Healing criteria: How should an episode of benign paroxistic positional vertigo of posterior semicircular canal's resolution be defined? Prospective observational study.
Identifieur interne : 000088 ( Main/Curation ); précédent : 000087; suivant : 000089Healing criteria: How should an episode of benign paroxistic positional vertigo of posterior semicircular canal's resolution be defined? Prospective observational study.
Auteurs : G. Guerra-Jiménez [Espagne] ; E. Domènech-Vadillo [Espagne] ; M G Álvarez-Morujo De Sande [Espagne] ; R. González-Aguado [Espagne] ; H. Galera-Ruiz [Espagne] ; C. Morales Angulo [Espagne] ; A J Martín-Mateos [Espagne] ; E. Figuerola-Massana [Espagne] ; Á Ramos-Macías [Espagne] ; E. Domínguez-Durán [Espagne]Source :
- Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery [ 1749-4486 ] ; 2019.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (MeSH), Adulte d'âge moyen (MeSH), Canaux semicirculaires osseux (physiopathologie), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Posture (physiologie), Pronostic (MeSH), Récupération fonctionnelle (MeSH), Vertige positionnel paroxystique bénin (diagnostic), Vertige positionnel paroxystique bénin (physiopathologie), Épreuves vestibulaires (MeSH), Études de suivi (MeSH), Études prospectives (MeSH).
- MESH :
- diagnostic : Vertige positionnel paroxystique bénin.
- physiologie : Posture.
- physiopathologie : Canaux semicirculaires osseux, Vertige positionnel paroxystique bénin.
- Activités de la vie quotidienne, Adulte d'âge moyen, Femelle, Humains, Mâle, Pronostic, Récupération fonctionnelle, Épreuves vestibulaires, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Activities of Daily Living (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (physiopathology), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Posture (physiology), Prognosis (MeSH), Prospective Studies (MeSH), Recovery of Function (MeSH), Semicircular Canals (physiopathology), Vestibular Function Tests (MeSH).
- MESH :
- diagnosis : Benign Paroxysmal Positional Vertigo.
- physiology : Posture.
- physiopathology : Benign Paroxysmal Positional Vertigo, Semicircular Canals.
- Activities of Daily Living, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Recovery of Function, Vestibular Function Tests.
Abstract
OBJECTIVES
To compare the outcome of the Epley maneuver (EM) in benign paroxysmal positional vertigo of the posterior canal (CSP-BPPV) depending on the definition used for recovery.
DESIGN
Multicenter observational prospective study.
SETTING
Otoneurology Units of 5 tertiary reference hospitals.
PARTICIPANTS
All patients presenting with unilateral CSP-BPPV assisted for 1-year period.
EXCLUSION CRITERIA
Spontaneous nystagmus, positive McClure-Pagnini maneuver, positive bilateral Dix-Hallpike maneuver (DHM), positive DHM for vertigo but negative for nystagmus and atypical nystagmus.
MAIN OUTCOME MEASURES
Response to EM was measured after 7 days in 3 different outcomes: disappearance of nystagmus during the DHM in the follow-up visit, disappearance of vertigo during the DHM and general status (GS) during daily life activities.
RESULTS
264 patients were recruited (68 male/166 female, mean age 62 years). After the EM, nystagmus disappeared in 67% of them, vertigo in 54% and 36% were asymptomatic in their daily life. These outcomes were strongly correlated, but they were not concordant in a clinically significant group of cases; only the 26% of patients met all of them. The healing process follows the next sequence: negativization of positional nystagmus, then disappearance of positional vertigo and, finally, the improvement of GS during daily life activities.
CONCLUSION
Nowadays, healing criteria for the resolution of an PSC-BPPV episode have not been specifically defined yet. Provided that other otoneurological disorders have been ruled out, the next resolution criterion is proposed: absence of nystagmus and specifically during control DHM and disappearance of symptoms during daily life activities.
