Disability perceived by primary care patients with posterior canal benign paroxysmal positional vertigo.
Identifieur interne : 000049 ( Main/Exploration ); précédent : 000048; suivant : 000050Disability perceived by primary care patients with posterior canal benign paroxysmal positional vertigo.
Auteurs : Ricard Carrillo Mu Oz [Espagne] ; José Luis Ballve Moreno [Espagne] ; Iván Villar Balboa [Espagne] ; Yolanda Rando Matos [Espagne] ; Oriol Cunillera Puertolas [Espagne] ; Jesús Almeda Ortega [Espagne] ; Estrella Rodero Perez [Espagne] ; Xavier Monteverde Curto [Espagne] ; Carles Rubio Ripollès [Espagne] ; Noemí Moreno Farres [Espagne] ; Austria Matos Mendez [Espagne] ; Jean Carlos Gomez Nova [Espagne] ; Marta Bardina Santos [Espagne] ; Johan Josué Villarreal Mi Ano [Espagne] ; Diana Lizzeth Pacheco Erazo [Espagne] ; Anabella María Hernández Sánchez [Espagne]Source :
- BMC family practice [ 1471-2296 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Attitude envers la santé (MeSH), Auto-évaluation (psychologie) (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Personnes handicapées (psychologie), Soins de santé primaires (statistiques et données numériques), Sujet âgé (MeSH), Vertige positionnel paroxystique bénin (psychologie), Études transversales (MeSH).
- MESH :
- psychologie : Personnes handicapées, Vertige positionnel paroxystique bénin.
- statistiques et données numériques : Soins de santé primaires.
- Adulte, Adulte d'âge moyen, Attitude envers la santé, Auto-évaluation (psychologie), Enquêtes et questionnaires, Femelle, Humains, Mâle, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Attitude to Health (MeSH), Benign Paroxysmal Positional Vertigo (psychology), Cross-Sectional Studies (MeSH), Disabled Persons (psychology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Primary Health Care (statistics & numerical data), Self-Assessment (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- psychology : Benign Paroxysmal Positional Vertigo, Disabled Persons.
- statistics & numerical data : Primary Health Care.
- Adult, Aged, Attitude to Health, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Self-Assessment, Surveys and Questionnaires.
Abstract
BACKGROUND
Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. Little is known on how posterior canal BPPV affects health-related quality of life in patients diagnosed and treated at primary care facilities or on whether patients with subjective and objective disease perceive the effects differently. This study was designed to describe how patients diagnosed with posterior canal BPPV in primary care perceive disability.
METHODS
Cross-sectional descriptive study performed at two urban primary care centers. Participants were patients aged 18 years or older with suspected posterior canal BPPV recruited for baseline evaluation in a clinical trial on the effectiveness of the Epley maneuver in primary care. The recruitment period was from November 2012 to January 2015. Perceived disability was evaluated using the Dizziness Handicap Inventory - Screening version (DHI-S). Other variables collected were age and sex, a history or diagnosis of anxiety or depression, treatment with antidepressants and/or anxiolytics, and results of the Dix-Hallpike (DH) test, which was considered positive when it triggered vertigo with or without nystagmus and negative when it triggered neither.
RESULTS
The DH test was positive in 134 patients, 40.30% of whom had objective BPPV (vertigo with nystagmus). The median age of the patients was 52 years (interquartile range [IQR], 39.00-68.50 years) and 76.1% were women. The median total score on the DHI-S was 16 out of 40 (IQR, 8.00-22.00). Scores were higher (greater perceived disability) in women (p < 0.001) and patients with subjective BPPV (vertigo without nystagmus) (p = 0.033). The items perceived as causing the greatest disability were feeling depressed (67.1%) and worsening of the condition on turning over in bed (88%).
CONCLUSIONS
Patients diagnosed with posterior canal BPPV in primary care perceive their condition as a disability according to DHI-S scores, with higher levels of disability reported by women and patients with subjective BPPV. Feelings of depression and turning over in bed were associated with the greatest perceived difficulties.
TRIAL REGISTRATION
ClinicalTrials.gov Identifier: NCT01969513. Retrospectively registered. First Posted: October 25, 2013. https://clinicaltrials.gov/ct2/show/NCT01969513.
