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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El Instituto Catal&#225;n de Oncolog&#237;a automatiz&#243; los procedimientos manuales de captaci&#243;n de la informaci&#243;n de las bases de datos del alta hospitalaria &#40;AH&#41; y anatom&#237;a patol&#243;gica &#40;APA&#41; mediante una aplicaci&#243;n inform&#225;tica &#40;ASEDAT&#41; con el objetivo de aumentar la fiabilidad de los datos y reducir los costes del Registro Hospitalario de Tumores &#40;RHT&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">ASEDAT detecta los tumores incidentes del centro a partir de las bases de datos de APA y de las AH mediante la selecci&#243;n de la informaci&#243;n b&#225;sica para cada uno de ellos&#46; Se resolvi&#243; el RHT para el per&#237;odo 1999-2000 mediante el procedimiento manual y automatizado&#44; y se compararon entre s&#237; los resultados&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se detectaron 10&#46;498 pacientes oncol&#243;gicos&#46; La resoluci&#243;n manual detect&#243; 8&#46;309 tumores incidentes y 2&#46;374 tumores prevalentes&#46; ASEDAT resolvi&#243; autom&#225;ticamente 8&#46;901 pacientes &#40;84&#44;8&#37;&#41;&#44; en los cuales se detectaron 8&#46;367 tumores incidentes&#44; 58 tumores m&#225;s que con el procedimiento manual&#46; La validaci&#243;n de la concordancia se realiz&#243; en los tumores incidentes detectados por ambos m&#233;todos &#40;7&#46;063 tumores&#41;&#46; En 6&#46;185 tumores &#40;87&#44;6&#37;&#41;&#44; la informaci&#243;n coincidi&#243; en todas las variables&#46; De los tumores discordantes&#44; 692 &#40;9&#44;8&#37;&#41; fueron generados por el personal del RHT en la resoluci&#243;n manual y el resto &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>186&#59; 2&#44;6&#37;&#41; por la aplicaci&#243;n &#40;resoluci&#243;n autom&#225;tica&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La automatizaci&#243;n de un registro de c&#225;ncer es posible siempre y cuando el centro disponga de las bases de datos de APA y AH codificadas e informatizadas&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">To increase data reliability and reduce the costs associated with the HTR&#44; the Catalan Institute of Oncology programmed the manual procedures of data collection from databases by means of a computer application &#40;ASEDAT&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material and method</span><p class="elsevierStyleSimplePara elsevierViewall">ASEDAT detects the incident tumors of the registry from the databases of the pathology records &#40;PR&#41; and discharge records &#40;DR&#41; and selects the basic information from both databases&#46; Data from the HTR data was collected for the period 1999-2000 by means of 2 procedures&#58; manual and automatized collection and the results obtained were compared&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">10&#44;498 cancer patients were detected&#46; Manual resolution detected 8&#44;309 incident tumors and 2&#44;374 prevalent tumors&#46; ASEDAT automatically detected 8&#44;901 patients &#40;84&#46;8&#37;&#41;&#44; in whom 8&#44;367 incident tumors were detected &#40;58 more tumors than the manual procedure&#41;&#46; Validation of agreement was performed in the incident tumors detected by both methods &#40;7&#44;063 tumors&#41;&#46; In 6&#44;185 tumors &#40;87&#46;6&#37;&#41; the information agreed in all the variables&#46; Of the discordant tumors&#44; 692 &#40;9&#46;8&#37;&#41; were obtained by the RHT staff using manual resolution&#44; and the remainder &#40;186&#59;2&#46;6&#37;&#41; were obtained by the application &#40;automatic resolution&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Cancer registry automatization is feasible when PR and DR databases are available&#44; coded and automatized&#46;</p>"
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Originales
Automatización de un registro hospitalario de tumores
Automatization of a hospital-based tumor registry
Josepa Ribesa,
Autor para correspondencia
j.ribes@iconcologia.net

Correspondencia: Josepa Ribes Puig. Servei d’Epidemiologia i Registre del Càncer. Institut Català d’Oncologia. Gran Via, s/n, km 2,7. 08907 L’Hospitalet de Llobregat. Barcelona. España.