DOI: 10.1111/coa.13173
PubMed: 29905001
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Prospective observational study.</title><author><name sortKey="Guerra Jimenez, G" sort="Guerra Jimenez, G" uniqKey="Guerra Jimenez G" first="G" last="Guerra-Jiménez">G. Guerra-Jiménez</name><affiliation wicri:level="1"><nlm:affiliation>Complejo Hospitalario Insular Materno Infantil, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Complejo Hospitalario Insular Materno Infantil</wicri:regionArea></affiliation></author><author><name sortKey="Domenech Vadillo, E" sort="Domenech Vadillo, E" uniqKey="Domenech Vadillo E" first="E" last="Domènech-Vadillo">E. Domènech-Vadillo</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitari Joan XXIII, Tarragona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitari Joan XXIII, Tarragona</wicri:regionArea></affiliation></author><author><name sortKey="Alvarez Morujo De Sande, M G" sort="Alvarez Morujo De Sande, M G" uniqKey="Alvarez Morujo De Sande M" first="M G" last="Álvarez-Morujo De Sande">M G Álvarez-Morujo De Sande</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Puerta del Mar, Cádiz, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Puerta del Mar, Cádiz</wicri:regionArea></affiliation></author><author><name sortKey="Gonzalez Aguado, R" sort="Gonzalez Aguado, R" uniqKey="Gonzalez Aguado R" first="R" last="González-Aguado">R. González-Aguado</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Marqués de Valdecilla, Santander, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Marqués de Valdecilla, Santander</wicri:regionArea></affiliation></author><author><name sortKey="Galera Ruiz, H" sort="Galera Ruiz, H" uniqKey="Galera Ruiz H" first="H" last="Galera-Ruiz">H. Galera-Ruiz</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Infanta Luisa, Sevilla, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Infanta Luisa, Sevilla</wicri:regionArea></affiliation></author><author><name sortKey="Morales Angulo, C" sort="Morales Angulo, C" uniqKey="Morales Angulo C" first="C" last="Morales Angulo">C. Morales Angulo</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Marqués de Valdecilla, Santander, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Marqués de Valdecilla, Santander</wicri:regionArea></affiliation></author><author><name sortKey="Martin Mateos, A J" sort="Martin Mateos, A J" uniqKey="Martin Mateos A" first="A J" last="Martín-Mateos">A J Martín-Mateos</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Puerta del Mar, Cádiz, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Puerta del Mar, Cádiz</wicri:regionArea></affiliation></author><author><name sortKey="Figuerola Massana, E" sort="Figuerola Massana, E" uniqKey="Figuerola Massana E" first="E" last="Figuerola-Massana">E. Figuerola-Massana</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitari Joan XXIII, Tarragona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitari Joan XXIII, Tarragona</wicri:regionArea></affiliation></author><author><name sortKey="Ramos Macias, A" sort="Ramos Macias, A" uniqKey="Ramos Macias A" first="Á" last="Ramos-Macías">Á Ramos-Macías</name><affiliation wicri:level="1"><nlm:affiliation>Complejo Hospitalario Insular Materno Infantil, Universidad de Las Palmas de Gran Canaria, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Complejo Hospitalario Insular Materno Infantil, Universidad de Las Palmas de Gran Canaria</wicri:regionArea></affiliation></author><author><name sortKey="Dominguez Duran, E" sort="Dominguez Duran, E" uniqKey="Dominguez Duran E" first="E" last="Domínguez-Durán">E. Domínguez-Durán</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Infanta Luisa, Sevilla, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Infanta Luisa, Sevilla</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery</title><idno type="eISSN">1749-4486</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (diagnosis)</term><term>Benign Paroxysmal Positional Vertigo (physiopathology)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Posture (physiology)</term><term>Prognosis (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Recovery of Function (MeSH)</term><term>Semicircular Canals (physiopathology)</term><term>Vestibular Function Tests (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Canaux semicirculaires osseux (physiopathologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Posture (physiologie)</term><term>Pronostic (MeSH)</term><term>Récupération fonctionnelle (MeSH)</term><term>Vertige positionnel paroxystique bénin (diagnostic)</term><term>Vertige positionnel paroxystique bénin (physiopathologie)</term><term>Épreuves vestibulaires (MeSH)</term><term>Études de suivi (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Semicircular Canals</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prognosis</term><term>Prospective Studies</term><term>Recovery of Function</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pronostic</term><term>Récupération fonctionnelle</term><term>Épreuves vestibulaires</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To compare the outcome of the Epley maneuver (EM) in benign paroxysmal positional vertigo of the posterior canal (CSP-BPPV) depending on the definition used for recovery.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Multicenter observational prospective study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Otoneurology Units of 5 tertiary reference hospitals.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>All patients presenting with unilateral CSP-BPPV assisted for 1-year period.</p></div><div type="abstract" xml:lang="en"><p><b>EXCLUSION CRITERIA</b></p><p>Spontaneous nystagmus, positive McClure-Pagnini maneuver, positive bilateral Dix-Hallpike maneuver (DHM), positive DHM for vertigo but negative for nystagmus and atypical nystagmus.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Response to EM was measured after 7 days in 3 different outcomes: disappearance of nystagmus during the DHM in the follow-up visit, disappearance of vertigo during the DHM and general status (GS) during daily life activities.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>264 patients were recruited (68 male/166 female, mean age 62 years). After the EM, nystagmus disappeared in 67% of them, vertigo in 54% and 36% were asymptomatic in their daily life. These outcomes were strongly correlated, but they were not concordant in a clinically significant group of cases; only the 26% of patients met all of them. The healing process follows the next sequence: negativization of positional nystagmus, then disappearance of positional vertigo and, finally, the improvement of GS during daily life activities.