array:24 [
  "pii" => "S0213911102719298"
  "issn" => "02139111"
  "doi" => "10.1016/S0213-9111(02)71929-8"
  "estado" => "S300"
  "fechaPublicacion" => "2002-07-01"
  "aid" => "71929"
  "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
  "copyrightAnyo" => "2002"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Gac Sanit. 2002;16:308-17"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3846
    "formatos" => array:3 [
      "EPUB" => 135
      "HTML" => 3131
      "PDF" => 580
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0213911102719304"
    "issn" => "02139111"
    "doi" => "10.1016/S0213-9111(02)71930-4"
    "estado" => "S300"
    "fechaPublicacion" => "2002-07-01"
    "aid" => "71930"
    "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "err"
    "cita" => "Gac Sanit. 2002;16:317"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3725
      "formatos" => array:3 [
        "EPUB" => 135
        "HTML" => 3060
        "PDF" => 530
      ]
    ]
    "es" => array:6 [
      "idiomaDefecto" => true
      "titulo" => "Fe de errores"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "317"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911102719304?idApp=WGSE"
    "url" => "/02139111/0000001600000004/v1_201310251715/S0213911102719304/v1_201310251715/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0213911102719286"
    "issn" => "02139111"
    "doi" => "10.1016/S0213-9111(02)71928-6"
    "estado" => "S300"
    "fechaPublicacion" => "2002-07-01"
    "aid" => "71928"
    "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Gac Sanit. 2002;16:298-307"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3403
      "formatos" => array:3 [
        "EPUB" => 131
        "HTML" => 2766
        "PDF" => 506
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Uso del profiláctico entre la juventud en sus relaciones de coito vaginal"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "298"
          "paginaFinal" => "307"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "(Condom use among the young engaging in vaginal intercourse)"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J.L. Bimbela, J.M. Jiménez, N. Alfaro, P. Gutiérrez, J.C. March"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "J.L."
              "apellidos" => "Bimbela"
            ]
            1 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "Jiménez"
            ]
            2 => array:2 [
              "nombre" => "N."
              "apellidos" => "Alfaro"
            ]
            3 => array:2 [
              "nombre" => "P."
              "apellidos" => "Gutiérrez"
            ]
            4 => array:2 [
              "nombre" => "J.C."
              "apellidos" => "March"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911102719286?idApp=WGSE"
    "url" => "/02139111/0000001600000004/v1_201310251715/S0213911102719286/v1_201310251715/es/main.assets"
  ]
  "es" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "Morbilidad, mortalidad y costes sanitarios evitables mediante una estrategia de tratamiento del tabaquismo en España"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "308"
        "paginaFinal" => "317"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J. González-Enríquez, T. Salvador-Llivina, A. López-Nicolás, E. Antón de las Heras, A. Musin, E. Fernández, M. García, A. Schiaffino, I. Pérez-Escolano"
        "autores" => array:9 [
          0 => array:4 [
            "nombre" => "J."
            "apellidos" => "González-Enríquez"
            "email" => array:1 [
              0 => "jgonza@isciii.es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "T&#46;"
            "apellidos" => "Salvador-Llivina"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "L&#243;pez-Nicol&#225;s"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Ant&#243;n de las Heras"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Musin"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Fern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Schiaffino"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "I&#46;"
            "apellidos" => "P&#233;rez-Escolano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:5 [
          0 => array:3 [
            "entidad" => "Agencia de Evaluaci&#243;n de Tecnolog&#237;as Sanitarias&#46; Instituto de Salud Carlos III&#46; Madrid"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Centro de Estudios sobre Promoci&#243;n de la Salud"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Universidad Pompeu Fabra&#46; Departament d&#39;Economia i Empresa&#46; Centre de Recerca en Economia i Salut&#46; Barcelona"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Health Outcomes HO&#46; GlaxoSmithKline"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Institut Catal&#224; d&#39;Oncologia&#46; Servei de Prevenci&#243; i Control del C&#225;ncer&#46; Barcelona"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "<span class="elsevierStyleItalic">Correspondencia</span>&#58; Jes&#250;s Gonz&#225;lez-Enr&#237;quez&#46; Agencia de Evaluaci&#243;n de Tecnolog&#237;as Sanitarias&#46; Instituto de Salud Carlos III&#46; Sinesio Delgado&#44; s&#47;n&#46; 28029 Madrid&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "&#40;The effects of implementing a smoking cessation intervention in Spain on morbidity&#44; mortality and health care costs&#41;"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2001-12-28"
    "fechaAceptado" => "2002-04-10"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec268850"
          "palabras" => array:6 [
            0 => "Tabaco"
            1 => "Tabaquismo"
            2 => "Mortalidad"
            3 => "Pol&#237;tica asistencial"
            4 => "Prevenci&#243;n y control"
            5 => "Modelo econ&#243;mico"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec268851"
          "palabras" => array:5 [
            0 => "Smoking"
            1 => "Smoking cessation policy"
            2 => "Mortality"
            3 => "Prevention and control"
            4 => "Economic model"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se valoran los efectos que tendr&#237;a una intervenci&#243;n destinada a reducir el uso de tabaco en la poblaci&#243;n espa&#241;ola de fumadores sobre la morbilidad&#44; la mortalidad y los costes asociados al consumo de tabaco&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha adaptado el modelo Health and Economic Consequences of Smoking patrocinado por la OMS y desarrollado por The Lewin Group&#46; La intervenci&#243;n propuesta incluye el acceso a asistencia farmacol&#243;gica de un 35&#37; de los fumadores que intentan dejar de fumar&#44; y obtienen una tasa global de cesaci&#243;n al a&#241;o del 7&#44;2&#37;&#46; Las enfermedades estudiadas son&#58; c&#225;ncer de pulm&#243;n&#44; enfermedad coronaria&#44; enfermedad cerebrovascular&#44; EPOC&#44; asma y bajo peso al nacer&#46; Se estiman los casos de enfermedad y muerte atribuibles al consumo de tabaco evitados y la reducci&#243;n en el coste sanitario debidos a la intervenci&#243;n&#44; proyectados a 20 a&#241;os&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sin intervenci&#243;n&#44; en el a&#241;o 1 del modelo 2&#46;136&#46;094 fumadores padecen alguna de las condiciones cl&#237;nicas atribuibles al consumo de tabaco&#44; el coste asistencial es de 4&#46;286 millones de euros y las muertes atribuibles son 26&#46;537&#46; La intervenci&#243;n propuesta evita 2&#46;613&#44; 9&#46;192&#44; 17&#46;415 y 23&#46;837 casos de enfermedad atribuible al consumo de tabaco en los a&#241;os 2&#44; 5&#44; 10 y 20 del modelo&#44; respectivamente&#46; Los costes asistenciales acumulados evitados son 3&#44;5 millones de euros en el a&#241;o 2 y 386 millones de euros a los 20 a&#241;os&#46; Las muertes acumuladas evitadas son 284 en el a&#241;o 2 y 9&#46;205 a los 20 a&#241;os de la intervenci&#243;n&#46; La intervenci&#243;n a&#241;ade un total de 78&#46;173 a&#241;os de vida al final del per&#237;odo considerado&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La disponibilidad de nuevas intervenciones eficaces en el tratamiento del tabaquismo y el incremento de la accesibilidad a las mismas pueden contribuir de forma relevante a la reducci&#243;n de la morbilidad&#44; la mortalidad y los costes sanitarios asociados al tabaquismo en Espa&#241;a&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We estimated the effect that a smoking cessation intervention in the Spanish population of smokers would have on smoking-related morbidity&#44; mortality and healthcare costs&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We adopted the model Health and Economic Consequences of Smoking sponsored by the WHO Health Organization and developed by the The Lewin Group&#46; The smoking cessation intervention proposed incluides pharmacological treatment to 35&#37; of smokers who are trying to quit smoking and obtains a quit rate of 7&#46;2&#37;&#46; The diseases studied are&#58; lung cancer&#44; heart disease&#44; stroke&#44; chronic obstructive pulmonary disease&#44; asthma exacerbation&#44; and low birth weight&#46; The smoking- related cases of disease and of averted death and the reduction in healthcare expenditure due to the intervention were estimated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Without intervention&#44; at year 1 of the model&#44; 2&#44;136&#44;094 smokers would be affected by some smoking-related disease&#59; healthcare expenditure would be 4&#44;286 million e and deaths attributable to smoking would total 26&#44;537&#46; The proposed intervention would prevent 2&#44;613&#44; 9&#44;192&#44; 17&#44;415 and 23&#44;837 cases of smoking-related disease at years 2&#44; 5&#44; 10 and 20 of the model&#44; respectively&#46; The saving in accumulated healthcare costs would amount to 3&#46;5 million e at year 2 and 386 million e over 20 years&#46; The accumulated prevented deaths are 284 at year 2 and 9&#44;205 over 20 years&#46; The intervention would save a total of 78&#44;173 life-years by the end of the period considered&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The availability of new effective smoking cessation interventions and the increase in accessibility to such interventions may contribute significantly to reducing morbidity&#44; mortality and healthcare costs associated with smoking in Spain&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliogr&#237;fia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:61 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reducing the health consequences of smoking&#46; 25 years of progress&#46; A report of the Surgeon General&#44; 1989&#46; Rokville&#58; US DHHS&#44; PHS&#44; CDC&#44; Center for Chronic Disease Prevention and Health Promotion&#44; Office on Smoking and Health&#44;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "US Department of Health and Human Services"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "DHHS Publication N&#46;&#176; &#40;CDC&#41;"
                        "fecha" => "1989"
                        "paginaInicial" => "89"
                        "paginaFinal" => "8411"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mortality from tobacco in developed countries&#58; indirect estimation from national vital statistics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Peto"
                            1 => "A&#46;D&#46; L&#243;pez"
                            2 => "J&#46; Boreham"
                            3 => "M&#46; Thun"