, Jordi Gálveza, Àngels Meliàa, Ramon Clèriesa, Xavier Messeguerb, Francesc Xavier Boscha
a Servei d’Epidemiologia i Registre del Càncer. Institut Català d’Oncologia. L’Hospitalet de Llobregat. Barcelona. España
b Departament de Llenguatges i Sistemes Informàtics. Universitat Politècnica de Catalunya. Barcelona. España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El Instituto Catal&#225;n de Oncolog&#237;a automatiz&#243; los procedimientos manuales de captaci&#243;n de la informaci&#243;n de las bases de datos del alta hospitalaria &#40;AH&#41; y anatom&#237;a patol&#243;gica &#40;APA&#41; mediante una aplicaci&#243;n inform&#225;tica &#40;ASEDAT&#41; con el objetivo de aumentar la fiabilidad de los datos y reducir los costes del Registro Hospitalario de Tumores &#40;RHT&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">ASEDAT detecta los tumores incidentes del centro a partir de las bases de datos de APA y de las AH mediante la selecci&#243;n de la informaci&#243;n b&#225;sica para cada uno de ellos&#46; Se resolvi&#243; el RHT para el per&#237;odo 1999-2000 mediante el procedimiento manual y automatizado&#44; y se compararon entre s&#237; los resultados&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se detectaron 10&#46;498 pacientes oncol&#243;gicos&#46; La resoluci&#243;n manual detect&#243; 8&#46;309 tumores incidentes y 2&#46;374 tumores prevalentes&#46; ASEDAT resolvi&#243; autom&#225;ticamente 8&#46;901 pacientes &#40;84&#44;8&#37;&#41;&#44; en los cuales se detectaron 8&#46;367 tumores incidentes&#44; 58 tumores m&#225;s que con el procedimiento manual&#46; La validaci&#243;n de la concordancia se realiz&#243; en los tumores incidentes detectados por ambos m&#233;todos &#40;7&#46;063 tumores&#41;&#46; En 6&#46;185 tumores &#40;87&#44;6&#37;&#41;&#44; la informaci&#243;n coincidi&#243; en todas las variables&#46; De los tumores discordantes&#44; 692 &#40;9&#44;8&#37;&#41; fueron generados por el personal del RHT en la resoluci&#243;n manual y el resto &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>186&#59; 2&#44;6&#37;&#41; por la aplicaci&#243;n &#40;resoluci&#243;n autom&#225;tica&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La automatizaci&#243;n de un registro de c&#225;ncer es posible siempre y cuando el centro disponga de las bases de datos de APA y AH codificadas e informatizadas&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">To increase data reliability and reduce the costs associated with the HTR&#44; the Catalan Institute of Oncology programmed the manual procedures of data collection from databases by means of a computer application &#40;ASEDAT&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Material and method</span><p class="elsevierStyleSimplePara elsevierViewall">ASEDAT detects the incident tumors of the registry from the databases of the pathology records &#40;PR&#41; and discharge records &#40;DR&#41; and selects the basic information from both databases&#46; Data from the HTR data was collected for the period 1999-2000 by means of 2 procedures&#58; manual and automatized collection and the results obtained were compared&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">10&#44;498 cancer patients were detected&#46; Manual resolution detected 8&#44;309 incident tumors and 2&#44;374 prevalent tumors&#46; ASEDAT automatically detected 8&#44;901 patients &#40;84&#46;8&#37;&#41;&#44; in whom 8&#44;367 incident tumors were detected &#40;58 more tumors than the manual procedure&#41;&#46; Validation of agreement was performed in the incident tumors detected by both methods &#40;7&#44;063 tumors&#41;&#46; In 6&#44;185 tumors &#40;87&#46;6&#37;&#41; the information agreed in all the variables&#46; Of the discordant tumors&#44; 692 &#40;9&#46;8&#37;&#41; were obtained by the RHT staff using manual resolution&#44; and the remainder &#40;186&#59;2&#46;6&#37;&#41; were obtained by the application &#40;automatic resolution&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Cancer registry automatization is feasible when PR and DR databases are available&#44; coded and automatized&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:24 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Borr&#224;s JM&#44; Borr&#224;s J&#44; Bosch FX&#44; Fern&#225;ndez E&#44; Galcer&#225;n J&#44; Gispert R&#44; et al&#46; C&#224;ncer Catalunya 2001&#46; L&#8217;Hospitalet de Llobregat&#58; Institut Catal&#224; d&#8217;Oncologia&#46; Departament de Sanitat i Seguretat Social&#46; Generalitat de Catalunya&#59; 2001&#46;"
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            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Plan Director de Oncolog&#237;a en Catalunya&#58; 2001-2004 Barcelona&#58; Institut Catal&#224; d&#8217;Oncologia&#46; Departament de Sanitat i Seguretat Social&#46; Generalitat de Catalunya 2001&#46;"
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Els registres hospitalaris de cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Viladiu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1993"