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Nowadays, healing criteria for the resolution of an PSC-BPPV episode have not been specifically defined yet. Provided that other otoneurological disorders have been ruled out, the next resolution criterion is proposed: absence of nystagmus and specifically during control DHM and disappearance of symptoms during daily life activities.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29905001</PMID><DateCompleted><Year>2020</Year><Month>05</Month><Day>11</Day></DateCompleted><DateRevised><Year>2020</Year><Month>05</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1749-4486</ISSN><JournalIssue CitedMedium="Internet"><Volume>44</Volume><Issue>3</Issue><PubDate><Year>2019</Year><Month>05</Month></PubDate></JournalIssue><Title>Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery</Title><ISOAbbreviation>Clin Otolaryngol</ISOAbbreviation></Journal><ArticleTitle>Healing criteria: How should an episode of benign paroxistic positional vertigo of posterior semicircular canal's resolution be defined? Prospective observational study.</ArticleTitle><Pagination><MedlinePgn>219-226</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/coa.13173</ELocationID><Abstract><AbstractText Label="OBJECTIVES">To compare the outcome of the Epley maneuver (EM) in benign paroxysmal positional vertigo of the posterior canal (CSP-BPPV) depending on the definition used for recovery.</AbstractText><AbstractText Label="DESIGN">Multicenter observational prospective study.</AbstractText><AbstractText Label="SETTING">Otoneurology Units of 5 tertiary reference hospitals.</AbstractText><AbstractText Label="PARTICIPANTS">All patients presenting with unilateral CSP-BPPV assisted for 1-year period.</AbstractText><AbstractText Label="EXCLUSION CRITERIA">Spontaneous nystagmus, positive McClure-Pagnini maneuver, positive bilateral Dix-Hallpike maneuver (DHM), positive DHM for vertigo but negative for nystagmus and atypical nystagmus.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES">Response to EM was measured after 7 days in 3 different outcomes: disappearance of nystagmus during the DHM in the follow-up visit, disappearance of vertigo during the DHM and general status (GS) during daily life activities.</AbstractText><AbstractText Label="RESULTS">264 patients were recruited (68 male/166 female, mean age 62 years). After the EM, nystagmus disappeared in 67% of them, vertigo in 54% and 36% were asymptomatic in their daily life. These outcomes were strongly correlated, but they were not concordant in a clinically significant group of cases; only the 26% of patients met all of them. The healing process follows the next sequence: negativization of positional nystagmus, then disappearance of positional vertigo and, finally, the improvement of GS during daily life activities.</AbstractText><AbstractText Label="CONCLUSION">Nowadays, healing criteria for the resolution of an PSC-BPPV episode have not been specifically defined yet. Provided that other otoneurological disorders have been ruled out, the next resolution criterion is proposed: absence of nystagmus and specifically during control DHM and disappearance of symptoms during daily life activities.</AbstractText><CopyrightInformation>© 2018 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Guerra-Jiménez</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Complejo Hospitalario Insular Materno Infantil, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Domènech-Vadillo</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Hospital Universitari Joan XXIII, Tarragona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Álvarez-Morujo de Sande</LastName><ForeName>M G</ForeName><Initials>MG</Initials><AffiliationInfo><Affiliation>Hospital Universitario Puerta del Mar, Cádiz, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>González-Aguado</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hospital Universitario Marqués de Valdecilla, Santander, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Galera-Ruiz</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Hospital Infanta Luisa, Sevilla, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morales Angulo</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Hospital Universitario Marqués de Valdecilla, Santander, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martín-Mateos</LastName><ForeName>A J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Hospital Universitario Puerta del Mar, Cádiz, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Figuerola-Massana</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Hospital Universitari Joan XXIII, Tarragona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ramos-Macías</LastName><ForeName>Á</ForeName><Initials>Á</Initials><AffiliationInfo><Affiliation>Complejo Hospitalario Insular Materno Infantil, Universidad de Las Palmas de Gran Canaria, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Domínguez-Durán</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Hospital Infanta Luisa, Sevilla, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>07</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Clin Otolaryngol</MedlineTA><NlmUniqueID>101247023</NlmUniqueID><ISSNLinking>1749-4478</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="Y">Activities of Daily Living</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</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="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020127" MajorTopicYN="Y">Recovery of Function</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">BPPV</Keyword><Keyword MajorTopicYN="Y">Epley maneuver</Keyword><Keyword MajorTopicYN="Y">Nystagmus</Keyword><Keyword MajorTopicYN="Y">positional nystagmus</Keyword><Keyword MajorTopicYN="Y">positional vertigo</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>01</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>6</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>6</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29905001</ArticleId><ArticleId IdType="doi">10.1111/coa.13173</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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