array:24 [
  "pii" => "S1579212918300843"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2017.09.018"
  "estado" => "S300"
  "fechaPublicacion" => "2018-05-01"
  "aid" => "1764"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2017"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Arch Bronconeumol. 2018;54:298-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 942
    "formatos" => array:3 [
      "EPUB" => 142
      "HTML" => 521
      "PDF" => 279
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289617304106"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2017.09.019"
      "estado" => "S300"
      "fechaPublicacion" => "2018-05-01"
      "aid" => "1764"
      "copyright" => "SEPAR"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "cor"
      "cita" => "Arch Bronconeumol. 2018;54:298-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1589
        "formatos" => array:3 [
          "EPUB" => 140
          "HTML" => 953
          "PDF" => 496
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
        "titulo" => "Gu&#237;as GesEPOC en ancianos&#58; todav&#237;a camino por recorrer"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "298"
            "paginaFinal" => "299"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "GesEPOC Guidelines In The Elderly&#58; Still A Long Way To Go"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Nicol&#225;s Mart&#237;nez-Velilla, Cristina Ibarrola Guill&#233;n, Jos&#233; Javier Celorrio Astiz"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Nicol&#225;s"
                "apellidos" => "Mart&#237;nez-Velilla"
              ]
              1 => array:2 [
                "nombre" => "Cristina"
                "apellidos" => "Ibarrola Guill&#233;n"
              ]
              2 => array:2 [
                "nombre" => "Jos&#233; Javier"
                "apellidos" => "Celorrio Astiz"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212918300843"
          "doi" => "10.1016/j.arbr.2017.09.018"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300843?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617304106?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005400000005/v1_201805020858/S0300289617304106/v1_201805020858/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212918300855"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2017.10.024"
    "estado" => "S300"
    "fechaPublicacion" => "2018-05-01"
    "aid" => "1767"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Arch Bronconeumol. 2018;54:299-300"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1110
      "formatos" => array:3 [
        "EPUB" => 143
        "HTML" => 686
        "PDF" => 281
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Non-Invasive Ventilation in Non-COPD Subjects With Pneumonia&#58; Benefits and Potential Complications"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "299"
          "paginaFinal" => "300"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#191;Ventilaci&#243;n no invasiva en pacientes con neumon&#237;a sin EPOC&#63; Efectos beneficiosos y aspectos a tener en cuenta para evitar potenciales complicaciones"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Laura Anoro, Antonio M&#46; Esquinas, Roberto Consentini"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Anoro"
            ]
            1 => array:2 [
              "nombre" => "Antonio M&#46;"
              "apellidos" => "Esquinas"
            ]
            2 => array:2 [
              "nombre" => "Roberto"
              "apellidos" => "Consentini"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289617304131"
        "doi" => "10.1016/j.arbres.2017.10.020"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617304131?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300855?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005400000005/v1_201804290447/S1579212918300855/v1_201804290447/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1579212918300892"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2018.03.001"
    "estado" => "S300"
    "fechaPublicacion" => "2018-05-01"
    "aid" => "1805"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Arch Bronconeumol. 2018;54:298"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1077
      "formatos" => array:3 [
        "EPUB" => 154
        "HTML" => 599
        "PDF" => 324
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Comments on the SEPAR Guidelines for the Diagnosis and Treatment of Drug-Resistant Tuberculosis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "298"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Comentarios a la normativa SEPAR de diagn&#243;stico y tratamiento de la tuberculosis con resistencia a f&#225;rmacos"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jos&#233; A&#46; Caminero, Joan A&#46; Cayl&#225;, Jos&#233;-Mar&#237;a Garc&#237;a-Garc&#237;a, Francisco J&#46; Garc&#237;a-P&#233;rez, Juan J&#46; Palacios, Juan Ruiz-Manzano"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Jos&#233; A&#46;"
              "apellidos" => "Caminero"
            ]
            1 => array:2 [
              "nombre" => "Joan A&#46;"
              "apellidos" => "Cayl&#225;"
            ]
            2 => array:2 [
              "nombre" => "Jos&#233;-Mar&#237;a"
              "apellidos" => "Garc&#237;a-Garc&#237;a"
            ]
            3 => array:2 [
              "nombre" => "Francisco J&#46;"
              "apellidos" => "Garc&#237;a-P&#233;rez"
            ]
