder, C" sort="Trenkwalder, C" uniqKey="Trenkwalder C" first="C" last="Trenkwalder">C. Trenkwalder</name><affiliation wicri:level="3"><nlm:affiliation>Paracelsus-Elena Hospital, Kassel, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Paracelsus-Elena Hospital, Kassel</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Kassel</region><settlement type="city">Cassel (Hesse)</settlement></placeName></affiliation></author><author><name sortKey="Rascol, O" sort="Rascol, O" uniqKey="Rascol O" first="O" last="Rascol">O. Rascol</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Investigation Center 1436 and Departments of Clinical Pharmacology and Neurosciences, INSERM and University Hospital of Toulouse, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Clinical Investigation Center 1436 and Departments of Clinical Pharmacology and Neurosciences, INSERM and University Hospital of Toulouse, Toulouse</wicri:regionArea><placeName><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Pal, S" sort="Pal, S" uniqKey="Pal S" first="S" last="Pal">S. Pal</name><affiliation wicri:level="1"><nlm:affiliation>Forth Valley Royal Hospital, Scotland, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Forth Valley Royal Hospital, Scotland</wicri:regionArea><wicri:noRegion>Scotland</wicri:noRegion></affiliation></author><author><name sortKey="Martino, D" sort="Martino, D" uniqKey="Martino D" first="D" last="Martino">D. Martino</name><affiliation wicri:level="3"><nlm:affiliation>Lewisham & Greenwich NHS Trust, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Lewisham & Greenwich NHS Trust, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Carroll, C" sort="Carroll, C" uniqKey="Carroll C" first="C" last="Carroll">C. Carroll</name><affiliation wicri:level="1"><nlm:affiliation>Plymouth University and Plymouth Hospitals NHS Trust, Plymouth, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Plymouth University and Plymouth Hospitals NHS Trust, Plymouth</wicri:regionArea><wicri:noRegion>Plymouth</wicri:noRegion></affiliation></author><author><name sortKey="Paviour, D" sort="Paviour, D" uniqKey="Paviour D" first="D" last="Paviour">D. Paviour</name><affiliation wicri:level="3"><nlm:affiliation>St Georges Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>St Georges Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Falup Pecurariu, C" sort="Falup Pecurariu, C" uniqKey="Falup Pecurariu C" first="C" last="Falup-Pecurariu">C. Falup-Pecurariu</name><affiliation wicri:level="1"><nlm:affiliation>Transilvania University, Brasov, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Transilvania University, Brasov</wicri:regionArea><wicri:noRegion>Brasov</wicri:noRegion></affiliation></author><author><name sortKey="Kessel, B" sort="Kessel, B" uniqKey="Kessel B" first="B" last="Kessel">B. Kessel</name><affiliation wicri:level="1"><nlm:affiliation>Princess Royal University Hospital site, King's College Hospital, Orpington, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Princess Royal University Hospital site, King's College Hospital, Orpington</wicri:regionArea><wicri:noRegion>Orpington</wicri:noRegion></affiliation></author><author><name sortKey="Silverdale, M" sort="Silverdale, M" uniqKey="Silverdale M" first="M" last="Silverdale">M. Silverdale</name><affiliation wicri:level="3"><nlm:affiliation>Greater Manchester Neuroscience Centre, Manchester, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Greater Manchester Neuroscience Centre, Manchester</wicri:regionArea><placeName><settlement type="city">Manchester</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Manchester</region></placeName></affiliation></author><author><name sortKey="Todorova, A" sort="Todorova, A" uniqKey="Todorova A" first="A" last="Todorova">A. Todorova</name><affiliation wicri:level="3"><nlm:affiliation>King's College Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>King's College Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Sauerbier, A" sort="Sauerbier, A" uniqKey="Sauerbier A" first="A" last="Sauerbier">A. Sauerbier</name><affiliation wicri:level="3"><nlm:affiliation>King's College Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>King's College Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Odin, P" sort="Odin, P" uniqKey="Odin P" first="P" last="Odin">P. Odin</name><affiliation wicri:level="1"><nlm:affiliation>University of Lund, Lund, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>University of Lund, Lund</wicri:regionArea><wicri:noRegion>Lund</wicri:noRegion></affiliation></author><author><name sortKey="Antonini, A" sort="Antonini, A" uniqKey="Antonini A" first="A" last="Antonini">A. Antonini</name><affiliation wicri:level="1"><nlm:affiliation>Parkinson and Movement Disorders Unit; IRCCS Hospital San Camillo, Venice, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Parkinson and Movement Disorders Unit; IRCCS Hospital San Camillo, Venice</wicri:regionArea><wicri:noRegion>Venice</wicri:noRegion></affiliation></author><author><name sortKey="Martinez Martin, P" sort="Martinez Martin, P" uniqKey="Martinez Martin P" first="P" last="Martinez-Martin">P. Martinez-Martin</name><affiliation wicri:level="3"><nlm:affiliation>National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Pain is a