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tomando como referencia la poblaci&#243;n europea&#44; de 88&#44;3 nuevos casos por 100&#46;000 mujeres y a&#241;o<a class="elsevierStyleCrossRefs" href="#bib0245"><span class="elsevierStyleSup">3&#44;4</span></a>&#46; El c&#225;ncer de mama es la causa de muerte por c&#225;ncer m&#225;s frecuente en las mujeres espa&#241;olas&#44; con una tasa de mortalidad ajustada&#44; en el a&#241;o 2012&#44; de 11&#44;8 casos por 100&#46;000 mujeres y a&#241;o&#44; tambi&#233;n inferior a la media de los pa&#237;ses de la Uni&#243;n Europea &#40;15&#44;5 casos por 100&#46;000 mujeres y a&#241;o&#41;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">1</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Estudios previos demuestran un aumento en la supervivencia de las mujeres diagnosticadas de c&#225;ncer de mama en los &#250;ltimos a&#241;os&#46; Diversas investigaciones sostienen que el aumento de la supervivencia se debe a los avances en la detecci&#243;n temprana y a las mejoras en el tratamiento &#40;quimioterapia&#44; cirug&#237;a y radioterapia&#41;<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">5&#44;6</span></a>&#46; Este aumento supone un n&#250;mero cada vez mayor de pacientes que se enfrentan a un seguimiento de posibles reca&#237;das y de efectos secundarios del tratamiento de la enfermedad&#44; lo que se traduce en un supuesto aumento del uso de los servicios sanitarios<a class="elsevierStyleCrossRefs" href="#bib0265"><span class="elsevierStyleSup">7&#44;8</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Son escasos los estudios que analizan los factores que influyen en el uso de servicios sanitarios en estas mujeres&#44; y los existentes se han realizado mayoritariamente en los Estados Unidos<a class="elsevierStyleCrossRefs" href="#bib0265"><span class="elsevierStyleSup">7&#8211;13</span></a>&#46; Algunos de estos estudios muestran que la edad<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">9&#8211;11&#44;14</span></a>&#44; la presencia de comorbilidad<a class="elsevierStyleCrossRefs" href="#bib0270"><span class="elsevierStyleSup">8&#8211;10</span></a> y el estatus socioecon&#243;mico<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">9&#44;10</span></a> influyen en el uso de servicios preventivos y de seguimiento<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">9&#44;10</span></a>&#44; y en la consulta a servicios de salud mental<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">11</span></a>&#46; Seg&#250;n estos estudios&#44; las mujeres m&#225;s j&#243;venes &#40;menores de 50 a&#241;os&#41;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">11</span></a>&#44; las que presentan m&#225;s comorbilidad y se han hecho reconstrucci&#243;n mamaria&#44; utilizan m&#225;s los servicios sanitarios&#46; Las de nivel social m&#225;s desfavorecido<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">15</span></a> y las que han pasado por una mastectom&#237;a realizan menos controles mamogr&#225;ficos y cl&#237;nicos<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">16</span></a>&#46; Otros trabajos no observan asociaci&#243;n entre las caracter&#237;sticas sociodemogr&#225;ficas de las mujeres y la hospitalizaci&#243;n<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">8</span></a>&#46; Muchas pacientes hacen uso de terapias no convencionales&#44; pero se conoce muy poco sobre el hecho de si estas podr&#237;an tener alg&#250;n tipo de influencia en la frecuentaci&#243;n y el uso de los servicios sanitarios convencionales&#44; as&#237; como sobre sus costes<a class="elsevierStyleCrossRef" href="#bib0315"><span class="elsevierStyleSup">17</span></a>&#46; Si bien existen muchas gu&#237;as basadas en la evidencia para el diagn&#243;stico y el tratamiento del c&#225;ncer de mama&#44; hay muchas menos&#44; y con lagunas&#44; para el seguimiento a largo plazo de las mujeres que han sido tratadas<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">18</span></a>&#46; En Espa&#241;a&#44; la Sociedad Espa&#241;ola de Oncolog&#237;a M&#233;dica recomienda hacer un seguimiento cada 4-6 meses los primeros 5 a&#241;os y posteriormente de forma anual&#46; En cualquier caso&#44; las l&#237;neas de tratamiento son diversas en funci&#243;n del tipo de tumor y su evoluci&#243;n&#44; y todo ello acaba repercutiendo en los costes sanitarios<a class="elsevierStyleCrossRefs" href="#bib0325"><span class="elsevierStyleSup">19&#44;20</span></a>&#46; As&#237;&#44; por ejemplo&#44; se ha descrito que el n&#250;mero de reingresos var&#237;a en funci&#243;n del tipo de cirug&#237;a<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">21</span></a>&#46; A pesar de la importancia del control adecuado de las supervivientes del c&#225;ncer&#44; existe informaci&#243;n muy limitada&#46; De hecho&#44; hasta el momento no se dispone de ning&#250;n estudio que analice de manera amplia los determinantes del uso de los distintos tipos de servicios de salud en mujeres diagnosticadas de c&#225;ncer de mama&#44; y que tenga en cuenta factores sociodemogr&#225;ficos y de la enfermedad en el momento del diagn&#243;stico y de su tratamiento&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">El presente estudio plantea aportar informaci&#243;n que sirva de evidencia de la situaci&#243;n actual del uso de los servicios sanitarios en pacientes supervivientes de distinta duraci&#243;n de c&#225;ncer de mama&#46; Su objetivo principal es describir el uso de los servicios sanitarios de las mujeres diagnosticadas de c&#225;ncer de mama en Barcelona y analizar la asociaci&#243;n con las caracter&#237;sticas de la mujer&#44; incluyendo el nivel socioecon&#243;mico y las caracter&#237;sticas del tumor&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Dise&#241;o y poblaci&#243;n de estudio</span><p id="par0025" class="elsevierStylePara elsevierViewall">Se trata de un estudio descriptivo anidado en un estudio de cohortes mixto retrospectivo-prospectivo &#40;Cohorte DAMA&#41;<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">22</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Todas las mujeres mayores de 18 a&#241;os que fueron diagnosticadas o tratadas de c&#225;ncer de mama en cuatro hospitales universitarios p&#250;blicos de Barcelona &#40;Hospital Cl&#237;nic&#44; Hospital Universitari Vall d&#8217;Hebron&#44; Hospital de Sant Pau y Parc de Salut Mar&#41; entre el 1 de enero de 2003 y el 31 de diciembre de 2013 conformaron el universo de estudio&#46; Se identificaron a partir del Conjunto M&#237;nimo B&#225;sico de Datos y se seleccionaron todas las que hab&#237;an recibido un diagn&#243;stico codificado entre 174&#46;0 y 