            4 => array:2 [
              "nombre" => "Juan J&#46;"
              "apellidos" => "Palacios"
            ]
            5 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Ruiz-Manzano"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289618300139"
        "doi" => "10.1016/j.arbres.2017.12.015"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289618300139?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300892?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005400000005/v1_201804290447/S1579212918300892/v1_201804290447/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "GesEPOC Guidelines in the Elderly&#58; Still a Long Way to Go"
    "tieneTextoCompleto" => true
    "saludo" => "To the Editor&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "298"
        "paginaFinal" => "299"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Nicol&#225;s Mart&#237;nez-Velilla, Cristina Ibarrola Guill&#233;n, Jos&#233; Javier Celorrio Astiz"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Nicol&#225;s"
            "apellidos" => "Mart&#237;nez-Velilla"
            "email" => array:1 [
              0 => "nicolas&#46;martinez&#46;velilla&#64;cfnavarra&#46;es"
            ]
            "referencia" => array:4 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
              3 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Cristina Ibarrola"
            "apellidos" => "Guill&#233;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Jos&#233; Javier Celorrio"
            "apellidos" => "Astiz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Geriatr&#237;a&#44; Complejo Hospitalario de Navarra&#44; IdiSNa&#44; CIBER de Fragilidad y Envejecimiento Saludable&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Instituto de Investigaci&#243;n Sanitaria Navarra &#40;IdiSNA&#41;&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Efectividad y Seguridad Asistencial&#44; Servicio Navarro de Salud-Osasunbidea&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Gu&#237;as GesEPOC en ancianos&#58; todav&#237;a camino por recorrer"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We would like to congratulate the authors of the updated GesEPOC guidelines&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> a document that when it was first published marked a turning point in the management of chronic obstructive pulmonary disease &#40;COPD&#41; in Spain&#46; These guidelines have now been enriched by contributions from new scientific societies and a more comprehensive and integrated perspective&#46; However&#44; as with many other diseases&#44; the treatment of COPD in the elderly patient is very complex&#44; and it can be particularly difficult to address all the factors associated with aging&#46; We believe&#44; then&#44; that some of the following suggestions may be helpful in subsequent revisions of the document&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">When analyzing geriatric syndromes that play a significant role in the different diagnostic and therapeutic procedures&#44; we must look beyond the conventional clinical evaluation&#46; A comprehensive geriatric assessment must include not only social factors&#44; but also situations such as visual and auditory defects&#44; functional and cognitive deficits&#44; and musculoskeletal disorders such as sarcopenia&#46; The latter&#44; for instance&#44; can impact on the inhalation technique&#44; impeding the correct use of devices and influencing diagnostic accuracy&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Moreover&#44; while comorbidities have been recognized as a major factor in the management of COPD patients&#44; additional problems such as dementia&#44; including early-stage disease&#44; must be taken into account in the elderly&#46; Exacerbations are associated with cognitive impairment&#44; and can even be a key factor in destabilizing a patient&#44; tipping the scales toward a diagnosis of acute confusional state or dementia&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The significant comorbidity burden in this population means that polypharmacy is almost unavoidable&#44; and this increases the risk of pharmacological iatrogeny in an already vulnerable population&#46; Deprescription&#44; the use of corticosteroids and their side effects&#44; and the need for a simpler approach to high blood sugar are some of the aspects that must be addressed in future consensus documents&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A very important factor that must also be taken into account is the concept of frailty&#46; The prevalence of frailty and pre-frailty in this population has been reported in some studies to be 6&#46;6&#37; and 41&#46;3&#37;&#44; respectively&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> These figures in themselves reflect the importance of detecting this clinical characteristic in order to provide early intervention&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Closely linked to the concept of frailty is the concept of functionality&#46; Conventional models are based on the quantitative and qualitative evaluation of diseases&#44; and focus mainly on this paradigm&#46; However&#44; this old-fashioned system of approaching medicine on the basis of isolated diseases has become outdated&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> The health of elderly individuals must be measured in terms of function and not disease&#44; since functionality is the parameter that determines life expectancy and quality of life&#44; and the support and resources that our patients will require&#44; and is one of the best indicators of health status and a predictor of adjuvant disability&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2017-09-19"