                            4 => "C&#46; Heath"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1992"
                        "volumen" => "339"
                        "paginaInicial" => "1268"
                        "paginaFinal" => "1278"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1349675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tobacco&#58; the growing epidemic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Peto"
                            1 => "Z&#46;M&#46; Chen"
                            2 => "J&#46; Boreham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/4691"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nat Med"
                        "fecha" => "1999"
                        "volumen" => "5"
                        "paginaInicial" => "15"
                        "paginaFinal" => "17"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9883828"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Global mortality&#44; disability and the contribution of risk factors&#58; Global Burden of Disease Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;J&#46; Murray"
                            1 => "A&#46; L&#243;pez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(96)07495-8"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1997"
                        "volumen" => "349"
                        "paginaInicial" => "1436"
                        "paginaFinal" => "1442"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9164317"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A descriptive model of the cigarette epidemic in developed countries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;D&#46; L&#243;pez"
                            1 => "E&#46;N&#46; Collishaw"
                            2 => "T&#46; Piha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Tob Control"
                        "fecha" => "1994"
                        "volumen" => "3"
                        "paginaInicial" => "242"
                        "paginaFinal" => "247"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pattern of smoking initiation in Catalonia &#40;Spain&#41; from 1948 to 1992"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;M&#46; Borr&#225;s"
                            1 => "E&#46; Fern&#225;ndez"
                            2 => "A&#46; Schiaffino"
                            3 => "C&#46; Borrell"
                            4 => "C&#46; La Vecchia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Public Health"
                        "fecha" => "2000"
                        "volumen" => "90"
                        "paginaInicial" => "1459"
                        "paginaFinal" => "1462"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10983208"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Proporci&#243;n de enfermedad atribuible al tabaco en la provincia de Granada"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Rodr&#237;guez Tapioles"
                            1 => "A&#46; Pueyos S&#225;nchez"
                            2 => "A&#46; Bueno Cabanillas"
                            3 => "M&#46; Delgado Rodr&#237;guez"
                            4 => "R&#46; G&#225;lvez Vargas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1994"
                        "volumen" => "102"
                        "paginaInicial" => "571"
                        "paginaFinal" => "574"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Morbilidad&#44; mortalidad y a&#241;os potenciales de vida perdidos atribuibles al tabaco"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Rodr&#237;guez Tapioles"
                            1 => "A&#46; Bueno Cabanillas"
                            2 => "A&#46; Pueyos S&#225;nchez"
                            3 => "M&#46; Espigares Garc&#237;a"
                            4 => "M&#46;A&#46; Mart&#237;nez Gonz&#225;lez"
                            5 => "R&#46; G&#225;lvez Vargas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1997"
                        "volumen" => "108"
                        "paginaInicial" => "121"
                        "paginaFinal" => "127"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tendencia de la mortalidad atribuible al tabaquismo en Espa&#241;a&#46; 1978-1992&#58; 600&#46;000 muertes en 15 a&#241;os"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Gonz&#225;lez-Enr&#237;quez"
                            1 => "F&#46; Villar-&#193;lvarez"
                            2 => "J&#46;R&#46; Banegas-Banegas"
                            3 => "F&#46; Rodr&#237;guez-Artalejo"
                            4 => "J&#46;M&#46; Mart&#237;n-Moreno"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1997"
                        "volumen" => "109"
                        "paginaInicial" => "577"
                        "paginaFinal" => "582"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La contribuci&#243;n del tabaco y otros h&#225;bitos de vida a la mortalidad por c&#225;ncer de pulm&#243;n en Espa&#241;a de 1940 a 1988"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Rodr&#237;guez Artalejo"
                            1 => "R&#46; Hern&#225;ndez Vecino"
                            2 => "A&#46; Graciani"
                            3 => "J&#46;R&#46; Banegas"
                            4 => "J&#46; Rey Calero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
                        "fecha" => "1994"
                        "volumen" => "8"
                        "paginaInicial" => "272"
                        "paginaFinal" => "279"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7705997"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Proyecci&#243;n del impacto del h&#225;bito tab&#225;quico sobre la salud de la poblaci&#243;n espa&#241;ola y de los beneficios potenciales de su control"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;R&#46; Banegas Banegas"
                            1 => "F&#46; Rodr&#237;guez Artalejo"
                            2 => "J&#46;M&#46; Martin Moreno"
                            3 => "J&#46; Gonz&#225;lez Enr&#237;quez"
                            4 => "F&#46; Villar &#193;lvarez"
                            5 => "A&#46; Guasch Aguilar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1993"
                        "volumen" => "101"
                        "paginaInicial" => "644"
                        "paginaFinal" => "649"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "El tabaco&#58; &#191;un caso de externalidades financieras en Espa&#241;a&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; G&#243;nz&#225;lez"
                            1 => "P&#46; Barber"
                            2 => "E&#46; Rodr&#237;guez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "An&#225;isis econ&#243;mico de los estilos de vida&#58; externalidades y coste social"
                        "serieFecha" => "1997"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estimaci&#243;n del impacto econ&#243;mico a largo plazo de una reducci&#243;n del consumo de tabaco"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Rovira"
                            1 => "M&#46; Escribano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1989"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The health benefits of smoking cessation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "US Department of Health and Human Services"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "A report from the Surgeon General&#44; DHHS publication N&#46; &#176; &#40;CDC&#41;"
                        "fecha" => "1990"
                        "paginaInicial" => "90"
                        "paginaFinal" => "8416"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The health consequences of smoking&#58; nicotine addiction&#58; A report from the Surgeon General"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "US Department of Health and Human Services"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Washington DC&#58; Government Printing Office&#44; DHHS Publication N&#46; &#176; &#40;CDC&#41;"
                        "fecha" => "1988"
                        "paginaInicial" => "88"
                        "paginaFinal" => "8406"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnostic and statistical Manual of Mental Disorders"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "American Psychiatric Association"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "edicion" => "4th"
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nicotine addiction in Britain&#46; A report of the Tobacco Advisory Group of the Royal College of Physicians"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Royal College of Physicians"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "London&#58; Royal College of Physicians&#44;"
                        "fecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nicotine replacement therapy for smoking cessation&#46; The Cochrane Library Issue 2"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Silagy"
                            1 => "D&#46; Mant"
                            2 => "G&#46; Fowler"
                            3 => "T&#46; Lancaster"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking cessation guidelines for health professionals&#58; an update"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; West"
                            1 => "A&#46; McNeill"
                            2 => "M&#46; Raw"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "2000"
                        "volumen" => "55"
                        "paginaInicial" => "987"
                        "paginaFinal" => "999"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11083883"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treating tobacco use and dependence&#46; Public Health Service"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "US Department of Health and Human Services"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Washington DC&#58; Government Printing Office&#44;"
                        "fecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A controlled trial of sustained-release bupropion&#44; a nicotine patch&#44; or both for smoking cessation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;E&#46; Jorenby"
                            1 => "S&#46;J&#46; Leischow"
                            2 => "M&#46;A&#46; Nides"
                            3 => "S&#46;I&#46; Rennard"
                            4 => "J&#46;A&#46; Johnston"
                            5 => "A&#46;R&#46; Hughes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM199903043400903"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "1999"
                        "volumen" => "340"
                        "paginaInicial" => "685"
                        "paginaFinal" => "691"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10053177"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking cessation guidelines for health proffesionals&#46; A guide to effective smoking cessation intervention for the health care system"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Raw"
                            1 => "A&#46; McNeill"
                            2 => "R&#46; West"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1998"
                        "volumen" => "53"
                        "numero" => "Suppl 5"
                        "paginaInicial" => "1"