179&#46;9 seg&#250;n la novena revisi&#243;n de la Clasificaci&#243;n Internacional de Enfermedades&#46; Fueron excluidas aquellas que murieron por cualquier otra causa antes del inicio del estudio en el a&#241;o 2015 y las diagnosticadas de otro tipo de c&#225;ncer antes del de mama&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Se identificaron 9771 mujeres&#44; que fueron informadas del estudio por el hospital correspondiente mediante el env&#237;o de una carta en la que se las invitaba a participar&#46; Las mujeres que aceptaron enviaron firmado el consentimiento informado&#46; La identificaci&#243;n&#44; el contacto y la obtenci&#243;n de la informaci&#243;n se realizaron en el a&#241;o 2015&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Fuentes de informaci&#243;n</span><p id="par0040" class="elsevierStylePara elsevierViewall">Una vez recibido el consentimiento informado&#44; se estableci&#243; un primer contacto telef&#243;nico para agradecer la participaci&#243;n en el estudio&#44; explicar los siguientes pasos y realizar una encuesta para la obtenci&#243;n de los datos sociodemogr&#225;ficos y econ&#243;micos&#46; A continuaci&#243;n se les hac&#237;a llegar por correo convencional o electr&#243;nico un cuestionario general de salud&#44; que entre otros apartados conten&#237;a las preguntas referentes al uso de servicios sanitarios&#44; frecuentaci&#243;n y satisfacci&#243;n&#46; Las preguntas sobre uso de servicios sanitarios fueron las mismas que se utilizan en la Encuesta de Salud de Barcelona<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">23</span></a>&#46; Por &#250;ltimo&#44; retrospectivamente se recogi&#243; la informaci&#243;n relevante procedente de las historias cl&#237;nicas sobre el diagn&#243;stico&#44; las caracter&#237;sticas y el tratamiento del c&#225;ncer de mama&#44; las reca&#237;das y el seguimiento hasta el momento de la &#250;ltima visita realizada en el centro hospitalario&#46; La informaci&#243;n detallada del protocolo seguido est&#225; disponible en otro art&#237;culo ya publicado<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">24</span></a>&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Variables</span><p id="par0045" class="elsevierStylePara elsevierViewall">Las variables dependientes fueron las relativas a la utilizaci&#243;n de los servicios de salud en los &#250;ltimos 12 meses obtenidas del cuestionario general&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">&#8226;</span><p id="par0050" class="elsevierStylePara elsevierViewall">La variable consultas en urgencias &#40;&#171;Durante los &#250;ltimos 12 meses&#44; &#191;cu&#225;ntas veces ha visitado o ha consultado un servicio de urgencias&#63;&#187;&#41; se categoriz&#243; en dos categor&#237;as&#58; 1&#41; ninguna visita o consulta y 2&#41; &#8805;1 visita o consulta&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">&#8226;</span><p id="par0055" class="elsevierStylePara elsevierViewall">La variable ingresos hospitalarios &#40;&#171;Durante los &#250;ltimos 12 meses&#44; &#191;cu&#225;ntas veces ha sido ingresada en un hospital como m&#237;nimo una noche&#63;&#187;&#41; se categoriz&#243; en dos categor&#237;as&#58; 1&#41; ning&#250;n ingreso y 2&#41; &#8805;1 ingreso&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">&#8226;</span><p id="par0060" class="elsevierStylePara elsevierViewall">La variable consultas en atenci&#243;n primaria &#40;&#171;Aproximadamente&#44; &#191;cu&#225;ntas veces ha ido al m&#233;dico de cabecera en los &#250;ltimos 12 meses&#63;&#187;&#41; se categoriz&#243; en dos categor&#237;as&#58; 1&#41; &#8804;2 consultas y 2&#41; &#8805;3 consultas<span class="elsevierStyleItalic">&#46;</span></p></li></ul></p><p id="par0065" class="elsevierStylePara elsevierViewall">Antes de contestar estas preguntas hab&#237;a una frase introductoria muy general que no especificaba responder &#250;nicamente con lo relacionado al diagn&#243;stico de c&#225;ncer de mama&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Se incluyeron las siguientes variables explicativas o independientes&#58;<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">&#8226;</span><p id="par0075" class="elsevierStylePara elsevierViewall">Caracter&#237;sticas sociodemogr&#225;ficas&#58; edad &#40;&#8804;50 a&#241;os&#44; 51-64 a&#241;os&#44; &#8805;65 a&#241;os&#41;&#44; clase social &#40;a partir de la ocupaci&#243;n de la mujer o&#44; en su defecto&#44; de la persona con la que conviv&#237;a&#44; y seg&#250;n la adaptaci&#243;n espa&#241;ola de la clasificaci&#243;n del British Registrar General<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">25</span></a> agrupada en clase alta &#40;I<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>II&#41;&#44; clase media &#40;III&#41; y clase baja &#40;IV<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>V&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">&#8226;</span><p id="par0080" class="elsevierStylePara elsevierViewall">Factores relacionados con el diagn&#243;stico del c&#225;ncer de mama&#58; estadio del c&#225;ncer de mama &#40;del I al IV&#44; siendo IV el metast&#225;sico m&#225;s avanzado&#41;&#44; a&#241;os transcurridos desde el diagn&#243;stico &#40;&#8804;5 a&#241;os o<span class="elsevierStyleHsp" style=""></span>&#62;5 a&#241;os&#41;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">26</span></a>&#44; m&#233;todo de diagn&#243;stico &#40;cribado de c&#225;ncer de mama y sintom&#225;tico&#44; que agrupa revisi&#243;n fuera del cribado&#44; seguimiento de factores de riesgo y otros&#41; y n&#250;mero de complicaciones derivadas del tratamiento&#46;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">&#8226;</span><p id="par0085" class="elsevierStylePara elsevierViewall">N&#250;mero de enfermedades cr&#243;nicas&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">&#8226;</span><p id="par0090" class="elsevierStylePara elsevierViewall">Factores relacionados con la b&#250;squeda de servicios de salud&#58; mutua privada &#40;s&#237;&#47;no&#41; y uso de terapias no convencionales frente a no uso&#46;</p></li></ul></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">An&#225;lisis</span><p id="par0095" class="elsevierStylePara elsevierViewall">Se llev&#243; a cabo un an&#225;lisis descriptivo de todas las variables&#46; Se realizaron tres modelos de regresi&#243;n log&#237;stica&#44; uno para cada nivel asistencial&#44; introduciendo en primer lugar cada variable explicativa para obtener una <span class="elsevierStyleItalic">odds ratio</span> &#40;OR&#41; cruda&#46; A continuaci&#243;n se introdujeron las variables explicativas conjuntamente&#44; para obtener las OR ajustadas &#40;ORa&#41; con