Incidence and clinical manifestations of giant cell arteritis in Spain

This study aimed to estimate the incidence of giant cell arteritis (GCA) in Spain and to analyse its clinical manifestations, and distribution by age group, sex, geographical area and season. Methods We included all patients diagnosed with GCA between 1 June 2013 and 29 March 2019 at 26 hospitals of...

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Autores: Fernández-Lozano, Delia|||0000-0001-9650-1296, Hernández-Rodríguez, Iñigo, Narváez, Javier|||0000-0002-1614-8064, Domínguez-Álvaro, Marta|||0000-0002-4057-5971, de Miguel, Eugenio|||0000-0001-5146-1964, Silva-Díaz, Maite|||0000-0003-1904-011X, Belzunegui, Joaquín María, Morales, Clara Moriano, Sánchez, Julio, Galíndez Agirregoikoa, Eva, Aldaroso, Vicente, Abasolo, Lydia, Loricera, Javier|||0000-0003-4754-0277, Garrido-Puñal, Noemi, Moya, Patricia|||0000-0001-8339-5420, Larena, Carmen, Navarro, Vanessa Andrea, Casafont Solé, Ivette|||0000-0002-1004-300X, Calvet, Joan|||0000-0002-0888-5152, Ortiz Sanjuán, Francisco, Salman-Monte, Tarek Carlos|||0000-0002-4676-0174, Castañeda, Santos|||0000-0002-7748-853X, Blanco, Ricardo|||0000-0003-2344-2285, Álvarez, E.D., Sandoval, T.P., Fernández, I.G., Mendizábal-Mateos, J., Manteca, M.C.F., del Val del Amo, N., Rubio, L.H., Zudaire, I.P., Courel, L.G., Polo, R.G., Vélez, J.R., Cortina, E.L., Fernández, E.F., Carreira, P., Almorza, T., Mateos, L.L., Rodríguez, L.R., Urgelles, J.F., Bermejo, P.M.L., Arrabal, Selene Labrada, Frutos, Anne Rivero|||0000-0002-2981-277X, Pérez, Susana Holgado, Camins, Jordi, Almela, C.M., Fernández, C.C., Cid, A.R., Catalá, J.C., Melero-González, Rafael|||0000-0002-7967-351X, Maceiras, F., Pérez, N., Barbazán, C., Pego, J.M., Altabás, I., Guzman, J., Alarcón, P.V.E., Corominas, Hèctor|||0000-0002-7738-6787, Castellvi, Ivan|||0000-0002-5410-5807, Magallares López, Berta|||0000-0002-4691-2342, Millán, A.M., Villar, M.A., Cruz Valenciano, A.F., del Pozo, F.C., Cambrón, A.B.R., Villa, C.M., de Andrés, E.Á., Mas, A.J., Vilamajó, I.R., Barceló, M.I., Toniolo, Elide|||0000-0002-8327-4861, Cacheda, A.P., Reyes, M.S.B., González, M.G., Dorta, A.G., Hernández, V.H., Rocha, M.V., Allen, J.C., Uriarte-Ecenarro, M., Martínez, C.V., Vicente Rabaneda, E.F., Porrúa, C.G., Ubiaga, C.L.I., Rivas, N.Á., Rodríguez, T.R.V., Filloy, J.A.M., Fernández, A.S.A., Gonzalez-Gay, MA.|||0000-0002-7924-7406, Galisteo-Lencastre, Carlos|||0000-0003-3619-3185, Villanueva, M.J.G., Álvarez, P.M., Cabañas, M.T., Warleta, M.S., Vargas, A.P., Román, A.R., Cros, C.A., Jimenez, A.M., Román Ivorra, J.A., Bárcena, C.R., Huaylla, A., Zorrilla, I.C., Lluch, Judit|||0000-0002-0804-1355, Valero-Jaimes, J.A., López Domínguez, L., Dubuc, Cesar Antonio, Fernández, L.S.