                        "paginaFinal" => "19"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9577513"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking cessation&#58; evidence based recommendations for the health care system"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Raw"
                            1 => "A&#46; McNeill"
                            2 => "R&#46; West"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "1999"
                        "volumen" => "318"
                        "paginaInicial" => "182"
                        "paginaFinal" => "185"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9888919"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An analysis of the effectiveness of interventions intended to help people stop smoking"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Law"
                            1 => "J&#46;L&#46; Tang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Intern Med"
                        "fecha" => "1995"
                        "volumen" => "155"
                        "paginaInicial" => "1933"
                        "paginaFinal" => "1941"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7575046"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The effectiveness of the nicotine patch for smoking cessation&#46; A meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;C&#46; Fiore"
                            1 => "S&#46; Smith"
                            2 => "D&#46; Jorenby"
                            3 => "T&#46; Baker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1994"
                        "volumen" => "271"
                        "paginaInicial" => "1940"
                        "paginaFinal" => "1947"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8201739"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-effectiveness of the use of Nicorette nasal spray to assist quitting smoking among heavy smokers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Akehurst"
                            1 => "J&#46; Piercy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Br J Med Econ"
                        "fecha" => "1994"
                        "volumen" => "7"
                        "paginaInicial" => "155"
                        "paginaFinal" => "184"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Guidance for commissioners on the cost effectiveness of smoking cessation interventions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Parrott"
                            1 => "C&#46; Godfrey"
                            2 => "M&#46; Raw"
                            3 => "R&#46; West"
                            4 => "A&#46; McNeill"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1998"
                        "volumen" => "53"
                        "numero" => "Suppl 5"
                        "paginaInicial" => "4"
                        "paginaFinal" => "24"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Health and Economic Consequences of Smoking Model &#40;Version 2&#46;2&#46;2&#41;&#46; World Health Organization &#91;consultado 22&#47;08&#47;2000&#93;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.who.dk/adt/ecos/whoweb.asp">http&#58;&#47;&#47;www&#46;who&#46;dk&#47;adt&#47;ecos&#47;whoweb&#46;asp</a>&#46;"
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Development of the Health and Economic Consequences of Smoking Interactive Model"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46;E&#46; Orme"
                            1 => "S&#46;L&#46; Hogue"
                            2 => "L&#46;M&#46; Kennedy"
                            3 => "A&#46;C&#46; Paine"
                            4 => "C&#46; Godfrey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Tob Control"
                        "fecha" => "2001"
                        "volumen" => "10"
                        "paginaInicial" => "55"
                        "paginaFinal" => "61"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11226362"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking vs other risk factors as the cause of smoking-attributable deaths&#46; Confounding in the courtroom"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;J&#46; Thun"
                            1 => "L&#46;F&#46; Apicella"
                            2 => "S&#46;J&#46; Henley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2000"
                        "volumen" => "284"
                        "paginaInicial" => "706"
                        "paginaFinal" => "712"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10927778"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cigarette smoking-attributable mortality and years of potential life lost&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "An&#243;nimo&#46;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "United States&#44; 1990&#46; MMWR"
                        "fecha" => "1993"
                        "volumen" => "42"
                        "paginaInicial" => "645"
                        "paginaFinal" => "649"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Revisi&#243;n del Padr&#243;n Municipal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Nacional de Estad&#237;stica &#40;INE&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Datos de &#225;mbito nacional&#44; comunidad aut&#243;noma y provincia&#46;"
                        "fecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Encuesta Nacional de Salud 1997&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Ministerio de Sanidad y Consumo"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1999"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Departament de Sanitat i Seguretat Social&#46; Enquesta de Salut de Catalunya &#40;ESCA&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Generalitat de Catalunya"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1994"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib35"
              "etiqueta" => "35&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking cessation among self-quitters"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;R&#46; Hughes"
                            1 => "S&#46;B&#46; Gulliver"
                            2 => "J&#46;W&#46; Fenwick"
                            3 => "W&#46;A&#46; Valliere"
                            4 => "K&#46; Cruser"
                            5 => "S&#46; Pepper"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Psychol"
                        "fecha" => "1992"
                        "volumen" => "11"
                        "paginaInicial" => "331"
                        "paginaFinal" => "334"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1425551"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib36"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-effectiveness of the clinical practice recommendations in the AHCPR guideline for smoking cessation&#46; Agency for Health Care Policy and Research"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Cromwell"
                            1 => "W&#46;J&#46; Bartosch"
                            2 => "M&#46;C&#46; Fiore"
                            3 => "V&#46; Hasselblad"
                            4 => "T&#46; Baker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1997"
                        "volumen" => "278"
                        "paginaInicial" => "1759"
                        "paginaFinal" => "1766"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9388153"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio IBERPOC en Espa&#241;a&#58; prevalencia de s&#237;ntomas respiratorios habituales y de limitaci&#243;n cr&#243;nica al flujo a&#233;reo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Sobradillo"
                            1 => "M&#46; Miravitlles"
                            2 => "C&#46;A&#46; Jim&#233;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "1999"
                        "volumen" => "35"
                        "paginaInicial" => "159"
                        "paginaFinal" => "166"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10330536"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "for the PANES Study group&#46; Prevalence of angina pectoris in Spain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Cos&#237;n"
                            1 => "E&#46; As&#237;n"
                            2 => "J&#46; Marrugat"
                            3 => "R&#46; Elosua"
                            4 => "F&#46; Ar&#243;s"
                            5 => "M&#46; De los Reyes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Epidemiol"
                        "fecha" => "1999"
                        "volumen" => "15"
                        "paginaInicial" => "23"
                        "paginaFinal" => "330"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10098992"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib39"
              "etiqueta" => "39&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Coronary Heart Diseases Statistics&#46; Database&#44; 1998"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "British Heart Foundation Statistics"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib40"
              "etiqueta" => "40&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incidencia del accidente cerebrovascular en Asturias&#58; 1990-1991"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Caicoya"
                            1 => "T&#46; Rodr&#237;guez"
                            2 => "C&#46; Lasheras"
                            3 => "R&#46; Cuello"
                            4 => "C&#46; Corrales"
                            5 => "B&#46; Bl&#225;zquez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Neurol &#40;Barc&#41;"
                        "fecha" => "1996"
                        "volumen" => "24"
                        "paginaInicial" => "806"
                        "paginaFinal" => "811"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib41"
              "etiqueta" => "41&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incident Cancer in Five continents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;M&#46; Parkin"
                            1 => "S&#46;L&#46; Whelan"
                            2 => "J&#46; Ferlay"
                            3 => "L&#46; Raymond"
                            4 => "L&#46; Joung"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1997"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib42"
              "etiqueta" => "42&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "EUCAN"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "International Agency for Research on Cancer"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Cancer Incidence&#44; Mortality and Prevalence in the European Union&#46;"
                        "fecha" => "1996"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib43"
              "etiqueta" => "43&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Movimiento Natural de la Poblaci&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Nacional de Estad&#237;stica &#40;INE&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Tomo I&#46; INEbase&#44; 2000"
                        "fecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib44"
              "etiqueta" => "44&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Defunciones seg&#250;n la causa de Muerte 1997&#46; Resultados por CCAA&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Nacional de Estad&#237;stica&#44; INE&#46;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1999"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib45"