sus intervalos de confianza del 95&#37; &#40;IC95&#37;&#41; &#40;an&#225;lisis multivariado&#41;&#46; Estas variables se seleccionaron de acuerdo con las hip&#243;tesis del estudio&#44; independientemente de que fueran o no significativas en los modelos&#46; Cuando m&#225;s de una variable abord&#243; un constructo te&#243;rico similar&#44; se seleccion&#243; la que mostr&#243; mayor significaci&#243;n estad&#237;stica&#46; Para poder comparar el efecto de las variables explicativas entre los modelos&#44; se incluyeron las mismas variables&#46; Se utiliz&#243; el paquete estad&#237;stico SPSS versi&#243;n 19&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Consideraciones &#233;ticas</span><p id="par0100" class="elsevierStylePara elsevierViewall">Se obtuvo la aprobaci&#243;n del Comit&#233; de &#201;tica de Investigaci&#243;n Cl&#237;nica de los hospitales participantes<span class="elsevierStyleItalic">&#46;</span> Las mujeres participaron voluntariamente y firmaron el consentimiento informado&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Resultados</span><p id="par0105" class="elsevierStylePara elsevierViewall">Respondieron al cuestionario 2235 mujeres&#44; el 24&#44;8&#37; de las inicialmente invitadas&#46; La mayor&#237;a de las participantes ten&#237;an m&#225;s de 65 a&#241;os en el momento de la entrevista &#40;43&#44;6&#37;&#41; o entre 50 y 64 a&#241;os &#40;42&#44;0&#37;&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 1</a>&#41;&#46; En cuanto a la clase social&#44; el 45&#44;3&#37; pertenec&#237;an a la clase alta&#44; el 31&#44;5&#37; a la clase media y el 23&#44;2&#37; a la clase baja&#46; El 62&#44;1&#37; hac&#237;a m&#225;s de 5 a&#241;os que fueron diagnosticadas&#46; M&#225;s de la mitad fueron diagnosticadas de un c&#225;ncer en estadio I &#40;53&#44;3&#37;&#41;&#44; y el 24&#44;2&#37; de ellas fueron diagnosticadas a trav&#233;s del programa de cribado poblacional&#46; El 48&#44;1&#37; declararon haber experimentado m&#225;s de seis complicaciones derivadas del tratamiento del c&#225;ncer y el 80&#44;9&#37; ten&#237;an m&#225;s de dos enfermedades como comorbilidad&#46; El 30&#44;9&#37; refirieron tener contratada una mutua privada y el 30&#44;6&#37; haber usado alguna vez terapias no convencionales&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Uso de los servicios sanitarios en urgencias&#44; ingresos hospitalarios y atenci&#243;n primaria</span><p id="par0110" class="elsevierStylePara elsevierViewall">Como se muestra en la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#44; el 62&#37; de las mujeres declararon no haber consultado a los servicios de urgencias y el 83&#37; no haber sido hospitalizadas en el &#250;ltimo a&#241;o&#46; En cuanto a la atenci&#243;n primaria&#44; un 7&#37; no realiz&#243; ninguna visita&#44; un 33&#37; realiz&#243; entre una y dos consultas&#44; y un 37&#37; tres a cinco consultas en el &#250;ltimo a&#241;o&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Las <a class="elsevierStyleCrossRef" href="#tbl0025">tablas 2 a 4</a> muestran los resultados de las asociaciones crudas y ajustadas entre las variables estudiadas y el uso de servicios de salud&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0120" class="elsevierStylePara elsevierViewall">En relaci&#243;n al uso del servicio de urgencias &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabla 2</a>&#41;&#44; las variables explicativas que se mantienen significativas tanto en el an&#225;lisis bivariado como en el ajustado son la clase social&#44; siendo las mujeres de nivel social m&#225;s bajo &#40;comparadas con las de niveles m&#225;s altos&#41; las que m&#225;s acudieron a urgencias &#40;OR&#58; 1&#44;40&#59; IC95&#37;&#58; 1&#44;07-1&#44;82&#41;&#44; las que presentaron m&#225;s de seis complicaciones derivadas del tratamiento respecto a las que presentaron menos de tres &#40;ORa&#58; 1&#44;35&#59; IC95&#37;&#58; 1&#44;01-1&#44;81&#41; y las que presentaron m&#225;s de cuatro enfermedades cr&#243;nicas respecto a las que presentaron menos de dos &#40;ORa&#58; 3&#44;35&#59; 2&#44;45-4&#44;60&#41;&#46; En cuanto a la edad&#44; el an&#225;lisis ajustado mostr&#243; que las mujeres m&#225;s j&#243;venes acud&#237;an m&#225;s a urgencias que las mayores&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">En relaci&#243;n a los ingresos hospitalarios &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#44; al igual que suced&#237;a con las visitas a urgencias tambi&#233;n se observ&#243; menor riesgo de ingreso en las mujeres de mayor edad en comparaci&#243;n con las de 50 a&#241;os o menos&#44; tanto en el modelo crudo como en el ajustado &#40;ORa 51-64 a&#241;os&#58; 0&#44;51&#59; IC95&#37;&#58; 0&#44;35-0&#44;75&#59; y ORa<span class="elsevierStyleHsp" style=""></span>&#62;65 a&#241;os&#58; 0&#44;55&#59; IC95&#37;&#58; 0&#44;37-0&#44;84&#41;&#46; Se observ&#243; tambi&#233;n que a mayor estadio tumoral aumenta el riesgo de ingreso respecto al estadio I&#44; aunque la asociaci&#243;n no alcanza la significaci&#243;n estad&#237;stica &#40;ORa&#58; 2&#44;44&#59; IC95&#37;&#58; 0&#44;92-6&#44;49&#41;&#46; S&#237; es significativa la relaci&#243;n entre tener m&#225;s de cuatro enfermedades cr&#243;nicas o tener menos de dos y los ingresos hospitalarios &#40;OR&#58; 2&#44;02&#59; IC95&#37;&#58; 1&#44;35-3&#44;01&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">Por &#250;ltimo&#44; en relaci&#243;n a las consultas de atenci&#243;n primaria &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#41; tambi&#233;n la clase m&#225;s desfavorecida consult&#243; m&#225;s que la menos desfavorecida &#40;ORa&#58; 1&#44;95&#59; IC95&#37;&#58; 1&#44;48-2&#44;57&#41;&#44; as&#237; como a mayor n&#250;mero de complicaciones &#40;OR&#58; 1&#44;43&#59; IC95&#37;&#58; 1&#44;07-1&#44;89&#41; y comorbilidad &#40;OR&#58; 3&#44;89&#59; IC95&#37;&#58; 2&#44;90-5&#44;24&#41;&#46; No tener un seguro privado tambi&#233;n increment&#243; el riesgo de acudir a atenci&#243;n primaria comparado con las que s&#237; ten&#237;an seguro &#40;OR&#58; 1&#44;25&#59; IC95&#37;&#58; 1&#44;00-1&#44;55&#41;&#46; Tambi&#233;n fueron las mujeres de mayor edad las que m&#225;s acudieron a atenci&#243;n primaria&#44; si bien al ajustar se perdi&#243; la significaci&#243;n estad&#237;stica&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discusi&#243;n</span><p id="par0135" class="elsevierStylePara elsevierViewall">El estudio analiza el uso de los servicios sanitarios en una cohorte de mujeres diagnosticadas de c&#225;ncer de mama en Barcelona entre los a&#241;os 2003 y 2013 que en 2015 eran supervivientes&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Los resultados muestran que