    "fechaAceptado" => "2017-09-27"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Mart&#237;nez-Velilla N&#44; Guill&#233;n CI&#44; Astiz JJ&#46; Gu&#237;as GesEPOC en ancianos&#58; todav&#237;a camino por recorrer&#46; Arch Bronconeumol&#46; 2018&#59;54&#58;298&#8211;299&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gu&#237;a de Pr&#225;ctica Cl&#237;nica para el Diagn&#243;stico y Tratamiento de Pacientes con Enfermedad Pulmonar Obstructiva Cr&#243;nica &#40;EPOC&#41; &#8211; Gu&#237;a Espa&#241;ola de la EPOC &#40;GesEPOC&#41; Versi&#243;n 2017"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Miravitlles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2017"
                        "volumen" => "53"
                        "numero" => "Suppl&#46; 1"
                        "paginaInicial" => "S1"
                        "paginaFinal" => "S64"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic obstructive pulmonary disease as a risk factor for cognitive dysfunction&#58; a meta-analysis of current studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "X&#46; Zhang"
                            1 => "X&#46; Cai"
                            2 => "X&#46; Shi"
                            3 => "Z&#46; Zheng"
                            4 => "A&#46; Zhang"
                            5 => "J&#46; Guo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3233/JAD-150735"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Alzheimers Dis"
                        "fecha" => "2016"
                        "volumen" => "52"
                        "paginaInicial" => "101"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26967208"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Frailty syndrome in ambulatory patients with COPD"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46; Limpawattana"
                            1 => "S&#46; Putraveephong"
                            2 => "P&#46; Inthasuwan"
                            3 => "W&#46; Boonsawat"
                            4 => "D&#46; Theerakulpisut"
                            5 => "J&#46; Chindaprasirt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2147/COPD.S134233"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Chron Obstruct Pulmon Dis"
                        "fecha" => "2017"
                        "volumen" => "12"
                        "paginaInicial" => "1193"
                        "paginaFinal" => "1198"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28458530"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sarcopenia and frailty in chronic respiratory disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;E&#46; Bone"
                            1 => "N&#46; Hepgul"
                            2 => "S&#46; Kon"
                            3 => "M&#46; Maddocks"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/1479972316679664"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chron Respir Dis"
                        "fecha" => "2017"
                        "volumen" => "14"
                        "paginaInicial" => "85"
                        "paginaFinal" => "99"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27923981"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The geriatric management of frailty as paradigm of &#171;The end of the disease era&#187;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Cesari"
                            1 => "E&#46; Marzetti"
                            2 => "U&#46; Thiem"
                            3 => "M&#46;U&#46; Perez-Zepeda"
                            4 => "G&#46; Abellan Van Kan"
                            5 => "F&#46; Landi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejim.2016.03.005"
                      "Revista" => array:7 [
                        "tituloSerie" => "Eur J Intern Med"
                        "fecha" => "2016"
                        "volumen" => "31"
                        "paginaInicial" => "11"
                        "paginaFinal" => "14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26997416"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1529943016302789"
                          "estado" => "S300"
                          "issn" => "15299430"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005400000005/v1_201804290447/S1579212918300843/v1_201804290447/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "45358"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005400000005/v1_201804290447/S1579212918300843/v1_201804290447/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300843?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Letter to the Editor
GesEPOC Guidelines in the Elderly: Still a Long Way to Go
Guías GesEPOC en ancianos: todavía camino por recorrer
Nicolás Martínez-Velillaa,b,c,
Corresponding author
, Cristina Ibarrola Guillénc, José Javier Celorrio Astizc
a Servicio de Geriatría, Complejo Hospitalario de Navarra, IdiSNa, CIBER de Fragilidad y Envejecimiento Saludable, Pamplona, Navarra, Spain
b Instituto de Investigación Sanitaria Navarra (IdiSNA), Pamplona, Navarra, Spain
c Servicio de Efectividad y Seguridad Asistencial, Servicio Navarro de Salud-Osasunbidea, Pamplona, Navarra, Spain
Read
3704
Times
was read the article