              "etiqueta" => "45&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bolet&#237;n Mensual del BCE 2000&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Banco Central Europeo"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib46"
              "etiqueta" => "46&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Costes sociales y econ&#243;micos de la EPOC&#46; Libro de ponencias y comunicaciones libres del III Symposium sobre Enfermedad Pulmonar Obstructiva Cr&#243;nica&#46; Badalona&#58; Servicio de Neumolog&#237;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Morera"
                            1 => "J&#46; Sunyer"
                            2 => "J&#46; Ant&#243;"
                            3 => "J&#46; Murillo"
                            4 => "M&#46; S&#225;ez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Hospital Universitario Germans Trias i Pujol&#44; de febrero de"
                        "fecha" => "1992"
                        "paginaInicial" => "6"
                        "paginaFinal" => "7"
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673602098318"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib47"
              "etiqueta" => "47&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality of Life and Economic Features in Elderly Asthmatics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46; Plaza"
                            1 => "J&#46; Serra-Batlles"
                            2 => "M&#46; Ferrer"
                            3 => "E&#46; Morejon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "29465"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respiration"
                        "fecha" => "2000"
                        "volumen" => "67"
                        "paginaInicial" => "65"
                        "paginaFinal" => "70"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10705265"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib48"
              "etiqueta" => "48&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-effectiveness analysis of treatments to reduce cholesterol levels&#44; blood pressure and smoking for the prevention of coronary heart disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Plans-Rubio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Pharmacoeconomics"
                        "fecha" => "1998"
                        "volumen" => "13"
                        "paginaInicial" => "620"
                        "paginaFinal" => "643"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib49"
              "etiqueta" => "49&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Direct cost of cerebrovascular disease during the first year of follow u&#46;p&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46; Carod-Artal"
                            1 => "J&#46; Egido"
                            2 => "G&#46; Gonz&#225;lez"
                            3 => "E&#46; Varela"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Neurol"
                        "fecha" => "1999"
                        "volumen" => "1"
                        "paginaInicial" => "123"
                        "paginaFinal" => "130"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib50"
              "etiqueta" => "50&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Hospital Costs of Treating Lung Cancer in the U&#46;K&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Wolstenholme"
                            1 => "D&#46; Whynes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/sj.bjc.6690341"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Cancer"
                        "fecha" => "1999"
                        "volumen" => "80"
                        "paginaInicial" => "215"
                        "paginaFinal" => "218"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10389998"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib51"
              "etiqueta" => "51&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Direct Cost of Low Birth Weight"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Lewit"
                            1 => "L&#46; Baker"
                            2 => "H&#46; Corman"
                            3 => "P&#46; Shiono"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Future Child"
                        "fecha" => "1995"
                        "volumen" => "5"
                        "paginaInicial" => "35"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7633866"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            51 => array:3 [
              "identificador" => "bib52"
              "etiqueta" => "52&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medimecum&#46; Gu&#237;a de terapia farmacol&#243;gica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Adis International"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Madrid&#58; Adis International&#44;"
                        "fecha" => "1999"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            52 => array:3 [
              "identificador" => "bib53"
              "etiqueta" => "53&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cat&#225;logo de Especialidades Farmac&#233;uticas&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Consejo General de Colegios Oficiales de Farmac&#233;uticos&#46;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "2001"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            53 => array:3 [
              "identificador" => "bib54"
              "etiqueta" => "54&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Encuesta de Estructura Salarial&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Nacional de Estad&#237;stica &#40;INE&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            54 => array:3 [
              "identificador" => "bib55"
              "etiqueta" => "55&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The UK smoking epidemic&#58; deaths in 1995"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46; Callum"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            55 => array:3 [
              "identificador" => "bib56"
              "etiqueta" => "56&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Respiratory health effects of passive smoking&#58; lung cancer and other diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Evironmental Protection Agency"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Washington DC&#58; Evironmental Protection Agency&#44; Office of Research and Development&#44;"
                        "fecha" => "1992"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            56 => array:3 [
              "identificador" => "bib57"
              "etiqueta" => "57&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evoluci&#243;n de la mortalidad por c&#225;ncer en Catalu&#241;a &#40;1975-1998&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Fern&#225;ndez"
                            1 => "J&#46;R&#46; Gonz&#225;lez"
                            2 => "J&#46;M&#46; Borr&#225;s"
                            3 => "V&#46; S&#225;nchez"
                            4 => "V&#46; Moreno"
                            5 => "M&#46; Peris"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2001"
                        "volumen" => "116"
                        "paginaInicial" => "605"
                        "paginaFinal" => "609"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            57 => array:3 [
              "identificador" => "bib58"
              "etiqueta" => "58&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quantifying the disease impact of cigarette smoking with SAMMEC II software"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46; Shultz"
                            1 => "T&#46;E&#46; Novotny"
                            2 => "D&#46;P&#46; Rice"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Public Health Rep"
                        "fecha" => "1991"
                        "volumen" => "106"
                        "paginaInicial" => "326"
                        "paginaFinal" => "333"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1905056"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            58 => array:3 [
              "identificador" => "bib59"
              "etiqueta" => "59&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "State estimates of Medicaid expenditures attributable to cigarette smoking&#44; fiscal year 1993"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46;S&#46; Miller"
                            1 => "X&#46; Zhang"
                            2 => "T&#46; Novotny"
                            3 => "D&#46;P&#46; Rice"
                            4 => "W&#46; Max"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Public Health Rep"
                        "fecha" => "1998"
                        "volumen" => "113"
                        "paginaInicial" => "140"
                        "paginaFinal" => "151"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9722819"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            59 => array:3 [
              "identificador" => "bib60"
              "etiqueta" => "60&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "State estimates of total medical expenditures attributable to cigarette smoking&#44; 1993"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46;S&#46; Miller"
                            1 => "X&#46; Zhang"
                            2 => "D&#46;P&#46; Rice"
                            3 => "W&#46; Max"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Public Health Rep"
                        "fecha" => "1998"
                        "volumen" => "113"
                        "paginaInicial" => "447"
                        "paginaFinal" => "458"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9769770"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            60 => array:3 [
              "identificador" => "bib61"
              "etiqueta" => "61&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking estimate correction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46;S&#46; Miller"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Public Health Rep"
                        "fecha" => "1998"
                        "volumen" => "113"
                        "paginaInicial" => "191"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9633855"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02139111/0000001600000004/v1_201310251715/S0213911102719298/v1_201310251715/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "18705"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02139111/0000001600000004/v1_201310251715/S0213911102719298/v1_201310251715/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911102719298?idApp=WGSE"
]
Compartir
Publique en esta revista
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Morbilidad, mortalidad y costes sanitarios evitables mediante una estrategia de tratamiento del tabaquismo en España
(The effects of implementing a smoking cessation intervention in Spain on morbidity, mortality and health care costs)
J. González-Enríqueza,
Autor para correspondencia
jgonza@isciii.es

Correspondencia: Jesús González-Enríquez. Agencia de Evaluación de Tecnologías Sanitarias. Instituto de Salud Carlos III. Sinesio Delgado, s/n. 28029 Madrid.