los factores asociados al uso de servicios de salud en las mujeres diagnosticadas de c&#225;ncer de mama difieren seg&#250;n el nivel asistencial&#46; La presencia de comorbilidad fue el principal factor asociado al uso de los tres niveles&#46; La clase econ&#243;mica desfavorecida incrementa el riesgo de uso de urgencias y de atenci&#243;n primaria&#44; pero no el de ingresos hospitalarios&#44; mientras que un mayor estadio tumoral se asocia a mayor riesgo de ingreso&#46; Por edad&#44; las menores de 50 a&#241;os presentan m&#225;s riesgo de uso de urgencias y de ingresos&#46; El m&#233;todo diagn&#243;stico y el uso de terapias no convencionales no influyen en ello&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Al comparar los resultados con los de la Encuesta de Salud de Barcelona 2011<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">27</span></a> se observa que las mujeres del estudio acuden m&#225;s a urgencias &#40;38&#37;&#41; que las mujeres de la poblaci&#243;n general mayores de 15 a&#241;os de la Encuesta &#40;28&#37;&#41;&#44; siendo el porcentaje en mujeres de 45-64 a&#241;os y mayores de 64 a&#241;os m&#225;s del 23&#44;5&#37; y el 26&#44;6&#37;&#44; respectivamente&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">De igual manera&#44; el n&#250;mero de ingresos es mayor en la poblaci&#243;n de estudio &#40;17&#37;&#41; que en las mujeres de la Encuesta de Salud de Barcelona&#44; en la cual los porcentajes fueron del 9&#44;8&#37; y el 13&#44;2&#37; para las mujeres de 45-64 a&#241;os y mayores de 64 a&#241;os&#44; respectivamente&#46; Sin embargo&#44; el uso de atenci&#243;n primaria fue muy parecido en ambas poblaciones&#46; Al comparar con la Encuesta de Salud de Catalu&#241;a de 2014<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">28</span></a> se observan resultados en el mismo sentido&#44; es decir&#44; la poblaci&#243;n de estudio utiliza m&#225;s las urgencias y la hospitalizaci&#243;n que la poblaci&#243;n de mujeres de dicha encuesta&#44; pero no la atenci&#243;n primaria&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Otros estudios reportan un aumento del uso de la atenci&#243;n sanitaria en las supervivientes de c&#225;ncer de mama<a class="elsevierStyleCrossRefs" href="#bib0375"><span class="elsevierStyleSup">29&#44;30</span></a>&#44; aunque algunos observan un aumento en las consultas de atenci&#243;n primaria<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">31</span></a> en supervivientes no solo de c&#225;ncer de mama<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">32</span></a>&#44; pero comparan con poblaci&#243;n sin c&#225;ncer&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">De los factores asociados al uso de la atenci&#243;n sanitaria&#44; solo la coexistencia de otras enfermedades se asocia a una mayor frecuencia de demanda en los tres niveles de atenci&#243;n&#46; Se ha descrito la asociaci&#243;n entre la presencia de comorbilidad y un mayor uso de los servicios sanitarios<a class="elsevierStyleCrossRefs" href="#bib0395"><span class="elsevierStyleSup">33&#44;34</span></a>&#46; La proporci&#243;n de otras enfermedades en este estudio es mayor que la descrita en mujeres del mismo entorno en el momento del diagn&#243;stico<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">35</span></a>&#44; lo cual en parte puede atribuirse a que la comorbilidad se pregunta a&#241;os despu&#233;s del diagn&#243;stico y puede incluir la posiblemente derivada del tratamiento y la propia del incremento de la edad&#46; Es conocido que en Espa&#241;a la comorbilidad es causa del 80&#37; de las consultas en atenci&#243;n primaria y del 60&#37; de los ingresos<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">36</span></a>&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Al contrastar nuestros resultados con los de la Encuesta de Salud de Barcelona<a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">37</span></a> se observa que&#44; en esta&#44; el 70&#44;1&#37; de las mujeres presentan dos o m&#225;s enfermedades como comorbilidad &#40;37&#41;&#44; mientras que en nuestro estudio son el 80&#44;9&#37;&#46; En el estudio se observ&#243; que las mujeres mayores de 50 a&#241;os presentan m&#225;s comorbilidad&#46; Tambi&#233;n se hall&#243; que las de menor edad &#40;&#60;50 a&#241;os&#41; presentan m&#225;s estadios avanzados y m&#225;s complicaciones&#44; lo que hace que utilicen m&#225;s los servicios sanitarios &#40;urgencias e ingresos hospitalarios&#41;&#44; y esto se confirma en otras investigaciones<a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">38</span></a> que mencionan que las mujeres con estadios avanzados realizan m&#225;s visitas hospitalarias que las mujeres con estadio I&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Por otra parte&#44; se observa que a mayor n&#250;mero de efectos secundarios aumenta la demanda de los servicios de atenci&#243;n en urgencias y atenci&#243;n primaria&#46; Gran parte de los efectos secundarios son temporales&#44; pero existe la posibilidad de que algunos permanezcan por m&#225;s tiempo<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">26</span></a> y terminen influyendo en un mayor uso de los servicios sanitarios<a class="elsevierStyleCrossRef" href="#bib0425"><span class="elsevierStyleSup">39</span></a>&#46; En nuestro estudio&#44; sin embargo&#44; el tiempo desde el diagn&#243;stico no parece influir en la utilizaci&#243;n de servicios&#44; lo que podr&#237;a reflejar&#44; en parte&#44; un sesgo de selecci&#243;n de las supervivientes en el sentido de que sobreviven m&#225;s las mujeres con mejor estado de salud&#46; Tampoco parece influir en el uso de servicios sanitarios el uso de terapias no convencionales&#44; a las que algunas pacientes recurren para paliar s&#237;ntomas y efectos secundarios<a class="elsevierStyleCrossRef" href="#bib0430"><span class="elsevierStyleSup">40</span></a>&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Hay estudios que se&#241;alan una falta de informaci&#243;n y un gran desconocimiento de los efectos ocasionados por los tratamientos del c&#225;ncer de mama&#44; lo que ocasiona un mayor n&#250;mero de consultas<a class="elsevierStyleCrossRef" href="#bib0435"><span class="elsevierStyleSup">41</span></a>&#46; En cuanto a la clase social&#44; la frecuentaci&#243;n de los servicios sanitarios difiere seg&#250;n el nivel de atenci&#243;n&#46; En el estudio se encontr&#243; que las clases m&#225;s desfavorecidas demandan mayor servicio sanitario en urgencias y atenci&#243;n primaria&#44; tal como se ha observado en otros estudios<a class="elsevierStyleCrossRefs" href="#bib0440"><span class="elsevierStyleSup">42&#8211;44</span></a>&#44; pero