                        "editorial" => "Departament de Sanitat i Seguretat Social&#46; Generalitat de Catalunya"
                        "editorialLocalizacion" => "Barcelona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
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                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "D&#46;M&#46;ParkinS&#46;L&#46;WhelanJ&#46;FerlayL&#46;TeppoD&#46;B&#46;Thomas"
                        "serieVolumen" => "VIII"
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                        "serieFecha" => "2002"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Institut Catal&#224; d&#8217;Oncologia&#46; Els nostres centres&#46; Doctor Josep Trueta&#46; Girona&#46; Unitat d&#8217;Epidemiologia i Registre de C&#224;ncer de Girona&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.iconcologia.cat-salut.net/doctor+josep+trueta/unitat+depidemiologia+I">http&#58;&#47;&#47;www&#46;iconcologia&#46;cat-salut&#46;net&#47;doctor&#43;josep&#43;trueta&#47;unitat&#43;depidemiologia&#43;I</a>"
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Llistat de Codis Diagn&#242;stics d&#8217;Anatomia Patol&#242;gica segons les normes de la Universitat Cat&#242;lica de Lovaina L&#8217;Hospitalet de Llobregat&#58; Ciutat Sanit&#224;ria i Universit&#224;ria de Bellvitge&#59; 2001&#46;"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "editores" => "R&#46;A&#46;Cote"
                        "edicion" => "1st ed&#46;"
                        "serieVolumen" => "I and II"
                        "serieTitulo" => "Systematized Nomenclature of Medicine &#40;SNOMED&#41;"
                        "serieFecha" => "1977"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
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                0 => array:1 [
                  "referenciaCompleta" => "Classificaci&#243; Internacional de M&#46;alalties&#46;&#44; 9&#46;&#170; Revisi&#243;&#44; Modificaci&#243; cl&#237;nica 2&#46;&#170; ed&#46; Vols&#46; I&#44; II&#44; III&#46; Barcelona&#58; Departament de Sanitat i Seguretat Social&#46; Generalitat de Catalunya&#59; 1993&#46;"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Manual de Notificaci&#243; del Conjunt M&#237;nim B&#224;sic de Dades de l&#8217;Alta Hospital&#224;ria&#46; Barcelona&#58; Departament de Sanitat i Seguretat Social&#46; Servei Catal&#224; de la Salut&#46; Generalitat de Catalunya&#59; 1996&#46;"
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "International Classification of Diseases for Oncology&#46; 1st ed&#46; Geneva&#58; World Health Organization&#59; 1976&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "International Classification of Diseases for Oncology"
                        "edicion" => "2nd ed&#46;"
                        "serieFecha" => "1990"
                      ]
                    ]
                  ]
                ]
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            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
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                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "J&#46;E&#46;TyczynskiE&#46;D&#233;maretD&#46;M&#46;Parkin"
                        "serieVolumen" => "I"
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                        "serieFecha" => "2003"
                      ]
                    ]
                  ]
                ]
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            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
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                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Cancer registration&#44; principles and methods"
                        "serieFecha" => "1991"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ribes J&#44; Cl&#232;ries R&#44; Sanz S&#44; D&#237;az M&#44; Mu&#241;oz J&#44; Bosch FX&#46; Registre Hospitalari de Tumors &#39;98&#46; L&#8217;Hospitalet de Llobregat&#58; Servei d&#8217;Epidemiologia i Registre del C&#224;ncer&#46; Institut Catal&#224; d&#8217;Oncologia&#59; 1998&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Automated data collection in cancer registration"
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                      ]
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            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
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                      "titulo" => "International Classification of Diseases for Oncology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Fritz"
                            1 => "C&#46; Percy"
                            2 => "A&#46; Jack"
                            3 => "K&#46; Shanmugaratnam"
                            4 => "L&#46; Sobin"
                            5 => "D&#46;M&#46; Parkin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "3th ed&#46;"
                        "fecha" => "2000"
                        "editorial" => "World Health Organization"