, T. Salvador-Llivinab, A. López-Nicolásc, E. Antón de las Herasd, A. Musind, E. Fernándeze, M. Garcíae, A. Schiaffinoe, I. Pérez-Escolanod
a Agencia de Evaluación de Tecnologías Sanitarias. Instituto de Salud Carlos III. Madrid
b Centro de Estudios sobre Promoción de la Salud
c Universidad Pompeu Fabra. Departament d'Economia i Empresa. Centre de Recerca en Economia i Salut. Barcelona
d Health Outcomes HO. GlaxoSmithKline
e Institut Català d'Oncologia. Servei de Prevenció i Control del Cáncer. Barcelona
Leído
6937
Veces
se ha leído el artículo
2323
Total PDF
4614
Total HTML
Compartir estadísticas
 array:24 [
  "pii" => "S0213911102719298"
  "issn" => "02139111"
  "doi" => "10.1016/S0213-9111(02)71929-8"
  "estado" => "S300"
  "fechaPublicacion" => "2002-07-01"
  "aid" => "71929"
  "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
  "copyrightAnyo" => "2002"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Gac Sanit. 2002;16:308-17"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3846
    "formatos" => array:3 [
      "EPUB" => 135
      "HTML" => 3131
      "PDF" => 580
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0213911102719304"
    "issn" => "02139111"
    "doi" => "10.1016/S0213-9111(02)71930-4"
    "estado" => "S300"
    "fechaPublicacion" => "2002-07-01"
    "aid" => "71930"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "err"
    "cita" => "Gac Sanit. 2002;16:317"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3725
      "formatos" => array:3 [
        "EPUB" => 135
        "HTML" => 3060
        "PDF" => 530
      ]
    ]
    "es" => array:6 [
      "idiomaDefecto" => true
      "titulo" => "Fe de errores"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "317"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911102719304?idApp=WGSE"
    "url" => "/02139111/0000001600000004/v1_201310251715/S0213911102719304/v1_201310251715/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0213911102719286"
    "issn" => "02139111"
    "doi" => "10.1016/S0213-9111(02)71928-6"
    "estado" => "S300"
    "fechaPublicacion" => "2002-07-01"
    "aid" => "71928"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Gac Sanit. 2002;16:298-307"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3403
      "formatos" => array:3 [
        "EPUB" => 131
        "HTML" => 2766
        "PDF" => 506
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Uso del profil&#225;ctico entre la juventud en sus relaciones de coito vaginal"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "298"
          "paginaFinal" => "307"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "&#40;Condom use among the young engaging in vaginal intercourse&#41;"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;L&#46; Bimbela, J&#46;M&#46; Jim&#233;nez, N&#46; Alfaro, P&#46; Guti&#233;rrez, J&#46;C&#46; March"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Bimbela"
            ]
            1 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Jim&#233;nez"
            ]
            2 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "Alfaro"
            ]
            3 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Guti&#233;rrez"
            ]
            4 => array:2 [
              "nombre" => "J&#46;C&#46;"
              "apellidos" => "March"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911102719286?idApp=WGSE"
    "url" => "/02139111/0000001600000004/v1_201310251715/S0213911102719286/v1_201310251715/es/main.assets"
  ]
  "es" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "Morbilidad&#44; mortalidad y costes sanitarios evitables mediante una estrategia de tratamiento del tabaquismo en Espa&#241;a"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "308"
        "paginaFinal" => "317"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J&#46; Gonz&#225;lez-Enr&#237;quez, T&#46; Salvador-Llivina, A&#46; L&#243;pez-Nicol&#225;s, E&#46; Ant&#243;n de las Heras, A&#46; Musin, E&#46; Fern&#225;ndez, M&#46; Garc&#237;a, A&#46; Schiaffino, I&#46; P&#233;rez-Escolano"
        "autores" => array:9 [
          0 => array:4 [
            "nombre" => "J&#46;"
            "apellidos" => "Gonz&#225;lez-Enr&#237;quez"
            "email" => array:1 [
              0 => "jgonza&#64;isciii&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "T&#46;"
            "apellidos" => "Salvador-Llivina"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "L&#243;pez-Nicol&#225;s"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Ant&#243;n de las Heras"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Musin"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Fern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Schiaffino"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "I&#46;"
            "apellidos" => "P&#233;rez-Escolano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:5 [
          0 => array:3 [
            "entidad" => "Agencia de Evaluaci&#243;n de Tecnolog&#237;as Sanitarias&#46; Instituto de Salud Carlos III&#46; Madrid"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Centro de Estudios sobre Promoci&#243;n de la Salud"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Universidad Pompeu Fabra&#46; Departament d&#39;Economia i Empresa&#46; Centre de Recerca en Economia i Salut&#46; Barcelona"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Health Outcomes HO&#46; GlaxoSmithKline"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Institut Catal&#224; d&#39;Oncologia&#46; Servei de Prevenci&#243; i Control del C&#225;ncer&#46; Barcelona"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "<span class="elsevierStyleItalic">Correspondencia</span>&#58; Jes&#250;s Gonz&#225;lez-Enr&#237;quez&#46; Agencia de Evaluaci&#243;n de Tecnolog&#237;as Sanitarias&#46; Instituto de Salud Carlos III&#46; Sinesio Delgado&#44; s&#47;n&#46; 28029 Madrid&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "&#40;The effects of implementing a smoking cessation intervention in Spain on morbidity&#44; mortality and health care costs&#41;"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2001-12-28"
    "fechaAceptado" => "2002-04-10"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec268850"
          "palabras" => array:6 [
            0 => "Tabaco"
            1 => "Tabaquismo"
            2 => "Mortalidad"
            3 => "Pol&#237;tica asistencial"
            4 => "Prevenci&#243;n y control"
            5 => "Modelo econ&#243;mico"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec268851"
          "palabras" => array:5 [
            0 => "Smoking"
            1 => "Smoking cessation policy"
            2 => "Mortality"
            3 => "Prevention and control"
            4 => "Economic model"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se valoran los efectos que tendr&#237;a una intervenci&#243;n destinada a reducir el uso de tabaco en la poblaci&#243;n espa&#241;ola de fumadores sobre la morbilidad&#44; la mortalidad y los costes asociados al consumo de tabaco&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha adaptado el modelo Health and Economic Consequences of Smoking patrocinado por la OMS y desarrollado por The Lewin Group&#46; La intervenci&#243;n propuesta incluye el acceso a asistencia farmacol&#243;gica de un 35&#37; de los fumadores que intentan dejar de fumar&#44; y obtienen una tasa global de cesaci&#243;n al a&#241;o del 7&#44;2&#37;&#46; Las enfermedades estudiadas son&#58; c&#225;ncer de pulm&#243;n&#44; enfermedad coronaria&#44; enfermedad cerebrovascular&#44; EPOC&#44; asma y bajo peso al nacer&#46; Se estiman los casos de enfermedad y muerte atribuibles al consumo de tabaco evitados y la reducci&#243;n en el coste sanitario debidos a la intervenci&#243;n&#44; proyectados a 20 a&#241;os&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sin intervenci&#243;n&#44; en el a&#241;o 1 del modelo 2&#46;136&#46;094 fumadores padecen alguna de las condiciones cl&#237;nicas atribuibles al consumo de tabaco&#44; el coste asistencial es de 4&#46;286 millones de euros y las muertes atribuibles son 26&#46;537&#46; La intervenci&#243;n propuesta evita 2&#46;613&#44; 9&#46;192&#44; 17&#46;415 y 23&#46;837 casos de enfermedad atribuible al consumo de tabaco en los a&#241;os 2&#44; 5&#44; 10 y 20 del modelo&#44; respectivamente&#46; Los costes asistenciales acumulados evitados son 3&#44;5 millones de euros en el a&#241;o 2 y 386 millones de euros a los 20 a&#241;os&#46; Las muertes acumuladas evitadas son 284 en el a&#241;o 2 y 9&#46;205 a los 20 a&#241;os de la intervenci&#243;n&#46; La intervenci&#243;n a&#241;ade un total de 78&#46;173 a&#241;os de vida al final del per&#237;odo considerado&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La disponibilidad de nuevas intervenciones eficaces en el tratamiento del tabaquismo y el incremento de la accesibilidad a las mismas pueden contribuir de forma relevante a la reducci&#243;n de la morbilidad&#44; la mortalidad y los costes sanitarios asociados al tabaquismo en Espa&#241;a&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We estimated the effect that a smoking cessation intervention in the Spanish population of smokers would have on smoking-related morbidity&#44; mortality and healthcare costs&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We adopted the model Health and Economic Consequences of Smoking sponsored by the WHO Health Organization and developed by the The Lewin Group&#46; The smoking cessation intervention proposed incluides pharmacological treatment to 35&#37; of smokers who are trying to quit smoking and obtains a quit rate of 7&#46;2&#37;&#46; The diseases studied are&#58; lung cancer&#44; heart disease&#44; stroke&#44; chronic obstructive pulmonary disease&#44; asthma exacerbation&#44; and low birth weight&#46; The smoking- related cases of disease and of averted death and the reduction in healthcare expenditure due to the intervention were estimated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Without intervention&#44; at year 1 of the model&#44; 2&#44;136&#44;094 smokers would be affected by some smoking-related disease&#59; healthcare expenditure would be 4&#44;286 million e and deaths attributable to smoking would total 26&#44;537&#46; The proposed intervention would prevent 2&#44;613&#44; 9&#44;192&#44; 17&#44;415 and 23&#44;837 cases of smoking-related disease at years 2&#44; 5&#44; 10 and 20 of the model&#44; respectively&#46; The saving in accumulated healthcare costs would amount to 3&#46;5 million e at year 2 and 386 million e over 20 years&#46; The accumulated prevented deaths are 284 at year 2 and 9&#44;205 over 20 years&#46; The intervention would save a total of 78&#44;173 life-years by the end of the period considered&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The availability of new effective smoking cessation interventions and the increase in accessibility to such interventions may contribute significantly to reducing morbidity&#44; mortality and healthcare costs associated with smoking in Spain&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliogr&#237;fia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:61 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reducing the health consequences of smoking&#46; 25 years of progress&#46; A report of the Surgeon General&#44; 1989&#46; Rokville&#58; US DHHS&#44; PHS&#44; CDC&#44; Center for Chronic Disease Prevention and Health Promotion&#44; Office on Smoking and Health&#44;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "US Department of Health and Human Services"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "DHHS Publication N&#46;&#176; &#40;CDC&#41;"
                        "fecha" => "1989"
                        "paginaInicial" => "89"
                        "paginaFinal" => "8411"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mortality from tobacco in developed countries&#58; indirect estimation from national vital statistics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Peto"
                            1 => "A&#46;D&#46; L&#243;pez"
                            2 => "J&#46; Boreham"
                            3 => "M&#46; Thun"
                            4 => "C&#46; Heath"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1992"
                        "volumen" => "339"