no m&#225;s ingresos&#46; Tambi&#233;n el carecer de mutua privada se asoci&#243; a un mayor uso de atenci&#243;n primaria&#46; Sin embargo&#44; en cuanto al estadio tumoral&#44; se hall&#243; una asociaci&#243;n al l&#237;mite de la significaci&#243;n estad&#237;stica del estadio IV con los ingresos&#46; Es conocido que en las mujeres detectadas por cribado la proporci&#243;n de tumores en estadio IV es menor que en las mujeres diagnosticadas por s&#237;ntomas<a class="elsevierStyleCrossRef" href="#bib0455"><span class="elsevierStyleSup">45</span></a>&#46; En este sentido&#44; hubo un mayor riesgo de ingreso hospitalario en las mujeres menores de 50 a&#241;os&#44; que no son la poblaci&#243;n diana de los programas de cribado&#46; Estos resultados podr&#237;an sugerir un cierto impacto del cribado en el sentido de reducir los ingresos hospitalarios&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Este estudio tiene como principal limitaci&#243;n el posible sesgo de selecci&#243;n&#44; ya que solo respondieron al cuestionario 2235 mujeres&#44; el 24&#44;8&#37; de las invitadas&#46; Podr&#237;a pensarse que han participado aquellas con mejor estado de salud&#44; lo cual supondr&#237;a quiz&#225; una subestimaci&#243;n de la frecuentaci&#243;n&#46; No se dispone de informaci&#243;n sobre las que cumpl&#237;an criterios de inclusi&#243;n identificadas a partir de los registros hospitalarios&#44; ya que solo se pudo obtener de las que dieron el consentimiento&#46; Sin embargo&#44; comparando con los datos publicados del Registro de Tumores del Hospital del Mar<a class="elsevierStyleCrossRef" href="#bib0460"><span class="elsevierStyleSup">46</span></a> &#40;&#250;nico de los cuatro hospitales participante que dispone de registro&#41;&#44; la distribuci&#243;n por estadios y la distribuci&#243;n por edad de las participantes no difieren de manera importante del conjunto de las mujeres diagnosticadas&#46; Se observa un menor porcentaje de estadio IV en la poblaci&#243;n del estudio &#40;1&#44;2&#37;&#41; que en el registro &#40;3&#44;8&#37;&#41;&#44; en parte por el peor pron&#243;stico y la menor probabilidad de supervivencia&#59; sin embargo&#44; la proporci&#243;n de estadio II &#40;34&#44;2&#37; en nuestra poblaci&#243;n y 31&#37; en el registro&#41; y de estadio III &#40;11&#44;3&#37; en nuestra poblaci&#243;n y 12&#37; en el registro&#41; es pr&#225;cticamente igual&#46; La proporci&#243;n de mujeres menores de 50 a&#241;os es inferior en nuestra poblaci&#243;n de estudio &#40;14&#44;4&#37;&#41; que en el registro &#40;20&#37;&#41;&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Otra limitaci&#243;n es la relacionada con el sesgo de informaci&#243;n&#44; ya que aunque la informaci&#243;n referente al uso de servicios se ha obtenido con un cuestionario validado&#44; al tratarse de un cuestionario autocontestado puede existir sesgo de memoria&#44; omitir respuestas&#44; etc&#46; Tampoco se ha ajustado por variables relacionadas con el apoyo social o la convivencia&#44; aunque en cierto modo el nivel socioecon&#243;mico refleja en parte el apoyo social&#46; Tampoco disponemos de informaci&#243;n sobre los motivos de las visitas a los servicios sanitarios&#44; que permitir&#237;a hacer una valoraci&#243;n m&#225;s detallada de los resultados&#46; No obstante&#44; este es uno de los pocos estudios que analiza el uso reportado de servicios sanitarios en mujeres diagnosticadas de c&#225;ncer de mama que han sobrevivido&#44; considerando las caracter&#237;sticas del tumor y el m&#233;todo diagn&#243;stico&#44; adem&#225;s de posibles complicaciones derivadas del tratamiento&#44; uso de otras terapias&#44; nivel socioecon&#243;mico y distinta duraci&#243;n de la supervivencia&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; este estudio describe el uso de servicios sanitarios en mujeres que han sobrevivido a un c&#225;ncer de mama&#44; y muestra un mayor uso del servicio de urgencias y de los ingresos&#44; especialmente en las m&#225;s j&#243;venes&#44; que en las mujeres de la poblaci&#243;n general del mismo entorno&#46; La presencia de comorbilidad &#40;tambi&#233;n mayor en esta poblaci&#243;n&#41;&#44; las complicaciones del tratamiento y el estadio IV en el momento del diagn&#243;stico son los factores que se asocian a este aumento del uso de servicios sanitarios&#46; El aumento previsible de las mujeres supervivientes de c&#225;ncer de mama requiere una buena planificaci&#243;n de los servicios de salud necesarios para atenderlas adecuadamente&#46;<elsevierMultimedia ident="tb0005"></elsevierMultimedia></p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Editor responsable del art&#237;culo</span><p id="par0205" class="elsevierStylePara elsevierViewall">Andreu Segura&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Declaraci&#243;n de transparencia</span><p id="par0210" class="elsevierStylePara elsevierViewall">La autora principal &#40;garante responsable del manuscrito&#41; afirma que este manuscrito es un reporte honesto&#44; preciso y transparente del estudio que se remite a <span class="elsevierStyleSmallCaps">Gaceta Sanitaria&#44;</span> que no se han omitido aspectos importantes del estudio&#44; y que las discrepancias del estudio seg&#250;n lo previsto &#40;y&#44; si son relevantes&#44; registradas&#41; se han explicado&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Contribuciones de autor&#237;a</span><p id="par0215" class="elsevierStylePara elsevierViewall">R&#46; Puigpin&#243;s-Riera es la investigadora principal del Proyecto Dama&#46; Ha redactado la versi&#243;n final del manuscrito y particip&#243; en la selecci&#243;n de las variables necesarias para llevar a cabo el estudio&#46; A&#46; Castillo-G&#243;mez realiz&#243; su trabajo de tesina del M&#225;ster de Salud P&#250;blica de la Universitat Pompeu Fabra sobre este tema&#44; llevando a cabo la revisi&#243;n bibliogr&#225;fica y el an&#225;lisis&#46; A&#46; Romero y Marta Aller fueron las directoras de dicha tesina&#46; M&#46; Sala es miembro del equipo investigador de la Cohorte Dama y experta en el an&#225;lisis de utilizaci&#243;n de servicios&#46; Realiz&#243; el seguimiento del trabajo y juntamente con R&#46; Puigpin&#243;s-Riera se responsabiliz&#243; de la versi&#243;n final del redactado del manuscrito&#46; X&#46; Castells es el jefe del servicio donde se llev&#243; a cabo el trabajo de la tesina&#46; Los miembros del Grupo de Trabajo Cohort Dama han participado aportando los datos de sus respectivos hospitales y con lecturas cr&#237;ticas de los distintos manuscritos y trabajos diversos que emanan de los resultados obtenidos del estudio&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Financiaci&#243;n</span><p id="par0220" class="elsevierStylePara elsevierViewall">Ministerio de Sanidad&#44; Instituto de Salud Carlos III-Subdirecci&#243;n General de Evaluaci&#243;n y Fomento de la Investigaci&#243;n&#44; Plan Estatal de Investigaci&#243;n Cient&#237;fica y T&#233;cnica y de Innovaci&#243;n 2013-2016&#44; cofinanciado por el Fondo Europeo de Desarrollo Regional &#40;FEDER&#41;&#44; n&#250;mero de proyecto PI13&#47;01977&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Conflictos de intereses</span><p id="par0225" class="elsevierStylePara elsevierViewall">Ninguno&#46;</p></span></span>"