                        "editorialLocalizacion" => "Geneva"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Automatizaci&#243;n de un registro hospitalario de tumores"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                            0 => "J&#46; G&#225;lvez"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
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                        "titulo" => "Proyecto final de carrera&#46; Facultat d&#8217;Inform&#224;tica de Barcelona"
                        "fecha" => "2002"
                        "editorial" => "Universitat Polit&#232;cnica de Catalunya"
                        "editorialLocalizacion" => "Barcelona"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
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              "etiqueta" => "18&#46;"
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                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                            0 => "L&#46;H&#46; Sobin"
                            1 => "Ch&#46; Wittekind"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "TNM Classification of Malignant Tumours"
                        "edicion" => "6th ed&#46;"
                        "serieFecha" => "2002"
                      ]
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            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
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                0 => array:2 [
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                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Methods in observational epidemiology"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Methods in observational epidemiology"
                        "serieFecha" => "1996"
                      ]
                    ]
                  ]
                ]
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            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
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                0 => array:1 [
                  "referenciaCompleta" => "Institut Catal&#224; d&#8217;Oncologia Informaci&#243; General&#46; Epidemiologia&#44; Prevenci&#243; i Control del C&#224;ncer&#46; Registre Hospitalari de Tumors ICO&#47;HUB&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.iconcologia.cat-salut.net/area+de+epidemiologia/registro+tumores.htm">http&#58;&#47;&#47;www&#46;iconcologia&#46;cat-salut&#46;net&#47;area&#43;de&#43;epidemiologia&#47;registro&#43;tumores&#46;htm</a>"
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
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                        0 => array:2 [
                          "etal" => true
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                            0 => "L&#46; Simonato"
                            1 => "P&#46; Zambon"
                            2 => "S&#46; Rodella"
                            3 => "R&#46; Giordano"
                            4 => "S&#46; Guzzinati"
                            5 => "C&#46; Stocco"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Cancer"
                        "fecha" => "1996"
                        "volumen" => "73"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8645594"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Accuracy of hospital discharge data for cancer registration and epidemiological research in Northern Ireland"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;J&#46; Middleton"
                            1 => "A&#46;T&#46; Gavin"
                            2 => "J&#46;S&#46; Reid"
                            3 => "D&#46;O&#46; O&#8217;Reilly"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer Causes Control"
                        "fecha" => "2000"
                        "volumen" => "11"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11142524"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Agreement of medicare claims and tumor registry data for assessment of cancer-related treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46;S&#46; Cooper"
                            1 => "Z&#46; Yuan"
                            2 => "K&#46;C&#46; Stange"
                            3 => "L&#46;K&#46; Dennis"
                            4 => "S&#46;B&#46; Amini"
                            5 => "A&#46;A&#46; Rimm"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Care"
                        "fecha" => "2000"
                        "volumen" => "38"
                        "paginaInicial" => "411"
                        "paginaFinal" => "421"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10752973"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "G&#243;mez-Bao J&#44; Romera JR&#44; Ribes J&#44; Larriba-Pey JL&#46; Fusi&#243;n r&#225;pida y eficiente de m&#250;ltiples ficheros con errores y falta de datos&#46; Montpellier&#58; XXIX R&#233;union du Groupe pour l&#8217;Epidemiologie et l&#8217;Enregistrament du Cancer dans les Pays de Langue Latine&#59; 2004&#46;"
                ]
              ]
            ]
          ]
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