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:305611
Acceso en línea:https://ddd.uab.cat/record/305611
https://dx.doi.org/urn:doi:10.1136/rmdopen-2023-003824
Access Level:acceso abierto
Palabra clave:Epidemiology
Giant cell arteritis
Incidence
Vasculitis
id ES_4bb7aa5b2694ec68a27dadb205619de5
oai_identifier_str oai:ddd.uab.cat:305611
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Incidence and clinical manifestations of giant cell arteritis in Spain
results of the ARTESER register
title Incidence and clinical manifestations of giant cell arteritis in Spain
spellingShingle Incidence and clinical manifestations of giant cell arteritis in Spain
Fernández-Lozano, Delia|||0000-0001-9650-1296
Epidemiology
Giant cell arteritis
Incidence
Vasculitis
title_short Incidence and clinical manifestations of giant cell arteritis in Spain
title_full Incidence and clinical manifestations of giant cell arteritis in Spain
title_fullStr Incidence and clinical manifestations of giant cell arteritis in Spain
title_full_unstemmed Incidence and clinical manifestations of giant cell arteritis in Spain
title_sort Incidence and clinical manifestations of giant cell arteritis in Spain
dc.creator.none.fl_str_mv Fernández-Lozano, Delia|||0000-0001-9650-1296
Hernández-Rodríguez, Iñigo
Narváez, Javier|||0000-0002-1614-8064
Domínguez-Álvaro, Marta|||0000-0002-4057-5971
de Miguel, Eugenio|||0000-0001-5146-1964
Silva-Díaz, Maite|||0000-0003-1904-011X
Belzunegui, Joaquín María
Morales, Clara Moriano
Sánchez, Julio
Galíndez Agirregoikoa, Eva
Aldaroso, Vicente
Abasolo, Lydia
Loricera, Javier|||0000-0003-4754-0277
Garrido-Puñal, Noemi
Moya, Patricia|||0000-0001-8339-5420
Larena, Carmen
Navarro, Vanessa Andrea
Casafont Solé, Ivette|||0000-0002-1004-300X
Calvet, Joan|||0000-0002-0888-5152
Ortiz Sanjuán, Francisco
Salman-Monte, Tarek Carlos|||0000-0002-4676-0174
Castañeda, Santos|||0000-0002-7748-853X
Blanco, Ricardo|||0000-0003-2344-2285
Álvarez, E.D.
Sandoval, T.P.
Fernández, I.G.
Mendizábal-Mateos, J.
Manteca, M.C.F.
del Val del Amo, N.
Rubio, L.H.
Zudaire, I.P.
Courel, L.G.
Polo, R.G.
Vélez, J.R.
Cortina, E.L.
Fernández, E.F.
Carreira, P.
Almorza, T.
Mateos, L.L.
Rodríguez, L.R.
Urgelles, J.F.
Bermejo, P.M.L.
Arrabal, Selene Labrada
Frutos, Anne Rivero|||0000-0002-2981-277X
Pérez, Susana Holgado
Camins, Jordi
Almela, C.M.
Fernández, C.C.
Cid, A.R.
Catalá, J.C.
Melero-González, Rafael|||0000-0002-7967-351X
Maceiras, F.
Pérez, N.
Barbazán, C.
Pego, J.M.
Altabás, I.
Guzman, J.
Alarcón, P.V.E.
Corominas, Hèctor|||0000-0002-7738-6787
Castellvi, Ivan|||0000-0002-5410-5807
Magallares López, Berta|||0000-0002-4691-2342
Millán, A.M.
Villar, M.A.
Cruz Valenciano, A.F.
del Pozo, F.C.
Cambrón, A.B.R.
Villa, C.M.
de Andrés, E.Á.
Mas, A.J.
Vilamajó, I.R.
Barceló, M.I.
Toniolo, Elide|||0000-0002-8327-4861
Cacheda, A.P.
Reyes, M.S.B.