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              "titulo" => "Uso de los servicios sanitarios en urgencias&#44; ingresos hospitalarios y atenci&#243;n primaria"
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    "fechaRecibido" => "2017-11-17"
    "fechaAceptado" => "2018-04-13"
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            1 => "Atenci&#243;n primaria"
            2 => "Ingresos hospitalarios"
            3 => "Urgencias"
            4 => "Determinantes"
            5 => "sociales y cl&#237;nicos"
            6 => "Supervivientes de c&#225;ncer de mama"
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            0 => "Use of health services"
            1 => "Primary care"
            2 => "Hospital admissions"
            3 => "Emergency departments"
            4 => "Social determinants"
            5 => "Clinical determinants"
            6 => "Breast cancer survivors"
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    "resumen" => array:2 [
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        "titulo" => "Resumen"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir y analizar los factores asociados al uso de los servicios sanitarios &#40;urgencias&#44; ingresos y atenci&#243;n primaria&#41; en mujeres supervivientes de c&#225;ncer de mama diagnosticadas o tratadas en cuatro hospitales universitarios de Barcelona entre 2003 y 2013&#44; en el marco del proyecto Cohorte DAMA&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dise&#241;o descriptivo anidado en una cohorte mixta &#40;Cohorte Dama&#41;&#46; Se obtuvo la informaci&#243;n sociodemogr&#225;fica y del uso de servicios sanitarios a trav&#233;s de cuestionario&#44; y del tumor a partir de la historia cl&#237;nica&#46; Se efectuaron modelos de regresi&#243;n log&#237;stica&#44; calculando la <span class="elsevierStyleItalic">odds ratio</span> del uso de servicios sanitarios &#40;urgencias&#44; ingresos hospitalarios y atenci&#243;n primaria&#41; cruda y ajustada &#40;ORa&#41; por m&#233;todo diagn&#243;stico&#44; caracter&#237;sticas del tumor y de la mujer&#44; y sus intervalos de confianza del 95&#37;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La presencia de enfermedades cr&#243;nicas se asoci&#243; a mayor uso de los tres niveles asistenciales &#40;ORa&#58; 3&#44;53 urgencias&#44; 1&#44;67 ingresos&#44; 3&#44;89 atenci&#243;n primaria&#41; y a complicaciones derivadas del tratamiento &#40;ORa&#58; 1&#44;35 urgencias&#44; 1&#44;43 atenci&#243;n primaria&#41;&#46; Un nivel econ&#243;mico desfavorecido increment&#243; el riesgo de uso de urgencias y de atenci&#243;n primaria&#44; pero no el de los ingresos hospitalarios&#46; Un estadio tumoral avanzado se asoci&#243; a un mayor riesgo de ingreso&#46; Por edad&#44; las menores de 50 a&#241;os presentaron m&#225;s riesgo de uso de urgencias e ingresos&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los factores asociados al uso de servicios de salud difieren seg&#250;n el nivel asistencial&#46; La presencia de trastornos cr&#243;nicos&#44; la menor edad y la clase social desfavorecida incrementan el riesgo del uso de servicios m&#225;s que el estadio tumoral y las complicaciones derivadas del tratamiento&#46; El m&#233;todo diagn&#243;stico&#44; el tiempo de supervivencia y el uso de terapias no convencionales no influyeron en ello&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
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            "titulo" => "Objetivo"
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          1 => array:2 [
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            "titulo" => "M&#233;todo"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe and analyse the factors associated with the use of health services &#40;emergency departments&#44; admissions and primary care&#41; in women survivors of breast cancer diagnosed or treated in four university hospitals of Barcelona &#40;Spain&#41; between 2003 and 2013&#44; within the framework of the Cohort DAMA project&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Descriptive design nested in a mixed cohort &#40;Cohort Dama&#41;&#46; We obtained sociodemographic information and information on the use of health services through a questionnaire&#44; and on the tumour from the clinical history&#46; Logistic regression models were performed&#44; calculating the odds ratio of the use of health services &#40;emergency departments&#44; hospital admissions and primary care&#41; raw and adjusted &#40;aOR&#41; by diagnostic method&#44; the characteristics of the tumour and of the women and their 95&#37; confidence intervals&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The presence of chronic diseases was associated with greater use of the three levels of care&#46; A disadvantaged economic level increases the risk of use of emergency departments and primary care but not of hospital admissions&#44; while a higher tumour stage is associated with a greater risk of admission&#46; By age&#44; those under 50 had a higher risk of using emergency departments and admissions&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The factors associated with the use of health services differ according to the level of care &#40;aOR&#58; 3&#46;53 emergency departments&#44; 1&#46;67 admissions&#44; 3&#46;89 primary care&#41; and treatment-derived complications &#40;aOR&#58; 1&#46;35 emergency departments&#44; 1&#46;43 primary care&#41;&#46; The presence of chronic disorders&#44; younger age&#44; disadvantaged social class&#44; increases the risk of using services more than the tumour stage and treatment-derived complications&#46; Neither the diagnostic method nor the survival time&#44; nor the use of non-conventional therapies influence this&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Grupo Cohort DAMA&#58; Xavier Bargall&#243; &#40;Hospital Cl&#237;nic de Barcelona&#41;&#44; Montserrat Dom&#232;nech &#40;Associaci&#243;n de Mujeres con C&#225;ncer de Mama &#91;&#193;gata&#93;&#41;&#44; Mart&#237;n