                        "paginaInicial" => "1268"
                        "paginaFinal" => "1278"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1349675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tobacco&#58; the growing epidemic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Peto"
                            1 => "Z&#46;M&#46; Chen"
                            2 => "J&#46; Boreham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/4691"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nat Med"
                        "fecha" => "1999"
                        "volumen" => "5"
                        "paginaInicial" => "15"
                        "paginaFinal" => "17"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9883828"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Global mortality&#44; disability and the contribution of risk factors&#58; Global Burden of Disease Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;J&#46; Murray"
                            1 => "A&#46; L&#243;pez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(96)07495-8"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1997"
                        "volumen" => "349"
                        "paginaInicial" => "1436"
                        "paginaFinal" => "1442"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9164317"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A descriptive model of the cigarette epidemic in developed countries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;D&#46; L&#243;pez"
                            1 => "E&#46;N&#46; Collishaw"
                            2 => "T&#46; Piha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Tob Control"
                        "fecha" => "1994"
                        "volumen" => "3"
                        "paginaInicial" => "242"
                        "paginaFinal" => "247"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pattern of smoking initiation in Catalonia &#40;Spain&#41; from 1948 to 1992"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;M&#46; Borr&#225;s"
                            1 => "E&#46; Fern&#225;ndez"
                            2 => "A&#46; Schiaffino"
                            3 => "C&#46; Borrell"
                            4 => "C&#46; La Vecchia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Public Health"
                        "fecha" => "2000"
                        "volumen" => "90"
                        "paginaInicial" => "1459"
                        "paginaFinal" => "1462"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10983208"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Proporci&#243;n de enfermedad atribuible al tabaco en la provincia de Granada"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Rodr&#237;guez Tapioles"
                            1 => "A&#46; Pueyos S&#225;nchez"
                            2 => "A&#46; Bueno Cabanillas"
                            3 => "M&#46; Delgado Rodr&#237;guez"
                            4 => "R&#46; G&#225;lvez Vargas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1994"
                        "volumen" => "102"
                        "paginaInicial" => "571"
                        "paginaFinal" => "574"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Morbilidad&#44; mortalidad y a&#241;os potenciales de vida perdidos atribuibles al tabaco"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Rodr&#237;guez Tapioles"
                            1 => "A&#46; Bueno Cabanillas"
                            2 => "A&#46; Pueyos S&#225;nchez"
                            3 => "M&#46; Espigares Garc&#237;a"
                            4 => "M&#46;A&#46; Mart&#237;nez Gonz&#225;lez"
                            5 => "R&#46; G&#225;lvez Vargas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1997"
                        "volumen" => "108"
                        "paginaInicial" => "121"
                        "paginaFinal" => "127"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tendencia de la mortalidad atribuible al tabaquismo en Espa&#241;a&#46; 1978-1992&#58; 600&#46;000 muertes en 15 a&#241;os"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Gonz&#225;lez-Enr&#237;quez"
                            1 => "F&#46; Villar-&#193;lvarez"
                            2 => "J&#46;R&#46; Banegas-Banegas"
                            3 => "F&#46; Rodr&#237;guez-Artalejo"
                            4 => "J&#46;M&#46; Mart&#237;n-Moreno"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1997"
                        "volumen" => "109"
                        "paginaInicial" => "577"
                        "paginaFinal" => "582"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La contribuci&#243;n del tabaco y otros h&#225;bitos de vida a la mortalidad por c&#225;ncer de pulm&#243;n en Espa&#241;a de 1940 a 1988"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Rodr&#237;guez Artalejo"
                            1 => "R&#46; Hern&#225;ndez Vecino"
                            2 => "A&#46; Graciani"
                            3 => "J&#46;R&#46; Banegas"
                            4 => "J&#46; Rey Calero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
                        "fecha" => "1994"
                        "volumen" => "8"
                        "paginaInicial" => "272"
                        "paginaFinal" => "279"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7705997"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Proyecci&#243;n del impacto del h&#225;bito tab&#225;quico sobre la salud de la poblaci&#243;n espa&#241;ola y de los beneficios potenciales de su control"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;R&#46; Banegas Banegas"
                            1 => "F&#46; Rodr&#237;guez Artalejo"
                            2 => "J&#46;M&#46; Martin Moreno"
                            3 => "J&#46; Gonz&#225;lez Enr&#237;quez"
                            4 => "F&#46; Villar &#193;lvarez"
                            5 => "A&#46; Guasch Aguilar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "1993"
                        "volumen" => "101"
                        "paginaInicial" => "644"
                        "paginaFinal" => "649"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "El tabaco&#58; &#191;un caso de externalidades financieras en Espa&#241;a&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; G&#243;nz&#225;lez"
                            1 => "P&#46; Barber"
                            2 => "E&#46; Rodr&#237;guez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "An&#225;isis econ&#243;mico de los estilos de vida&#58; externalidades y coste social"
                        "serieFecha" => "1997"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estimaci&#243;n del impacto econ&#243;mico a largo plazo de una reducci&#243;n del consumo de tabaco"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Rovira"
                            1 => "M&#46; Escribano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1989"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The health benefits of smoking cessation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "US Department of Health and Human Services"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "A report from the Surgeon General&#44; DHHS publication N&#46; &#176; &#40;CDC&#41;"
                        "fecha" => "1990"
                        "paginaInicial" => "90"
                        "paginaFinal" => "8416"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The health consequences of smoking&#58; nicotine addiction&#58; A report from the Surgeon General"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "US Department of Health and Human Services"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Washington DC&#58; Government Printing Office&#44; DHHS Publication N&#46; &#176; &#40;CDC&#41;"
                        "fecha" => "1988"
                        "paginaInicial" => "88"
                        "paginaFinal" => "8406"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnostic and statistical Manual of Mental Disorders"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "American Psychiatric Association"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "edicion" => "4th"
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nicotine addiction in Britain&#46; A report of the Tobacco Advisory Group of the Royal College of Physicians"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Royal College of Physicians"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "London&#58; Royal College of Physicians&#44;"
                        "fecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nicotine replacement therapy for smoking cessation&#46; The Cochrane Library Issue 2"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Silagy"
                            1 => "D&#46; Mant"
                            2 => "G&#46; Fowler"
                            3 => "T&#46; Lancaster"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking cessation guidelines for health professionals&#58; an update"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; West"
                            1 => "A&#46; McNeill"
                            2 => "M&#46; Raw"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "2000"
                        "volumen" => "55"
                        "paginaInicial" => "987"
                        "paginaFinal" => "999"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11083883"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treating tobacco use and dependence&#46; Public Health Service"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "US Department of Health and Human Services"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Washington DC&#58; Government Printing Office&#44;"
                        "fecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A controlled trial of sustained-release bupropion&#44; a nicotine patch&#44; or both for smoking cessation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;E&#46; Jorenby"
                            1 => "S&#46;J&#46; Leischow"
                            2 => "M&#46;A&#46; Nides"
                            3 => "S&#46;I&#46; Rennard"
                            4 => "J&#46;A&#46; Johnston"
                            5 => "A&#46;R&#46; Hughes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM199903043400903"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "1999"
                        "volumen" => "340"
                        "paginaInicial" => "685"
                        "paginaFinal" => "691"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10053177"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking cessation guidelines for health proffesionals&#46; A guide to effective smoking cessation intervention for the health care system"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Raw"
                            1 => "A&#46; McNeill"
                            2 => "R&#46; West"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1998"
                        "volumen" => "53"
                        "numero" => "Suppl 5"
                        "paginaInicial" => "1"
                        "paginaFinal" => "19"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9577513"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking cessation&#58; evidence based recommendations for the health care system"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Raw"
                            1 => "A&#46; McNeill"
                            2 => "R&#46; West"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "1999"
                        "volumen" => "318"
                        "paginaInicial" => "182"
                        "paginaFinal" => "185"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9888919"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An analysis of the effectiveness of interventions intended to help people stop smoking"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Law"
                            1 => "J&#46;L&#46; Tang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Intern Med"
                        "fecha" => "1995"