González, M.G.
Dorta, A.G.
Hernández, V.H.
Rocha, M.V.
Allen, J.C.
Uriarte-Ecenarro, M.
Martínez, C.V.
Vicente Rabaneda, E.F.
Porrúa, C.G.
Ubiaga, C.L.I.
Rivas, N.Á.
Rodríguez, T.R.V.
Filloy, J.A.M.
Fernández, A.S.A.
Gonzalez-Gay, MA.|||0000-0002-7924-7406
Galisteo-Lencastre, Carlos|||0000-0003-3619-3185
Villanueva, M.J.G.
Álvarez, P.M.
Cabañas, M.T.
Warleta, M.S.
Vargas, A.P.
Román, A.R.
Cros, C.A.
Jimenez, A.M.
Román Ivorra, J.A.
Bárcena, C.R.
Huaylla, A.
Zorrilla, I.C.
Lluch, Judit|||0000-0002-0804-1355
Valero-Jaimes, J.A.
López Domínguez, L.
Dubuc, Cesar Antonio
Fernández, L.S.
author Fernández-Lozano, Delia|||0000-0001-9650-1296
author_facet Fernández-Lozano, Delia|||0000-0001-9650-1296
Hernández-Rodríguez, Iñigo
Narváez, Javier|||0000-0002-1614-8064
Domínguez-Álvaro, Marta|||0000-0002-4057-5971
de Miguel, Eugenio|||0000-0001-5146-1964
Silva-Díaz, Maite|||0000-0003-1904-011X
Belzunegui, Joaquín María
Morales, Clara Moriano
Sánchez, Julio
Galíndez Agirregoikoa, Eva
Aldaroso, Vicente
Abasolo, Lydia
Loricera, Javier|||0000-0003-4754-0277
Garrido-Puñal, Noemi
Moya, Patricia|||0000-0001-8339-5420
Larena, Carmen
Navarro, Vanessa Andrea
Casafont Solé, Ivette|||0000-0002-1004-300X
Calvet, Joan|||0000-0002-0888-5152
Ortiz Sanjuán, Francisco
Salman-Monte, Tarek Carlos|||0000-0002-4676-0174
Castañeda, Santos|||0000-0002-7748-853X
Blanco, Ricardo|||0000-0003-2344-2285
Álvarez, E.D.
Sandoval, T.P.
Fernández, I.G.
Mendizábal-Mateos, J.
Manteca, M.C.F.
del Val del Amo, N.
Rubio, L.H.
Zudaire, I.P.
Courel, L.G.
Polo, R.G.
Vélez, J.R.
Cortina, E.L.
Fernández, E.F.
Carreira, P.
Almorza, T.
Mateos, L.L.
Rodríguez, L.R.
Urgelles, J.F.
Bermejo, P.M.L.
Arrabal, Selene Labrada
Frutos, Anne Rivero|||0000-0002-2981-277X
Pérez, Susana Holgado
Camins, Jordi
Almela, C.M.
Fernández, C.C.
Cid, A.R.
Catalá, J.C.
Melero-González, Rafael|||0000-0002-7967-351X
Maceiras, F.
Pérez, N.
Barbazán, C.
Pego, J.M.
Altabás, I.
Guzman, J.
Alarcón, P.V.E.
Corominas, Hèctor|||0000-0002-7738-6787
Castellvi, Ivan|||0000-0002-5410-5807
Magallares López, Berta|||0000-0002-4691-2342
Millán, A.M.
Villar, M.A.
Cruz Valenciano, A.F.
del Pozo, F.C.
Cambrón, A.B.R.
Villa, C.M.
de Andrés, E.Á.
Mas, A.J.
Vilamajó, I.R.
Barceló, M.I.
Toniolo, Elide|||0000-0002-8327-4861
Cacheda, A.P.
Reyes, M.S.B.
González, M.G.
Dorta, A.G.
Hernández, V.H.
Rocha, M.V.