key unmet need and a major aspect of non-motor symptoms of Parkinson's disease (PD). No specific validated scales exist to identify and grade the various types of pain in PD. We report an international, cross-sectional, open, multicenter, one-point-in-time evaluation with retest study of the first PD-specific pain scale, the King's PD Pain Scale. Its seven domains include 14 items, each item scored by severity (0-3) multiplied by frequency (0-4), resulting in a subscore of 0 to 12, with a total possible score range from 0 to 168. One hundred seventy-eight PD patients with otherwise unexplained pain (age [mean ± SD], 64.38 ± 11.38 y [range, 29-85]; 62.92% male; duration of disease, 5.40 ± 4.93 y) and 83 nonspousal non-PD controls, matched by age (64.25 ± 11.10 y) and sex (61.45% males) were studied. No missing data were noted, and floor effect was observed in all domains. The difference between mean and median King's PD Pain Scale total score was less than 10% of the maximum observed value. Skewness was marginally high (1.48 for patients). Factor analysis showed four factors in the King's PD Pain Scale, explaining 57% of the variance (Kaiser-Mayer-Olkin, 0.73; sphericity test). Cronbach's alpha was 0.78, item-total correlation mean value 0.40, and item homogeneity 0.22. Correlation coefficients of the King's PD Pain Scale domains and total score with other pain measures were high. Correlation with the Scale for Outcomes in PD-Motor, Non-Motor Symptoms Scale total score, and quality of life measures was high. The King's PD Pain Scale seems to be a reliable and valid scale for grade rating of various types of pain in PD. © 2015 International Parkinson and Movement Disorder Society.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="In-Data-Review"><PMID Version="1">26096067</PMID><DateCreated><Year>2015</Year><Month>10</Month><Day>17</Day></DateCreated><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>12</Issue><PubDate><Year>2015</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>King's Parkinson's disease pain scale, the first scale for pain in PD: An international validation.</ArticleTitle><Pagination><MedlinePgn>1623-31</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.26270</ELocationID><Abstract><AbstractText>Pain is a key unmet need and a major aspect of non-motor symptoms of Parkinson's disease (PD). No specific validated scales exist to identify and grade the various types of pain in PD. We report an international, cross-sectional, open, multicenter, one-point-in-time evaluation with retest study of the first PD-specific pain scale, the King's PD Pain Scale. Its seven domains include 14 items, each item scored by severity (0-3) multiplied by frequency (0-4), resulting in a subscore of 0 to 12, with a total possible score range from 0 to 168. One hundred seventy-eight PD patients with otherwise unexplained pain (age [mean ± SD], 64.38 ± 11.38 y [range, 29-85]; 62.92% male; duration of disease, 5.40 ± 4.93 y) and 83 nonspousal non-PD controls, matched by age (64.25 ± 11.10 y) and sex (61.45% males) were studied. No missing data were noted, and floor effect was observed in all domains. The difference between mean and median King's PD Pain Scale total score was less than 10% of the maximum observed value. Skewness was marginally high (1.48 for patients). Factor analysis showed four factors in the King's PD Pain Scale, explaining 57% of the variance (Kaiser-Mayer-Olkin, 0.73; sphericity test). Cronbach's alpha was 0.78, item-total correlation mean value 0.40, and item homogeneity 0.22. Correlation coefficients of the King's PD Pain Scale domains and total score with other pain measures were high. Correlation with the Scale for Outcomes in PD-Motor, Non-Motor Symptoms Scale total score, and quality of life measures was high. The King's PD Pain Scale seems to be a reliable and valid scale for grade rating of various types of pain in PD. © 2015 International Parkinson and Movement Disorder Society.</AbstractText><CopyrightInformation>© 2015 International Parkinson and Movement Disorder Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chaudhuri</LastName><ForeName>K Ray</ForeName><Initials>KR</Initials><AffiliationInfo><Affiliation>King's College Hospital, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>King's College London, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University Hospital Lewisham, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rizos</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>King's College Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Trenkwalder</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Paracelsus-Elena Hospital, Kassel, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rascol</LastName><ForeName>O</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Clinical Investigation Center 1436 and Departments of Clinical Pharmacology and Neurosciences, INSERM and University Hospital of Toulouse, Toulouse, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pal</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Forth Valley Royal Hospital, Scotland, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martino</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Lewisham & Greenwich NHS