1568
Total PDF
2136
Total HTML
Share statistics
 array:24 [
  "pii" => "S1579212918300843"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2017.09.018"
  "estado" => "S300"
  "fechaPublicacion" => "2018-05-01"
  "aid" => "1764"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2017"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Arch Bronconeumol. 2018;54:298-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 942
    "formatos" => array:3 [
      "EPUB" => 142
      "HTML" => 521
      "PDF" => 279
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289617304106"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2017.09.019"
      "estado" => "S300"
      "fechaPublicacion" => "2018-05-01"
      "aid" => "1764"
      "copyright" => "SEPAR"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "cor"
      "cita" => "Arch Bronconeumol. 2018;54:298-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1589
        "formatos" => array:3 [
          "EPUB" => 140
          "HTML" => 953
          "PDF" => 496
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
        "titulo" => "Gu&#237;as GesEPOC en ancianos&#58; todav&#237;a camino por recorrer"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "298"
            "paginaFinal" => "299"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "GesEPOC Guidelines In The Elderly&#58; Still A Long Way To Go"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Nicol&#225;s Mart&#237;nez-Velilla, Cristina Ibarrola Guill&#233;n, Jos&#233; Javier Celorrio Astiz"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Nicol&#225;s"
                "apellidos" => "Mart&#237;nez-Velilla"
              ]
              1 => array:2 [
                "nombre" => "Cristina"
                "apellidos" => "Ibarrola Guill&#233;n"
              ]
              2 => array:2 [
                "nombre" => "Jos&#233; Javier"
                "apellidos" => "Celorrio Astiz"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212918300843"
          "doi" => "10.1016/j.arbr.2017.09.018"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300843?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617304106?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005400000005/v1_201805020858/S0300289617304106/v1_201805020858/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212918300855"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2017.10.024"
    "estado" => "S300"
    "fechaPublicacion" => "2018-05-01"
    "aid" => "1767"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Arch Bronconeumol. 2018;54:299-300"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1110
      "formatos" => array:3 [
        "EPUB" => 143
        "HTML" => 686
        "PDF" => 281
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Non-Invasive Ventilation in Non-COPD Subjects With Pneumonia&#58; Benefits and Potential Complications"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "299"
          "paginaFinal" => "300"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#191;Ventilaci&#243;n no invasiva en pacientes con neumon&#237;a sin EPOC&#63; Efectos beneficiosos y aspectos a tener en cuenta para evitar potenciales complicaciones"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Laura Anoro, Antonio M&#46; Esquinas, Roberto Consentini"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Anoro"
            ]
            1 => array:2 [
              "nombre" => "Antonio M&#46;"
              "apellidos" => "Esquinas"
            ]
            2 => array:2 [
              "nombre" => "Roberto"
              "apellidos" => "Consentini"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289617304131"
        "doi" => "10.1016/j.arbres.2017.10.020"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617304131?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300855?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005400000005/v1_201804290447/S1579212918300855/v1_201804290447/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1579212918300892"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2018.03.001"
    "estado" => "S300"
    "fechaPublicacion" => "2018-05-01"
    "aid" => "1805"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Arch Bronconeumol. 2018;54:298"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1077
      "formatos" => array:3 [
        "EPUB" => 154
        "HTML" => 599
        "PDF" => 324
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Comments on the SEPAR Guidelines for the Diagnosis and Treatment of Drug-Resistant Tuberculosis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "298"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Comentarios a la normativa SEPAR de diagn&#243;stico y tratamiento de la tuberculosis con resistencia a f&#225;rmacos"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jos&#233; A&#46; Caminero, Joan A&#46; Cayl&#225;, Jos&#233;-Mar&#237;a Garc&#237;a-Garc&#237;a, Francisco J&#46; Garc&#237;a-P&#233;rez, Juan J&#46; Palacios, Juan Ruiz-Manzano"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Jos&#233; A&#46;"
              "apellidos" => "Caminero"
            ]
            1 => array:2 [
              "nombre" => "Joan A&#46;"
              "apellidos" => "Cayl&#225;"
            ]
            2 => array:2 [
              "nombre" => "Jos&#233;-Mar&#237;a"
              "apellidos" => "Garc&#237;a-Garc&#237;a"
            ]
            3 => array:2 [
              "nombre" => "Francisco J&#46;"