Allen, J.C.
Uriarte-Ecenarro, M.
Martínez, C.V.
Vicente Rabaneda, E.F.
Porrúa, C.G.
Ubiaga, C.L.I.
Rivas, N.Á.
Rodríguez, T.R.V.
Filloy, J.A.M.
Fernández, A.S.A.
Gonzalez-Gay, MA.|||0000-0002-7924-7406
Galisteo-Lencastre, Carlos|||0000-0003-3619-3185
Villanueva, M.J.G.
Álvarez, P.M.
Cabañas, M.T.
Warleta, M.S.
Vargas, A.P.
Román, A.R.
Cros, C.A.
Jimenez, A.M.
Román Ivorra, J.A.
Bárcena, C.R.
Huaylla, A.
Zorrilla, I.C.
Lluch, Judit|||0000-0002-0804-1355
Valero-Jaimes, J.A.
López Domínguez, L.
Dubuc, Cesar Antonio
Fernández, L.S.
author_role author
author2 Hernández-Rodríguez, Iñigo
Narváez, Javier|||0000-0002-1614-8064
Domínguez-Álvaro, Marta|||0000-0002-4057-5971
de Miguel, Eugenio|||0000-0001-5146-1964
Silva-Díaz, Maite|||0000-0003-1904-011X
Belzunegui, Joaquín María
Morales, Clara Moriano
Sánchez, Julio
Galíndez Agirregoikoa, Eva
Aldaroso, Vicente
Abasolo, Lydia
Loricera, Javier|||0000-0003-4754-0277
Garrido-Puñal, Noemi
Moya, Patricia|||0000-0001-8339-5420
Larena, Carmen
Navarro, Vanessa Andrea
Casafont Solé, Ivette|||0000-0002-1004-300X
Calvet, Joan|||0000-0002-0888-5152
Ortiz Sanjuán, Francisco
Salman-Monte, Tarek Carlos|||0000-0002-4676-0174
Castañeda, Santos|||0000-0002-7748-853X
Blanco, Ricardo|||0000-0003-2344-2285
Álvarez, E.D.
Sandoval, T.P.
Fernández, I.G.
Mendizábal-Mateos, J.
Manteca, M.C.F.
del Val del Amo, N.
Rubio, L.H.
Zudaire, I.P.
Courel, L.G.
Polo, R.G.
Vélez, J.R.
Cortina, E.L.
Fernández, E.F.
Carreira, P.
Almorza, T.
Mateos, L.L.
Rodríguez, L.R.
Urgelles, J.F.
Bermejo, P.M.L.
Arrabal, Selene Labrada
Frutos, Anne Rivero|||0000-0002-2981-277X
Pérez, Susana Holgado
Camins, Jordi
Almela, C.M.
Fernández, C.C.
Cid, A.R.
Catalá, J.C.
Melero-González, Rafael|||0000-0002-7967-351X
Maceiras, F.
Pérez, N.
Barbazán, C.
Pego, J.M.
Altabás, I.
Guzman, J.
Alarcón, P.V.E.
Corominas, Hèctor|||0000-0002-7738-6787
Castellvi, Ivan|||0000-0002-5410-5807
Magallares López, Berta|||0000-0002-4691-2342
Millán, A.M.
Villar, M.A.
Cruz Valenciano, A.F.
del Pozo, F.C.
Cambrón, A.B.R.
Villa, C.M.
de Andrés, E.Á.
Mas, A.J.
Vilamajó, I.R.
Barceló, M.I.
Toniolo, Elide|||0000-0002-8327-4861
Cacheda, A.P.
Reyes, M.S.B.
González, M.G.
Dorta, A.G.
Hernández, V.H.
Rocha, M.V.
Allen, J.C.
Uriarte-Ecenarro, M.
Martínez, C.V.
Vicente Rabaneda, E.F.
Porrúa, C.G.
Ubiaga, C.L.I.
Rivas, N.Á.