Espinosa-Bravo &#40;Hospital Universitari Vall d&#8217;Hebr&#243;n&#44; Barcelona&#41;&#44; Jaume Grau &#40;Hospital Cl&#237;nic de Barcelona&#41;&#44; Francesc Maci&#224; &#40;Parc de Salut Mar de Barcelona&#59; Institut Municipal d&#8217;Investigacions M&#232;diques&#41;&#44; Rafael Manzanera &#40;MC Mutual M&#232;dica&#41;&#44; Margarida Pla &#40;Universitat de Barcelona&#41;&#44; Rosa Puigpin&#243;s-Riera &#40;Ag&#232;ncia de Salut P&#250;blica de Barcelona&#44; CIBER de Epidemiolog&#237;a y Salud P&#250;blica&#44; Institut de Recerca Sant Pau&#41;&#44; M&#46; Jes&#250;s Quintana &#40;CIBER de Epidemiologia y Salud P&#250;blica&#44; Institut de Recerca Biom&#232;dica Sant Pau&#44; Hospital de la Sta&#46; Creu i Sant Pau&#44; Barcelona&#41;&#44; Mar&#237;a Sala &#40;Institut Hospital del Mar d&#8217;Investigaci&#243; M&#232;dica&#44; Universitat Aut&#242;noma de Barcelona&#44; Red de Investigaci&#243;n en Servicios de Salud&#41; y Eul&#224;lia Vidal &#40;Facultat de Ci&#232;ncies de la Salut Blanquerna-Universitat Ram&#243;n Llull&#44; Barcelona&#41;&#46;</p>"
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                  \t\t\t\t">&#8804;50 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">321 &#40;14&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">&#8805;65 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">974 &#40;43&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Clase I<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>II&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">996 &#40;45&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Clase III&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">692 &#40;31&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Clase IV<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>V&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">509 &#40;23&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="11" align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1040 &#40;53&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">II&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">668 &#40;34&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">III&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">221 &#40;11&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">IV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">24 &#40;1&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>5 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">840 &#40;37&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#62;5 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1375 &#40;62&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Detecci&#243;n por cribado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">576 &#40;25&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">585 &#40;26&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#62;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">426 &#40;19&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">982 &#40;43&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#62;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">827 &#40;37&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="4" align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">S&#237;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">659 &#40;30&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">No&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1475 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">S&#237;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">683 &#40;30&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">No&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1552 &#40;69&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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          "leyenda" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">IC95&#37;&#58; intervalo de confianza del 95&#37;&#59; OR&#58; <span class="elsevierStyleItalic">odds ratio</span>&#59; ORa&#58; OR ajustada&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Las OR estad&#237;sticamente significativas se indican en <span class="elsevierStyleItalic">cursiva</span>&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ningunan &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Al menos unan &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;65 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Clase social</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase I<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>II&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">329 &#40;35&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase III&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">1&#44;51</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">1&#44;40</span> &#40;1&#44;07-1&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>II&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>III&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">M&#233;todo diagn&#243;stico</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sintom&#225;tico&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Detecci&#243;n por cribado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;90 &#40;0&#44;70-1&#44;15&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Complicaciones derivadas del tratamiento</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">171 &#40;34&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>3-6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">337 &#40;64&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">186 &#40;35&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;18 &#40;0&#44;88-1&#44;59&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#62;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">580 &#40;59&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">402 &#40;40&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Enfermedades cr&#243;nicas</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">95 &#40;24&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>2 a 4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">584 &#40;65&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Mutua privada</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;17 &#40;0&#44;93-1&#44;47&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">513 &#40;38&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;02&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Al menos unon &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Edad</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8804;50 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">68 &#40;22&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>51-64 