                        "volumen" => "155"
                        "paginaInicial" => "1933"
                        "paginaFinal" => "1941"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7575046"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The effectiveness of the nicotine patch for smoking cessation&#46; A meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;C&#46; Fiore"
                            1 => "S&#46; Smith"
                            2 => "D&#46; Jorenby"
                            3 => "T&#46; Baker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1994"
                        "volumen" => "271"
                        "paginaInicial" => "1940"
                        "paginaFinal" => "1947"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8201739"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-effectiveness of the use of Nicorette nasal spray to assist quitting smoking among heavy smokers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Akehurst"
                            1 => "J&#46; Piercy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Br J Med Econ"
                        "fecha" => "1994"
                        "volumen" => "7"
                        "paginaInicial" => "155"
                        "paginaFinal" => "184"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Guidance for commissioners on the cost effectiveness of smoking cessation interventions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Parrott"
                            1 => "C&#46; Godfrey"
                            2 => "M&#46; Raw"
                            3 => "R&#46; West"
                            4 => "A&#46; McNeill"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1998"
                        "volumen" => "53"
                        "numero" => "Suppl 5"
                        "paginaInicial" => "4"
                        "paginaFinal" => "24"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Health and Economic Consequences of Smoking Model &#40;Version 2&#46;2&#46;2&#41;&#46; World Health Organization &#91;consultado 22&#47;08&#47;2000&#93;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.who.dk/adt/ecos/whoweb.asp">http&#58;&#47;&#47;www&#46;who&#46;dk&#47;adt&#47;ecos&#47;whoweb&#46;asp</a>&#46;"
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Development of the Health and Economic Consequences of Smoking Interactive Model"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46;E&#46; Orme"
                            1 => "S&#46;L&#46; Hogue"
                            2 => "L&#46;M&#46; Kennedy"
                            3 => "A&#46;C&#46; Paine"
                            4 => "C&#46; Godfrey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Tob Control"
                        "fecha" => "2001"
                        "volumen" => "10"
                        "paginaInicial" => "55"
                        "paginaFinal" => "61"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11226362"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking vs other risk factors as the cause of smoking-attributable deaths&#46; Confounding in the courtroom"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;J&#46; Thun"
                            1 => "L&#46;F&#46; Apicella"
                            2 => "S&#46;J&#46; Henley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2000"
                        "volumen" => "284"
                        "paginaInicial" => "706"
                        "paginaFinal" => "712"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10927778"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cigarette smoking-attributable mortality and years of potential life lost&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "An&#243;nimo&#46;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "United States&#44; 1990&#46; MMWR"
                        "fecha" => "1993"
                        "volumen" => "42"
                        "paginaInicial" => "645"
                        "paginaFinal" => "649"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Revisi&#243;n del Padr&#243;n Municipal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Nacional de Estad&#237;stica &#40;INE&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Datos de &#225;mbito nacional&#44; comunidad aut&#243;noma y provincia&#46;"
                        "fecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Encuesta Nacional de Salud 1997&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Ministerio de Sanidad y Consumo"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1999"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Departament de Sanitat i Seguretat Social&#46; Enquesta de Salut de Catalunya &#40;ESCA&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Generalitat de Catalunya"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1994"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib35"
              "etiqueta" => "35&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking cessation among self-quitters"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;R&#46; Hughes"
                            1 => "S&#46;B&#46; Gulliver"
                            2 => "J&#46;W&#46; Fenwick"
                            3 => "W&#46;A&#46; Valliere"
                            4 => "K&#46; Cruser"
                            5 => "S&#46; Pepper"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Psychol"
                        "fecha" => "1992"
                        "volumen" => "11"
                        "paginaInicial" => "331"
                        "paginaFinal" => "334"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1425551"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib36"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-effectiveness of the clinical practice recommendations in the AHCPR guideline for smoking cessation&#46; Agency for Health Care Policy and Research"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Cromwell"
                            1 => "W&#46;J&#46; Bartosch"
                            2 => "M&#46;C&#46; Fiore"
                            3 => "V&#46; Hasselblad"
                            4 => "T&#46; Baker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1997"
                        "volumen" => "278"
                        "paginaInicial" => "1759"
                        "paginaFinal" => "1766"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9388153"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio IBERPOC en Espa&#241;a&#58; prevalencia de s&#237;ntomas respiratorios habituales y de limitaci&#243;n cr&#243;nica al flujo a&#233;reo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Sobradillo"
                            1 => "M&#46; Miravitlles"
                            2 => "C&#46;A&#46; Jim&#233;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "1999"
                        "volumen" => "35"
                        "paginaInicial" => "159"
                        "paginaFinal" => "166"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10330536"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "for the PANES Study group&#46; Prevalence of angina pectoris in Spain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Cos&#237;n"
                            1 => "E&#46; As&#237;n"
                            2 => "J&#46; Marrugat"
                            3 => "R&#46; Elosua"
                            4 => "F&#46; Ar&#243;s"
                            5 => "M&#46; De los Reyes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Epidemiol"
                        "fecha" => "1999"
                        "volumen" => "15"
                        "paginaInicial" => "23"
                        "paginaFinal" => "330"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10098992"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib39"
              "etiqueta" => "39&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Coronary Heart Diseases Statistics&#46; Database&#44; 1998"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "British Heart Foundation Statistics"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib40"
              "etiqueta" => "40&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incidencia del accidente cerebrovascular en Asturias&#58; 1990-1991"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Caicoya"
                            1 => "T&#46; Rodr&#237;guez"
                            2 => "C&#46; Lasheras"
                            3 => "R&#46; Cuello"
                            4 => "C&#46; Corrales"
                            5 => "B&#46; Bl&#225;zquez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Neurol &#40;Barc&#41;"
                        "fecha" => "1996"
                        "volumen" => "24"
                        "paginaInicial" => "806"
                        "paginaFinal" => "811"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib41"
              "etiqueta" => "41&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incident Cancer in Five continents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;M&#46; Parkin"
                            1 => "S&#46;L&#46; Whelan"
                            2 => "J&#46; Ferlay"
                            3 => "L&#46; Raymond"
                            4 => "L&#46; Joung"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1997"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib42"
              "etiqueta" => "42&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "EUCAN"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "International Agency for Research on Cancer"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Cancer Incidence&#44; Mortality and Prevalence in the European Union&#46;"
                        "fecha" => "1996"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib43"
              "etiqueta" => "43&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Movimiento Natural de la Poblaci&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Nacional de Estad&#237;stica &#40;INE&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Tomo I&#46; INEbase&#44; 2000"
                        "fecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib44"
              "etiqueta" => "44&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Defunciones seg&#250;n la causa de Muerte 1997&#46; Resultados por CCAA&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Nacional de Estad&#237;stica&#44; INE&#46;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1999"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib45"
              "etiqueta" => "45&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bolet&#237;n Mensual del BCE 2000&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Banco Central Europeo"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "2000"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib46"
              "etiqueta" => "46&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Costes sociales y econ&#243;micos de la EPOC&#46; Libro de ponencias y comunicaciones libres del III Symposium sobre Enfermedad Pulmonar Obstructiva Cr&#243;nica&#46; Badalona&#58; Servicio de Neumolog&#237;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Morera"
                            1 => "J&#46; Sunyer"
                            2 => "J&#46; Ant&#243;"
                            3 => "J&#46; Murillo"
                            4 => "M&#46; S&#225;ez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Hospital Universitario Germans Trias i Pujol&#44; de febrero de"
                        "fecha" => "1992"
                        "paginaInicial" => "6"
                        "paginaFinal" => "7"
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673602098318"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib47"
              "etiqueta" => "47&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality of Life and Economic Features in Elderly Asthmatics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46; Plaza"
                            1 => "J&#46; Serra-Batlles"
                            2 => "M&#46; Ferrer"
                            3 => "E&#46; Morejon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "29465"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respiration"