Rodríguez, T.R.V.
Filloy, J.A.M.
Fernández, A.S.A.
Gonzalez-Gay, MA.|||0000-0002-7924-7406
Galisteo-Lencastre, Carlos|||0000-0003-3619-3185
Villanueva, M.J.G.
Álvarez, P.M.
Cabañas, M.T.
Warleta, M.S.
Vargas, A.P.
Román, A.R.
Cros, C.A.
Jimenez, A.M.
Román Ivorra, J.A.
Bárcena, C.R.
Huaylla, A.
Zorrilla, I.C.
Lluch, Judit|||0000-0002-0804-1355
Valero-Jaimes, J.A.
López Domínguez, L.
Dubuc, Cesar Antonio
Fernández, L.S.
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dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Epidemiology
Giant cell arteritis
Incidence
Vasculitis
topic Epidemiology
Giant cell arteritis
Incidence
Vasculitis
description This study aimed to estimate the incidence of giant cell arteritis (GCA) in Spain and to analyse its clinical manifestations, and distribution by age group, sex, geographical area and season. Methods We included all patients diagnosed with GCA between 1 June 2013 and 29 March 2019 at 26 hospitals of the National Health System. They had to be aged ≥50 years and have at least one positive results in an objective diagnostic test (biopsy or imaging techniques), meet 3/5 of the 1990 American College of Rheumatology classification criteria or have a clinical diagnosis based on the expert opinion of the physician in charge. We calculated incidence rate using Poisson regression and assessed the influence of age, sex, geographical area and season. Results We identified 1675 cases of GCA with a mean age at diagnosis of 76.9±8.3 years. The annual incidence was estimated at 7.42 (95% CI 6.57 to 8.27) cases of GCA per 100 000 people ≥50 years with a peak for patients aged 80-84 years (23.06 (95% CI 20.89 to 25.4)). The incidence was greater in women (10.06 (95% CI 8.7 to 11.5)) than in men (4.83 (95% CI 3.8 to 5.9)). No significant differences were found between geographical distribution and incidence throughout the year (p=0.125). The phenotypes at diagnosis were cranial in 1091 patients, extracranial in 337 patients and mixed in 170 patients. Conclusions This is the first study to estimate the incidence of GCA in Spain at a national level. We found a predominance among women and during the ninth decade of life with no clear variability according to geographical area or seasons of the year.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/305611
https://dx.doi.org/urn:doi:10.1136/rmdopen-2023-003824
url https://ddd.uab.cat/record/305611
https://dx.doi.org/urn:doi:10.1136/rmdopen-2023-003824
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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spelling Incidence and clinical manifestations of giant cell arteritis in Spainresults of the ARTESER registerFernández-Lozano, Delia|||0000-0001-9650-1296Hernández-Rodríguez, IñigoNarváez, Javier|||0000-0002-1614-8064Domínguez-Álvaro, Marta|||0000-0002-4057-5971de Miguel, Eugenio|||0000-0001-5146-1964Silva-Díaz, Maite|||0000-0003-1904-011XBelzunegui, Joaquín MaríaMorales, Clara MorianoSánchez, JulioGalíndez Agirregoikoa, EvaAldaroso, VicenteAbasolo, LydiaLoricera, Javier|||0000-0003-4754-0277Garrido-Puñal, NoemiMoya, Patricia|||0000-0001-8339-5420Larena, CarmenNavarro, Vanessa AndreaCasafont Solé, Ivette|||0000-0002-1004-300XCalvet, Joan|||0000-0002-0888-5152Ortiz Sanjuán, FranciscoSalman-Monte, Tarek