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Shortage of Rheumatologists in the country/>" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "60" "paginaFinal" => "61" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Situación de la reumatología en México. Déficit de reumatólogos en el país" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1713 "Ancho" => 2500 "Tamanyo" => 274537 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Density of rheumatologists per 100,000 inhabitants in selected states. Demographic data taken from the National Institute of Statistics and Geography (INEGI for its initials in Spanish).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alberto Ordinola Navarro, Bruno Ali López Luis, Olga Vera-Lastra" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Alberto" "apellidos" => "Ordinola Navarro" ] 1 => array:2 [ "nombre" => "Bruno Ali" "apellidos" => "López Luis" ] 2 => array:2 [ "nombre" => "Olga" "apellidos" => "Vera-Lastra" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X22000171" "doi" => "10.1016/j.reuma.2021.12.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X22000171?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574322000880?idApp=UINPBA00004M" "url" => "/21735743/0000001900000001/v1_202301040853/S2173574322000880/v1_202301040853/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173574322001150" "issn" => "21735743" "doi" => "10.1016/j.reumae.2022.02.002" "estado" => "S300" "fechaPublicacion" => "2023-01-01" "aid" => "1607" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2023;19:57-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "Sarcoid dactylitis as the initial manifestation of systemic sarcoidosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "57" "paginaFinal" => "58" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dactilitis sarcoidea como manifestación inicial de sarcoidosis sistémica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 521 "Ancho" => 1515 "Tamanyo" => 125696 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Dactylitis and nail dystrophy on the fourth toe of the right foot. B) Papules and erythematous-orange plaques on the nasal columella and labial commissures (arrowheads) corresponding to cutaneous sarcoidosis (lupus pernio). C) The radiological image shows bone resorption of the distal phalanx of the fourth toe of the right foot.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Xavier Fustà-Novell, Sonia Mínguez-Blasco, Lidia Creus-Vila, Meritxell Sallés-Lizarzaburu" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Xavier" "apellidos" => "Fustà-Novell" ] 1 => array:2 [ "nombre" => "Sonia" "apellidos" => "Mínguez-Blasco" ] 2 => array:2 [ "nombre" => "Lidia" "apellidos" => "Creus-Vila" ] 3 => array:2 [ "nombre" => "Meritxell" "apellidos" => "Sallés-Lizarzaburu" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X22000729" "doi" => "10.1016/j.reuma.2022.02.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X22000729?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574322001150?idApp=UINPBA00004M" "url" => "/21735743/0000001900000001/v1_202301040853/S2173574322001150/v1_202301040853/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Development and feasibility of four checklists for the evaluation of comorbidity in patients with rheumatoid arthritis, spondyloarthriti saxial and psoriatic arthritis: GECOAI project" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "59" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Danitza del Rosario Meneses-Bardales, Maryan Azalia Valdivia-Lapa" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Danitza del Rosario" "apellidos" => "Meneses-Bardales" ] 1 => array:4 [ "nombre" => "Maryan Azalia" "apellidos" => "Valdivia-Lapa" "email" => array:1 [ 0 => "maryanvl.2001@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Escuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Filial Ica, Ica, Peru" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Desarrollo y viabilidad de cuatro checklists para la evaluación de la comorbilidad en pacientes con artritis reumatoide, espondiloartritis axial y artritis psoriásica: proyecto GECOAI" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In an article recently published in your journal, Santos Castañeda et al. aimed to develop a way to correlate the comorbidities of patients with rheumatoid arthritis, axial spondyloarthritis and psoriatic arthritis using four checklists. This study was carried out using the method of the GECOAR, GECOAX and GECOAP,<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–3</span></a> projects, and the use of external pages for the bibliographic search of the comorbidities of these diseases, in order to select those that are most closely related to each other.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In terms of strengths, we found that it is the only published study which groups the comorbidities of the 3 diseases in a systematic way in order to achieve adequate management in the future. We observed that it has a didactic design as it took into account the degree of understanding of medical language of the participants in relation to the comorbidities (first checklist), as well as in the checklists developed by the health personnel. The study also considered the opinion of the patients with this type of disease, for a better elaboration of the checklists.</p><p id="par0015" class="elsevierStylePara elsevierViewall">With regard to its weaknesses, we found that there are few participants in the study, and there could be a selection bias in the selection of participants for such a small study. There is no evidence of how long the study was conducted and there is no follow-up of the participants, so there is no evidence that the proposed checklists help prevent the common comorbidities of rheumatoid arthritis, axial spondyloarthritis<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> and psoriatic arthritis.</p><p id="par0020" class="elsevierStylePara elsevierViewall">We believe that more evaluations need to be done in the country of origin and in other countries, with more participants, as well as a follow-up to demonstrate positive or negative results of the checklists at a multicentre level, so that it can be presented in health centres as a useful tool for clinical use, as well as a follow-up of the participants to determine if the checklists have sensitivity and specificity.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Meneses-Bardales DR, Valdivia-Lapa MA. Desarrollo y viabilidad de cuatro checklists para la evaluación de la comorbilidad en pacientes con artritis reumatoide, espondiloartritis axial y artritis psoriásica: proyecto GECOAI. Reumatol Clín. 2023;19:59.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Identification and management of comorbidity in psoriatic arthritis: evidence- and expert-based recommendations from a multidisciplinary panel from Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.C. Torre-Alonso" 1 => "L. Carmona" 2 => "M. Moreno" 3 => "E. Galíndez" 4 => "J. Babío" 5 => "P. Zarco" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00296-017-3702-9" "Revista" => array:6 [ "tituloSerie" => "Rheumatol Int" "fecha" => "2017" "volumen" => "37" "paginaInicial" => "1239" "paginaFinal" => "1248" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28389856" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Feeding ecology of the beach silverside Atherinella blackburni (Atherinopsidae) in a tropical sandy beach, Southeastern Brazil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Guazzelli Gonzalez" 1 => "T. Vaske Júnior" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Braz J Oceanogr" "fecha" => "2017" "volumen" => "65" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Consensus statement on a framework for the management of comorbidity and extra-articular manifestations in rheumatoid arthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Loza" 1 => "C. Lajas" 2 => "J.L. Andreu" 3 => "A. Balsa" 4 => "I. González-Álvaro" 5 => "O. Illera" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00296-014-3196-7" "Revista" => array:6 [ "tituloSerie" => "Rheumatol Int" "fecha" => "2015" "volumen" => "35" "paginaInicial" => "445" "paginaFinal" => "458" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25543267" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Implementation of an assessment checklist for patients with spondyloarthritis in daily practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.A. Almodóvar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Clin Exp Rheumatol" "fecha" => "2020" "volumen" => "38" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000001900000001/v1_202301040853/S217357432100188X/v1_202301040853/en/main.assets" "Apartado" => array:4 [ "identificador" => "8400" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000001900000001/v1_202301040853/S217357432100188X/v1_202301040853/en/main.pdf?idApp=UINPBA00004M&text.app=https://www.reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357432100188X?idApp=UINPBA00004M" ]
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