DOI: 10.1186/s12875-019-1035-3
PubMed: 31722671
PubMed Central: PMC6852917
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Cunillera Puertolas, Oriol" sort="Cunillera Puertolas, Oriol" uniqKey="Cunillera Puertolas O" first="Oriol" last="Cunillera Puertolas">Oriol Cunillera Puertolas</name><affiliation wicri:level="3"><nlm:affiliation>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Almeda Ortega, Jesus" sort="Almeda Ortega, Jesus" uniqKey="Almeda Ortega J" first="Jesús" last="Almeda Ortega">Jesús Almeda Ortega</name><affiliation wicri:level="4"><nlm:affiliation>Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université autonome de Barcelone</orgName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rodero Perez, Estrella" sort="Rodero Perez, Estrella" uniqKey="Rodero Perez E" first="Estrella" last="Rodero Perez">Estrella Rodero Perez</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Monteverde Curto, Xavier" sort="Monteverde Curto, Xavier" uniqKey="Monteverde Curto X" first="Xavier" last="Monteverde Curto">Xavier Monteverde Curto</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rubio Ripolles, Carles" sort="Rubio Ripolles, Carles" uniqKey="Rubio Ripolles C" first="Carles" last="Rubio Ripollès">Carles Rubio Ripollès</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Moreno Farres, Noemi" sort="Moreno Farres, Noemi" uniqKey="Moreno Farres N" first="Noemí" last="Moreno Farres">Noemí Moreno Farres</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Matos Mendez, Austria" sort="Matos Mendez, Austria" uniqKey="Matos Mendez A" first="Austria" last="Matos Mendez">Austria Matos Mendez</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Gomez Nova, Jean Carlos" sort="Gomez Nova, Jean Carlos" uniqKey="Gomez Nova J" first="Jean Carlos" last="Gomez Nova">Jean Carlos Gomez Nova</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Bardina Santos, Marta" sort="Bardina Santos, Marta" uniqKey="Bardina Santos M" first="Marta" last="Bardina Santos">Marta Bardina Santos</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Villarreal Mi Ano, Johan Josue" sort="Villarreal Mi Ano, Johan Josue" uniqKey="Villarreal Mi Ano J" first="Johan Josué" last="Villarreal Mi Ano">Johan Josué Villarreal Mi Ano</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Pacheco Erazo, Diana Lizzeth" sort="Pacheco Erazo, Diana Lizzeth" uniqKey="Pacheco Erazo D" first="Diana Lizzeth" last="Pacheco Erazo">Diana Lizzeth Pacheco Erazo</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Hernandez Sanchez, Anabella Maria" sort="Hernandez Sanchez, Anabella Maria" uniqKey="Hernandez Sanchez A" first="Anabella María" last="Hernández Sánchez">Anabella María Hernández Sánchez</name><affiliation wicri:level="3"><nlm:affiliation>Hospital General de Hospitalet, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital General de Hospitalet, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:31722671</idno><idno type="pmid">31722671</idno><idno type="doi">10.1186/s12875-019-1035-3</idno><idno type="pmc">PMC6852917</idno><idno type="wicri:Area/Main/Corpus">000026</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000026</idno><idno type="wicri:Area/Main/Curation">000026</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000026</idno><idno type="wicri:Area/Main/Exploration">000026</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Disability perceived by primary care patients with posterior canal benign paroxysmal positional vertigo.</title><author><name sortKey="Carrillo Mu Oz, Ricard" sort="Carrillo Mu Oz, Ricard" uniqKey="Carrillo Mu Oz R" first="Ricard" last="Carrillo Mu Oz">Ricard Carrillo Mu Oz</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Sud, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Sud, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Ballve Moreno, Jose Luis" sort="Ballve Moreno, Jose Luis" uniqKey="Ballve Moreno J" first="José Luis" last="Ballve Moreno">José Luis Ballve Moreno</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain. ballvejl@gmail.com.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain. ballvejl@gmail.com.