Carlos|||0000-0002-4676-0174Castañeda, Santos|||0000-0002-7748-853XBlanco, Ricardo|||0000-0003-2344-2285Álvarez, E.D.Sandoval, T.P.Fernández, I.G.Mendizábal-Mateos, J.Manteca, M.C.F.del Val del Amo, N.Rubio, L.H.Zudaire, I.P.Courel, L.G.Polo, R.G.Vélez, J.R.Cortina, E.L.Fernández, E.F.Carreira, P.Almorza, T.Mateos, L.L.Rodríguez, L.R.Urgelles, J.F.Bermejo, P.M.L.Arrabal, Selene LabradaFrutos, Anne Rivero|||0000-0002-2981-277XPérez, Susana HolgadoCamins, JordiAlmela, C.M.Fernández, C.C.Cid, A.R.Catalá, J.C.Melero-González, Rafael|||0000-0002-7967-351XMaceiras, F.Pérez, N.Barbazán, C.Pego, J.M.Altabás, I.Guzman, J.Alarcón, P.V.E.Corominas, Hèctor|||0000-0002-7738-6787Castellvi, Ivan|||0000-0002-5410-5807Magallares López, Berta|||0000-0002-4691-2342Millán, A.M.Villar, M.A.Cruz Valenciano, A.F.del Pozo, F.C.Cambrón, A.B.R.Villa, C.M.de Andrés, E.Á.Mas, A.J.Vilamajó, I.R.Barceló, M.I.Toniolo, Elide|||0000-0002-8327-4861Cacheda, A.P.Reyes, M.S.B.González, M.G.Dorta, A.G.Hernández, V.H.Rocha, M.V.Allen, J.C.Uriarte-Ecenarro, M.Martínez, C.V.Vicente Rabaneda, E.F.Porrúa, C.G.Ubiaga, C.L.I.Rivas, N.Á.Rodríguez, T.R.V.Filloy, J.A.M.Fernández, A.S.A.Gonzalez-Gay, MA.|||0000-0002-7924-7406Galisteo-Lencastre, Carlos|||0000-0003-3619-3185Villanueva, M.J.G.Álvarez, P.M.Cabañas, M.T.Warleta, M.S.Vargas, A.P.Román, A.R.Cros, C.A.Jimenez, A.M.Román Ivorra, J.A.Bárcena, C.R.Huaylla, A.Zorrilla, I.C.Lluch, Judit|||0000-0002-0804-1355Valero-Jaimes, J.A.López Domínguez, L.Dubuc, Cesar AntonioFernández, L.S.EpidemiologyGiant cell arteritisIncidenceVasculitisThis study aimed to estimate the incidence of giant cell arteritis (GCA) in Spain and to analyse its clinical manifestations, and distribution by age group, sex, geographical area and season. Methods We included all patients diagnosed with GCA between 1 June 2013 and 29 March 2019 at 26 hospitals of the National Health System. They had to be aged ≥50 years and have at least one positive results in an objective diagnostic test (biopsy or imaging techniques), meet 3/5 of the 1990 American College of Rheumatology classification criteria or have a clinical diagnosis based on the expert opinion of the physician in charge. We calculated incidence rate using Poisson regression and assessed the influence of age, sex, geographical area and season. Results We identified 1675 cases of GCA with a mean age at diagnosis of 76.9±8.3 years. The annual incidence was estimated at 7.42 (95% CI 6.57 to 8.27) cases of GCA per 100 000 people ≥50 years with a peak for patients aged 80-84 years (23.06 (95% CI 20.89 to 25.4)). The incidence was greater in women (10.06 (95% CI 8.7 to 11.5)) than in men (4.83 (95% CI 3.8 to 5.9)). No significant differences were found between geographical distribution and incidence throughout the year (p=0.125). The phenotypes at diagnosis were cranial in 1091 patients, extracranial in 337 patients and mixed in 170 patients. Conclusions This is the first study to estimate the incidence of GCA in Spain at a national level. We found a predominance among women and during the ninth decade of life with no clear variability according to geographical area or seasons of the year.Universitat Autònoma de Barcelona 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/305611https://dx.doi.org/urn:doi:10.1136/rmdopen-2023-003824reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3056112026-06-06T12:50:31Z
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