Trust, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carroll</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Plymouth University and Plymouth Hospitals NHS Trust, Plymouth, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paviour</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>St Georges Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Falup-Pecurariu</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Transilvania University, Brasov, Romania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kessel</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Princess Royal University Hospital site, King's College Hospital, Orpington, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Silverdale</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Greater Manchester Neuroscience Centre, Manchester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Todorova</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>King's College Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sauerbier</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>King's College Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Odin</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>University of Lund, Lund, Sweden.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Klinikum Bremerhaven Reinkenheide, Bremerhaven, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Antonini</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Parkinson and Movement Disorders Unit; IRCCS Hospital San Camillo, Venice, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martinez-Martin</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>National Center of Epidemiology and CIBERNED, Carlos III Institute of Health, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>EUROPAR and the IPMDS Non Motor PD Study Group</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>06</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Pain</Keyword><Keyword MajorTopicYN="N">Parkinson's disease</Keyword><Keyword MajorTopicYN="N">scale</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>1</Month><Day>6</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>4</Month><Day>2</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>4</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>6</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>6</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>6</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>6</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26096067</ArticleId><ArticleId IdType="doi">10.1002/mds.26270</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>Espagne</li><li>France</li><li>Italie</li><li>Roumanie</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>Communauté de Madrid</li><li>District de Kassel</li><li>Grand Londres</li><li>Grand Manchester</li><li>Hesse (Land)</li></region><settlement><li>Cassel (Hesse)</li><li>Londres</li><li>Madrid</li><li>Manchester</li><li>Toulouse</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Chaudhuri, K Ray" sort="Chaudhuri, K Ray" uniqKey="Chaudhuri K" first="K Ray" last="Chaudhuri">K Ray Chaudhuri</name></region><name sortKey="Carroll, C" sort="Carroll, C" uniqKey="Carroll C" first="C" last="Carroll">C. Carroll</name><name sortKey="Kessel, B" sort="Kessel, B" uniqKey="Kessel B" first="B" last="Kessel">B. Kessel</name><name sortKey="Martino, D" sort="Martino, D" uniqKey="Martino D" first="D" last="Martino">D. Martino</name><name sortKey="Pal, S" sort="Pal, S" uniqKey="Pal S" first="S" last="Pal">S. Pal</name><name sortKey="Paviour, D" sort="Paviour, D" uniqKey="Paviour D" first="D" last="Paviour">D. Paviour</name><name sortKey="Rizos, A" sort="Rizos, A" uniqKey="Rizos A" first="A" last="Rizos">A. Rizos</name><name sortKey="Sauerbier, A" sort="Sauerbier, A" uniqKey="Sauerbier A" first="A" last="Sauerbier">A. Sauerbier</name><name sortKey="Silverdale, M" sort="Silverdale, M" uniqKey="Silverdale M" first="M" last="Silverdale">M. Silverdale</name><name sortKey="Todorova, A" sort="Todorova, A" uniqKey="Todorova A" first="A" last="Todorova">A. Todorova</name></country><country name="Allemagne"><region name="Hesse (Land)"><name sortKey="Trenkwalder, C" sort="Trenkwalder, C" uniqKey="Trenkwalder C" first="C" last="Trenkwalder">C. Trenkwalder</name></region></country><country name="France"><noRegion><name sortKey="Rascol, O" sort="Rascol, O" uniqKey="Rascol O" first="O" last="Rascol">O. Rascol</name></noRegion></country><country name="Roumanie"><noRegion><name sortKey="Falup Pecurariu, C" sort="Falup Pecurariu, C" uniqKey="Falup Pecurariu C" first="C" last="Falup-Pecurariu">C. Falup-Pecurariu</name></noRegion></country><country name="Suède"><noRegion><name sortKey="Odin, P" sort="Odin, P" uniqKey="Odin P" first="P" last="Odin">P. Odin</name></noRegion></country><country name="Italie"><noRegion><name sortKey="Antonini, A" sort="Antonini, A" uniqKey="Antonini A" first="A" last="Antonini">A. Antonini</name></noRegion></country><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Martinez Martin, P" sort="Martinez Martin, P" uniqKey="Martinez Martin P" first="P" last="Martinez-Martin">P. Martinez-Martin</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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