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université autonome de Barcelone</orgName></affiliation></author><author><name sortKey="Villar Balboa, Ivan" sort="Villar Balboa, Ivan" uniqKey="Villar Balboa I" first="Iván" last="Villar Balboa">Iván Villar Balboa</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Sud, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Sud, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rando Matos, Yolanda" sort="Rando Matos, Yolanda" uniqKey="Rando Matos Y" first="Yolanda" last="Rando Matos">Yolanda Rando Matos</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Cunillera Puertolas, Oriol" sort="Cunillera Puertolas, Oriol" uniqKey="Cunillera Puertolas O" first="Oriol" last="Cunillera Puertolas">Oriol Cunillera Puertolas</name><affiliation wicri:level="3"><nlm:affiliation>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Almeda Ortega, Jesus" sort="Almeda Ortega, Jesus" uniqKey="Almeda Ortega J" first="Jesús" last="Almeda Ortega">Jesús Almeda Ortega</name><affiliation wicri:level="4"><nlm:affiliation>Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université autonome de Barcelone</orgName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rodero Perez, Estrella" sort="Rodero Perez, Estrella" uniqKey="Rodero Perez E" first="Estrella" last="Rodero Perez">Estrella Rodero Perez</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Monteverde Curto, Xavier" sort="Monteverde Curto, Xavier" uniqKey="Monteverde Curto X" first="Xavier" last="Monteverde Curto">Xavier Monteverde Curto</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rubio Ripolles, Carles" sort="Rubio Ripolles, Carles" uniqKey="Rubio Ripolles C" first="Carles" last="Rubio Ripollès">Carles Rubio Ripollès</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Moreno Farres, Noemi" sort="Moreno Farres, Noemi" uniqKey="Moreno Farres N" first="Noemí" last="Moreno Farres">Noemí Moreno Farres</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Matos Mendez, Austria" sort="Matos Mendez, Austria" uniqKey="Matos Mendez A" first="Austria" last="Matos Mendez">Austria Matos Mendez</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Gomez Nova, Jean Carlos" sort="Gomez Nova, Jean Carlos" uniqKey="Gomez Nova J" first="Jean Carlos" last="Gomez Nova">Jean Carlos Gomez Nova</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Bardina Santos, Marta" sort="Bardina Santos, Marta" uniqKey="Bardina Santos M" first="Marta" last="Bardina Santos">Marta Bardina Santos</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Villarreal Mi Ano, Johan Josue" sort="Villarreal Mi Ano, Johan Josue" uniqKey="Villarreal Mi Ano J" first="Johan Josué" last="Villarreal Mi Ano">Johan Josué Villarreal Mi Ano</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Pacheco Erazo, Diana Lizzeth" sort="Pacheco Erazo, Diana Lizzeth" uniqKey="Pacheco Erazo D" first="Diana Lizzeth" last="Pacheco Erazo">Diana Lizzeth Pacheco Erazo</name><affiliation wicri:level="3"><nlm:affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Hernandez Sanchez, Anabella Maria" sort="Hernandez Sanchez, Anabella Maria" uniqKey="Hernandez Sanchez A" first="Anabella María" last="Hernández Sánchez">Anabella María Hernández Sánchez</name><affiliation wicri:level="3"><nlm:affiliation>Hospital General de Hospitalet, Hospitalet de Llobregat, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital General de Hospitalet, Hospitalet de Llobregat, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author></analytic><series><title level="j">BMC family practice</title><idno type="eISSN">1471-2296</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Attitude to Health (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (psychology)</term><term>Cross-Sectional Studies (MeSH)</term><term>Disabled Persons (psychology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Primary Health Care (statistics & numerical data)</term><term>Self-Assessment (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Attitude envers la santé (MeSH)</term><term>Auto-évaluation (psychologie) (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Personnes handicapées (psychologie)</term><term>Soins de santé primaires (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>Vertige positionnel paroxystique bénin (psychologie)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnes handicapées</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Disabled Persons</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Primary Health Care</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Soins de santé primaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Attitude to Health</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Self-Assessment</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude envers la santé</term><term>Auto-évaluation (psychologie)</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. Little is known on how posterior canal BPPV affects health-related quality of life in patients diagnosed and treated at primary care facilities or on whether patients with subjective and objective disease perceive the effects differently. This study was designed to describe how patients diagnosed with posterior canal BPPV in primary care perceive disability.