                        "fecha" => "2000"
                        "volumen" => "67"
                        "paginaInicial" => "65"
                        "paginaFinal" => "70"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10705265"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib48"
              "etiqueta" => "48&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-effectiveness analysis of treatments to reduce cholesterol levels&#44; blood pressure and smoking for the prevention of coronary heart disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Plans-Rubio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Pharmacoeconomics"
                        "fecha" => "1998"
                        "volumen" => "13"
                        "paginaInicial" => "620"
                        "paginaFinal" => "643"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib49"
              "etiqueta" => "49&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Direct cost of cerebrovascular disease during the first year of follow u&#46;p&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46; Carod-Artal"
                            1 => "J&#46; Egido"
                            2 => "G&#46; Gonz&#225;lez"
                            3 => "E&#46; Varela"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Neurol"
                        "fecha" => "1999"
                        "volumen" => "1"
                        "paginaInicial" => "123"
                        "paginaFinal" => "130"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib50"
              "etiqueta" => "50&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Hospital Costs of Treating Lung Cancer in the U&#46;K&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Wolstenholme"
                            1 => "D&#46; Whynes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/sj.bjc.6690341"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Cancer"
                        "fecha" => "1999"
                        "volumen" => "80"
                        "paginaInicial" => "215"
                        "paginaFinal" => "218"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10389998"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib51"
              "etiqueta" => "51&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Direct Cost of Low Birth Weight"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Lewit"
                            1 => "L&#46; Baker"
                            2 => "H&#46; Corman"
                            3 => "P&#46; Shiono"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Future Child"
                        "fecha" => "1995"
                        "volumen" => "5"
                        "paginaInicial" => "35"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7633866"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            51 => array:3 [
              "identificador" => "bib52"
              "etiqueta" => "52&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medimecum&#46; Gu&#237;a de terapia farmacol&#243;gica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Adis International"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Madrid&#58; Adis International&#44;"
                        "fecha" => "1999"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            52 => array:3 [
              "identificador" => "bib53"
              "etiqueta" => "53&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cat&#225;logo de Especialidades Farmac&#233;uticas&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Consejo General de Colegios Oficiales de Farmac&#233;uticos&#46;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "2001"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            53 => array:3 [
              "identificador" => "bib54"
              "etiqueta" => "54&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Encuesta de Estructura Salarial&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Instituto Nacional de Estad&#237;stica &#40;INE&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1995"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            54 => array:3 [
              "identificador" => "bib55"
              "etiqueta" => "55&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The UK smoking epidemic&#58; deaths in 1995"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46; Callum"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            55 => array:3 [
              "identificador" => "bib56"
              "etiqueta" => "56&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Respiratory health effects of passive smoking&#58; lung cancer and other diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Evironmental Protection Agency"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Washington DC&#58; Evironmental Protection Agency&#44; Office of Research and Development&#44;"
                        "fecha" => "1992"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            56 => array:3 [
              "identificador" => "bib57"
              "etiqueta" => "57&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evoluci&#243;n de la mortalidad por c&#225;ncer en Catalu&#241;a &#40;1975-1998&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Fern&#225;ndez"
                            1 => "J&#46;R&#46; Gonz&#225;lez"
                            2 => "J&#46;M&#46; Borr&#225;s"
                            3 => "V&#46; S&#225;nchez"
                            4 => "V&#46; Moreno"
                            5 => "M&#46; Peris"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2001"
                        "volumen" => "116"
                        "paginaInicial" => "605"
                        "paginaFinal" => "609"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            57 => array:3 [
              "identificador" => "bib58"
              "etiqueta" => "58&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quantifying the disease impact of cigarette smoking with SAMMEC II software"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46; Shultz"
                            1 => "T&#46;E&#46; Novotny"
                            2 => "D&#46;P&#46; Rice"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Public Health Rep"
                        "fecha" => "1991"
                        "volumen" => "106"
                        "paginaInicial" => "326"
                        "paginaFinal" => "333"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1905056"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            58 => array:3 [
              "identificador" => "bib59"
              "etiqueta" => "59&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "State estimates of Medicaid expenditures attributable to cigarette smoking&#44; fiscal year 1993"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46;S&#46; Miller"
                            1 => "X&#46; Zhang"
                            2 => "T&#46; Novotny"
                            3 => "D&#46;P&#46; Rice"
                            4 => "W&#46; Max"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Public Health Rep"
                        "fecha" => "1998"
                        "volumen" => "113"
                        "paginaInicial" => "140"
                        "paginaFinal" => "151"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9722819"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            59 => array:3 [
              "identificador" => "bib60"
              "etiqueta" => "60&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "State estimates of total medical expenditures attributable to cigarette smoking&#44; 1993"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46;S&#46; Miller"
                            1 => "X&#46; Zhang"
                            2 => "D&#46;P&#46; Rice"
                            3 => "W&#46; Max"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Public Health Rep"
                        "fecha" => "1998"
                        "volumen" => "113"
                        "paginaInicial" => "447"
                        "paginaFinal" => "458"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9769770"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            60 => array:3 [
              "identificador" => "bib61"
              "etiqueta" => "61&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking estimate correction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46;S&#46; Miller"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Public Health Rep"
                        "fecha" => "1998"
                        "volumen" => "113"
                        "paginaInicial" => "191"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9633855"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02139111/0000001600000004/v1_201310251715/S0213911102719298/v1_201310251715/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "18705"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02139111/0000001600000004/v1_201310251715/S0213911102719298/v1_201310251715/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911102719298?idApp=WGSE"
]
Información del artículo
ISSN: 02139111
Idioma original: Español
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 6 5 11
2024 Octubre 46 32 78
2024 Septiembre 43 32 75
2024 Agosto 46 30 76
2024 Julio 34 31 65
2024 Junio 29 23 52
2024 Mayo 48 25 73
2024 Abril 25 18 43
2024 Marzo 35 26 61
2024 Febrero 40 31 71
2024 Enero 25 22 47
2023 Diciembre 25 17 42
2023 Noviembre 27 24 51
2023 Octubre 28 18 46
2023 Septiembre 30 18 48
2023 Agosto 30 12 42
2023 Julio 31 19 50
2023 Junio 37 19 56
2023 Mayo 36 11 47
2023 Abril 34 18 52
2023 Marzo 31 31 62
2023 Febrero 18 29 47
2023 Enero 33 29 62
2022 Diciembre 34 44 78
2022 Noviembre 32 45 77
2022 Octubre 35 39 74
2022 Septiembre 22 42 64
2022 Agosto 37 58 95
2022 Julio 33 54 87
2022 Junio 21 46 67
2022 Mayo 33 44 77
2022 Abril 23 39 62
2022 Marzo 29 37 66
2022 Febrero 26 35 61
2022 Enero 28 46 74
2021 Diciembre 22 40 62
2021 Noviembre 22 45 67
2021 Octubre 19 44 63
2021 Septiembre 20 49 69
2021 Agosto 17 26 43
2021 Julio 17 43 60
2021 Junio 18 35 53
2021 Mayo 10 29 39
2021 Abril 28 95 123
2021 Marzo 26 29 55
2021 Febrero 21 16 37
2021 Enero 18 19 37
2020 Diciembre 15 20 35
2020 Noviembre 14 25 39
2020 Octubre 18 24 42
2020 Septiembre 18 11 29
2020 Agosto 11 20 31
2020 Julio 21 14 35
2020 Junio 15 12 27
2020 Mayo 11 25 36
2020 Abril 18 22 40
2020 Marzo 12 33 45
2020 Febrero 18 64 82
2020 Enero 9 20 29
2019 Diciembre 13 20 33
2019 Noviembre 17 8 25
2019 Octubre 11 5 16
2019 Septiembre 14 10 24
2019 Agosto 11 7 18
2019 Julio 15 8 23
2019 Junio 8 8 16
2019 Mayo 11 10 21
2019 Abril 5 6 11
2019 Marzo 4 10 14
2019 Febrero 7 13 20
2019 Enero 5 10 15
2018 Diciembre 9 15 24
2018 Noviembre 24 11 35
2018 Octubre 39 26 65
2018 Septiembre 19 19 38
2018 Agosto 15 9 24
2018 Julio 22 11 33
2018 Junio 19 15 34
2018 Mayo 23 17 40
2018 Abril 12 12 24
2018 Marzo 17 3 20
2018 Febrero 17 11 28
2018 Enero 10 8 18
2017 Diciembre 20 12 32
2017 Noviembre 15 10 25
2017 Octubre 15 11 26
2017 Septiembre 16 13 29
2017 Agosto 11 5 16
2017 Julio 18 11 29
2017 Junio 28 15 43
2017 Mayo 21 9 30
2017 Abril 32 16 48
2017 Marzo 26 9 35
2017 Febrero 21 7 28
2017 Enero 7 5 12
2016 Diciembre 16 7 23
2016 Noviembre 21 10 31
2016 Octubre 20 15 35
2016 Septiembre 18 12 30
2016 Agosto 27 8 35
2016 Julio 15 10 25
2016 Abril 1 0 1
2015 Diciembre 2 0 2
2015 Noviembre 4 0 4
2015 Octubre 7 0 7
2015 Septiembre 1 0 1
2015 Agosto 2 0 2
2015 Julio 1 11 12
2015 Junio 4 0 4
2015 Mayo 4 0 4
2015 Abril 3 8 11
2015 Marzo 8 4 12
2015 Febrero 3 0 3
2015 Enero 5 3 8
2014 Diciembre 11 1 12
2014 Noviembre 12 1 13
2014 Octubre 12 1 13
2014 Septiembre 8 1 9
2014 Agosto 12 2 14
2014 Julio 16 1 17
2014 Junio 13 3 16
2014 Mayo 10 1 11
2014 Abril 17 0 17
2014 Marzo 8 1 9
2014 Febrero 13 1 14
2014 Enero 17 1 18
2013 Diciembre 16 4 20
2013 Noviembre 25 1 26
2013 Octubre 36 3 39
2013 Septiembre 23 4 27
2013 Agosto 30 3 33
2013 Julio 21 2 23
2002 Junio 2067 0 2067
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Gaceta Sanitaria
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?