a&#241;os&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">746 &#40;85&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">123 &#40;14&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;55</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;51</span> &#40;0&#44;35-0&#44;75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8805;65 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">652 &#40;83&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">132 &#40;16&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;68</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">0&#44;55</span> &#40;0&#44;37-0&#44;84&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Clase social</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase I<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>II&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">773 &#40;83&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">151 &#40;16&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">1</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">1</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase III&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">486 &#40;83&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">95 &#40;16&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;93 &#40;0&#44;68-1&#44;26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase IV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">341 &#40;82&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">71 &#40;17&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;89 &#40;0&#44;62-1&#44;27&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Estadio del c&#225;ncer de mama al diagn&#243;stico</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">769 &#40;83&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">158 &#40;17&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>II&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tiempo desde el diagn&#243;stico</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>3 a 6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="5" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Enfermedades cr&#243;nicas</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>2 a 4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#62;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">550 &#40;78&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">150 &#40;21&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;86&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">De 0 a 2n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;25 &#40;0&#44;91-1&#44;70&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">298 &#40;33&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">599 &#40;66&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">1&#44;98</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;38 &#40;0&#44;98-1&#44;93&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Clase social</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase I<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>II&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">436 &#40;46&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">509 &#40;53&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Clase III&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Estadio del c&#225;ncer de mama al diagn&#243;stico</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tiempo desde el diagn&#243;stico</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>3 a 6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">642 &#40;63&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>S&#237;&nbsp;\t\t\t\t\t\t\n
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          "es" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Factores asociados con un mayor uso de las consultas de atenci&#243;n primaria en el &#250;ltimo a&#241;o en mujeres diagnosticadas de c&#225;ncer de mama</p>"
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          "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">&#191;Qu&#233; se sabe sobre el tema&#63;</span><p id="par0195" class="elsevierStylePara elsevierViewall">El aumento de la supervivencia en las mujeres con c&#225;ncer de mama se traduce en un supuesto aumento del uso de servicios sanitarios debido a morbilidad&#44; cuya etiolog&#237;a a veces corresponde al c&#225;ncer de mama o a los efectos secundarios de los tratamientos a los que han sido sometidas&#46; Hasta el momento no se dispone de ning&#250;n estudio que analice de manera amplia los determinantes de uso de los servicios de salud en mujeres con c&#225;ncer de mama que tengan en cuenta factores sociodemogr&#225;ficos y cl&#237;nicos&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">&#191;Qu&#233; aporta el estudio realizado a la literatura&#63;</span><p id="par0200" class="elsevierStylePara elsevierViewall">Este estudio aporta informaci&#243;n sobre qu&#233; determinantes son los que mayor influencia tienen en el uso de servicios y el tipo de servicios&#46; Ello es de inter&#233;s para dar apoyo y conocimiento a las acciones y las estrategias encaminadas a la mejora en la coordinaci&#243;n de los distintos niveles asistenciales en la atenci&#243;n y el seguimiento de las mujeres supervivientes de c&#225;ncer de mama&#46;</p></span></span>"
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                        0 => array:2 [
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                      "titulo" => "Cancer survivorship research&#58; challenge and opportunity"
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                          "autores" => array:1 [
                            0 => "N&#46;M&#46; Aziz"
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Nutr&#46;"
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                        "volumen" => "132"
                        "numero" => "Suppl 11"
                        "paginaInicial" => "503S"
                        "paginaFinal" => "3494S"
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                      "titulo" => "Provision and discussion of survivorship care plans among cancer survivors&#58; results of a nationally representative survey of oncologists and primary care physicians"
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                    0 => array:1 [
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                        "tituloSerie" => "J Clin Oncol&#46;"
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                          "etal" => true
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