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Cross-sectional descriptive study performed at two urban primary care centers. Participants were patients aged 18 years or older with suspected posterior canal BPPV recruited for baseline evaluation in a clinical trial on the effectiveness of the Epley maneuver in primary care. The recruitment period was from November 2012 to January 2015. Perceived disability was evaluated using the Dizziness Handicap Inventory - Screening version (DHI-S). Other variables collected were age and sex, a history or diagnosis of anxiety or depression, treatment with antidepressants and/or anxiolytics, and results of the Dix-Hallpike (DH) test, which was considered positive when it triggered vertigo with or without nystagmus and negative when it triggered neither.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The DH test was positive in 134 patients, 40.30% of whom had objective BPPV (vertigo with nystagmus). The median age of the patients was 52 years (interquartile range [IQR], 39.00-68.50 years) and 76.1% were women. The median total score on the DHI-S was 16 out of 40 (IQR, 8.00-22.00). Scores were higher (greater perceived disability) in women (p < 0.001) and patients with subjective BPPV (vertigo without nystagmus) (p = 0.033). The items perceived as causing the greatest disability were feeling depressed (67.1%) and worsening of the condition on turning over in bed (88%).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Patients diagnosed with posterior canal BPPV in primary care perceive their condition as a disability according to DHI-S scores, with higher levels of disability reported by women and patients with subjective BPPV. Feelings of depression and turning over in bed were associated with the greatest perceived difficulties.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION</b></p><p>ClinicalTrials.gov Identifier: NCT01969513. Retrospectively registered. First Posted: October 25, 2013. https://clinicaltrials.gov/ct2/show/NCT01969513.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31722671</PMID><DateCompleted><Year>2020</Year><Month>06</Month><Day>11</Day></DateCompleted><DateRevised><Year>2020</Year><Month>06</Month><Day>11</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2296</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>11</Month><Day>13</Day></PubDate></JournalIssue><Title>BMC family practice</Title><ISOAbbreviation>BMC Fam Pract</ISOAbbreviation></Journal><ArticleTitle>Disability perceived by primary care patients with posterior canal benign paroxysmal positional vertigo.</ArticleTitle><Pagination><MedlinePgn>156</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12875-019-1035-3</ELocationID><Abstract><AbstractText Label="BACKGROUND">Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. Little is known on how posterior canal BPPV affects health-related quality of life in patients diagnosed and treated at primary care facilities or on whether patients with subjective and objective disease perceive the effects differently. This study was designed to describe how patients diagnosed with posterior canal BPPV in primary care perceive disability.</AbstractText><AbstractText Label="METHODS">Cross-sectional descriptive study performed at two urban primary care centers. Participants were patients aged 18 years or older with suspected posterior canal BPPV recruited for baseline evaluation in a clinical trial on the effectiveness of the Epley maneuver in primary care. The recruitment period was from November 2012 to January 2015. Perceived disability was evaluated using the Dizziness Handicap Inventory - Screening version (DHI-S). Other variables collected were age and sex, a history or diagnosis of anxiety or depression, treatment with antidepressants and/or anxiolytics, and results of the Dix-Hallpike (DH) test, which was considered positive when it triggered vertigo with or without nystagmus and negative when it triggered neither.</AbstractText><AbstractText Label="RESULTS">The DH test was positive in 134 patients, 40.30% of whom had objective BPPV (vertigo with nystagmus). The median age of the patients was 52 years (interquartile range [IQR], 39.00-68.50 years) and 76.1% were women. The median total score on the DHI-S was 16 out of 40 (IQR, 8.00-22.00). Scores were higher (greater perceived disability) in women (p < 0.001) and patients with subjective BPPV (vertigo without nystagmus) (p = 0.033). The items perceived as causing the greatest disability were feeling depressed (67.1%) and worsening of the condition on turning over in bed (88%).</AbstractText><AbstractText Label="CONCLUSIONS">Patients diagnosed with posterior canal BPPV in primary care perceive their condition as a disability according to DHI-S scores, with higher levels of disability reported by women and patients with subjective BPPV. Feelings of depression and turning over in bed were associated with the greatest perceived difficulties.</AbstractText><AbstractText Label="TRIAL REGISTRATION">ClinicalTrials.gov Identifier: NCT01969513. Retrospectively registered. First Posted: October 25, 2013. https://clinicaltrials.gov/ct2/show/NCT01969513.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carrillo Muñoz</LastName><ForeName>Ricard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Sud, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ballve Moreno</LastName><ForeName>José Luis</ForeName><Initials>JL</Initials><Identifier Source="ORCID">0000-0002-4911-4477</Identifier><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain. ballvejl@gmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain. ballvejl@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Villar Balboa</LastName><ForeName>Iván</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Sud, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rando Matos</LastName><ForeName>Yolanda</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cunillera Puertolas</LastName><ForeName>Oriol</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Almeda Ortega</LastName><ForeName>Jesús</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Unitat de Suport a la Recerca Costa de Ponent, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol), Cornellà, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodero Perez</LastName><ForeName>Estrella</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Monteverde Curto</LastName><ForeName>Xavier</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rubio Ripollès</LastName><ForeName>Carles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moreno Farres</LastName><ForeName>Noemí</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matos Mendez</LastName><ForeName>Austria</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gomez Nova</LastName><ForeName>Jean Carlos</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bardina Santos</LastName><ForeName>Marta</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Villarreal Miñano</LastName><ForeName>Johan Josué</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pacheco Erazo</LastName><ForeName>Diana Lizzeth</ForeName><Initials>DL</Initials><AffiliationInfo><Affiliation>Equip d'Atenció Primària Florida Nord, Institut Català de la Salut, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hernández Sánchez</LastName><ForeName>Anabella María</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Hospital General de Hospitalet, Hospitalet de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Grupo de estudio del vértigo en atención primaria Florida</CollectiveName></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT01969513</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>11</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Fam Pract</MedlineTA><NlmUniqueID>100967792</NlmUniqueID><ISSNLinking>1471-2296</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001294" MajorTopicYN="N">Attitude to Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006233" MajorTopicYN="N">Disabled Persons</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</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="D011320" MajorTopicYN="N">Primary Health Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012647" MajorTopicYN="N">Self-Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Benign paroxysmal positional vertigo</Keyword><Keyword MajorTopicYN="Y">Primary care</Keyword><Keyword MajorTopicYN="Y">Quality of life</Keyword></KeywordList><InvestigatorList><Investigator ValidYN="Y"><LastName>Moreno</LastName><ForeName>José Luis Ballve</ForeName><Initials>JLB</Initials></Investigator><Investigator ValidYN="Y"><LastName>Matos</LastName><ForeName>Yolanda Rando</ForeName><Initials>YR</Initials></Investigator><Investigator ValidYN="Y"><LastName>Pérez</LastName><ForeName>Estrella Rodero</ForeName><Initials>ER</Initials></Investigator><Investigator ValidYN="Y"><LastName>Curto</LastName><ForeName>Xavier Monteverde</ForeName><Initials>XM</Initials></Investigator><Investigator ValidYN="Y"><LastName>Ripollès</LastName><ForeName>Carles Rubio</ForeName><Initials>CR</Initials></Investigator><Investigator ValidYN="Y"><LastName>Farres</LastName><ForeName>Noemí Moreno</ForeName><Initials>NM</Initials></Investigator><Investigator ValidYN="Y"><LastName>Nova</LastName><ForeName>Jean Carlos Gómez</ForeName><Initials>JCG</Initials></Investigator><Investigator ValidYN="Y"><LastName>Miñano</LastName><ForeName>Johan Josué Villarreal</ForeName><Initials>JJV</Initials></Investigator><Investigator ValidYN="Y"><LastName>Erazo</LastName><ForeName>Diana Lizzeth Pacheco</ForeName><Initials>DLP</Initials></Investigator><Investigator ValidYN="Y"><LastName>Martori</LastName><ForeName>Raquel Adroer</ForeName><Initials>RA</Initials></Investigator><Investigator ValidYN="Y"><LastName>Margalejo</LastName><ForeName>Anna Aguilar</ForeName><Initials>AA</Initials></Investigator><Investigator ValidYN="Y"><LastName>Agudelo</LastName><ForeName>Olga Lucia Arias</ForeName><Initials>OLA</Initials></Investigator><Investigator ValidYN="Y"><LastName>Crespo</LastName><ForeName>Silvia Cañadas</ForeName><Initials>SC</Initials></Investigator><Investigator ValidYN="Y"><LastName>Martín</LastName><ForeName>Laura Illamola</ForeName><Initials>LI</Initials></Investigator><Investigator ValidYN="Y"><LastName>Maluquer</LastName><ForeName>Marta Sarró</ForeName><Initials>MS</Initials></Investigator><Investigator ValidYN="Y"><LastName>Díaz</LastName><ForeName>Lluís Solsona</ForeName><Initials>LS</Initials></Investigator><Investigator ValidYN="Y"><LastName>Alastruey</LastName><ForeName>Rosa Sorando</ForeName><Initials>RS</Initials></Investigator><Investigator ValidYN="Y"><LastName>Muñoz</LastName><ForeName>Ricard Carrillo</ForeName><Initials>RC</Initials></Investigator><Investigator ValidYN="Y"><LastName>Balboa</LastName><ForeName>Iván Villar</ForeName><Initials>IV</Initials></Investigator><Investigator ValidYN="Y"><LastName>Méndez</LastName><ForeName>Austria Matos</ForeName><Initials>AM</Initials></Investigator><Investigator ValidYN="Y"><LastName>Santos</LastName><ForeName>Marta Bardina</ForeName><Initials>MB</Initials></Investigator><Investigator ValidYN="Y"><LastName>Puertolas</LastName><ForeName>Oriol Cunillera</ForeName><Initials>OC</Initials></Investigator><Investigator ValidYN="Y"><LastName>Ortega</LastName><ForeName>Jesús Almeda</ForeName><Initials>JA</Initials></Investigator></InvestigatorList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>07</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>10</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>11</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>11</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31722671</ArticleId><ArticleId 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name="Espagne"><region name="Catalogne"><name sortKey="Carrillo Mu Oz, Ricard" sort="Carrillo Mu Oz, Ricard" uniqKey="Carrillo Mu Oz R" first="Ricard" last="Carrillo Mu Oz">Ricard Carrillo Mu Oz</name></region><name sortKey="Almeda Ortega, Jesus" sort="Almeda Ortega, Jesus" uniqKey="Almeda Ortega J" first="Jesús" last="Almeda Ortega">Jesús Almeda Ortega</name><name sortKey="Almeda Ortega, Jesus" sort="Almeda Ortega, Jesus" uniqKey="Almeda Ortega J" first="Jesús" last="Almeda Ortega">Jesús Almeda Ortega</name><name sortKey="Ballve Moreno, Jose Luis" sort="Ballve Moreno, Jose Luis" uniqKey="Ballve Moreno J" first="José Luis" last="Ballve Moreno">José Luis Ballve Moreno</name><name sortKey="Ballve Moreno, Jose Luis" sort="Ballve Moreno, Jose Luis" uniqKey="Ballve Moreno J" first="José Luis" last="Ballve Moreno">José Luis Ballve Moreno</name><name sortKey="Bardina Santos, Marta" sort="Bardina Santos, Marta" uniqKey="Bardina Santos M" first="Marta" last="Bardina Santos">Marta Bardina 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last="Moreno Farres">Noemí Moreno Farres</name><name sortKey="Pacheco Erazo, Diana Lizzeth" sort="Pacheco Erazo, Diana Lizzeth" uniqKey="Pacheco Erazo D" first="Diana Lizzeth" last="Pacheco Erazo">Diana Lizzeth Pacheco Erazo</name><name sortKey="Rando Matos, Yolanda" sort="Rando Matos, Yolanda" uniqKey="Rando Matos Y" first="Yolanda" last="Rando Matos">Yolanda Rando Matos</name><name sortKey="Rodero Perez, Estrella" sort="Rodero Perez, Estrella" uniqKey="Rodero Perez E" first="Estrella" last="Rodero Perez">Estrella Rodero Perez</name><name sortKey="Rubio Ripolles, Carles" sort="Rubio Ripolles, Carles" uniqKey="Rubio Ripolles C" first="Carles" last="Rubio Ripollès">Carles Rubio Ripollès</name><name sortKey="Villar Balboa, Ivan" sort="Villar Balboa, Ivan" uniqKey="Villar Balboa I" first="Iván" last="Villar Balboa">Iván Villar Balboa</name><name sortKey="Villarreal Mi Ano, Johan Josue" sort="Villarreal Mi Ano, Johan Josue" uniqKey="Villarreal Mi Ano J" first="Johan Josué" last="Villarreal Mi Ano">Johan Josué Villarreal Mi Ano</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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