              "apellidos" => "Garc&#237;a-P&#233;rez"
            ]
            4 => array:2 [
              "nombre" => "Juan J&#46;"
              "apellidos" => "Palacios"
            ]
            5 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Ruiz-Manzano"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289618300139"
        "doi" => "10.1016/j.arbres.2017.12.015"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289618300139?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300892?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005400000005/v1_201804290447/S1579212918300892/v1_201804290447/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "GesEPOC Guidelines in the Elderly&#58; Still a Long Way to Go"
    "tieneTextoCompleto" => true
    "saludo" => "To the Editor&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "298"
        "paginaFinal" => "299"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Nicol&#225;s Mart&#237;nez-Velilla, Cristina Ibarrola Guill&#233;n, Jos&#233; Javier Celorrio Astiz"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Nicol&#225;s"
            "apellidos" => "Mart&#237;nez-Velilla"
            "email" => array:1 [
              0 => "nicolas&#46;martinez&#46;velilla&#64;cfnavarra&#46;es"
            ]
            "referencia" => array:4 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
              3 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Cristina Ibarrola"
            "apellidos" => "Guill&#233;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Jos&#233; Javier Celorrio"
            "apellidos" => "Astiz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Geriatr&#237;a&#44; Complejo Hospitalario de Navarra&#44; IdiSNa&#44; CIBER de Fragilidad y Envejecimiento Saludable&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Instituto de Investigaci&#243;n Sanitaria Navarra &#40;IdiSNA&#41;&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Efectividad y Seguridad Asistencial&#44; Servicio Navarro de Salud-Osasunbidea&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Gu&#237;as GesEPOC en ancianos&#58; todav&#237;a camino por recorrer"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We would like to congratulate the authors of the updated GesEPOC guidelines&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> a document that when it was first published marked a turning point in the management of chronic obstructive pulmonary disease &#40;COPD&#41; in Spain&#46; These guidelines have now been enriched by contributions from new scientific societies and a more comprehensive and integrated perspective&#46; However&#44; as with many other diseases&#44; the treatment of COPD in the elderly patient is very complex&#44; and it can be particularly difficult to address all the factors associated with aging&#46; We believe&#44; then&#44; that some of the following suggestions may be helpful in subsequent revisions of the document&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">When analyzing geriatric syndromes that play a significant role in the different diagnostic and therapeutic procedures&#44; we must look beyond the conventional clinical evaluation&#46; A comprehensive geriatric assessment must include not only social factors&#44; but also situations such as visual and auditory defects&#44; functional and cognitive deficits&#44; and musculoskeletal disorders such as sarcopenia&#46; The latter&#44; for instance&#44; can impact on the inhalation technique&#44; impeding the correct use of devices and influencing diagnostic accuracy&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Moreover&#44; while comorbidities have been recognized as a major factor in the management of COPD patients&#44; additional problems such as dementia&#44; including early-stage disease&#44; must be taken into account in the elderly&#46; Exacerbations are associated with cognitive impairment&#44; and can even be a key factor in destabilizing a patient&#44; tipping the scales toward a diagnosis of acute confusional state or dementia&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The significant comorbidity burden in this population means that polypharmacy is almost unavoidable&#44; and this increases the risk of pharmacological iatrogeny in an already vulnerable population&#46; Deprescription&#44; the use of corticosteroids and their side effects&#44; and the need for a simpler approach to high blood sugar are some of the aspects that must be addressed in future consensus documents&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A very important factor that must also be taken into account is the concept of frailty&#46; The prevalence of frailty and pre-frailty in this population has been reported in some studies to be 6&#46;6&#37; and 41&#46;3&#37;&#44; respectively&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> These figures in themselves reflect the importance of detecting this clinical characteristic in order to provide early intervention&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Closely linked to the concept of frailty is the concept of functionality&#46; Conventional models are based on the quantitative and qualitative evaluation of diseases&#44; and focus mainly on this paradigm&#46; However&#44; this old-fashioned system of approaching medicine on the basis of isolated diseases has become outdated&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> The health of elderly individuals must be measured in terms of function and not disease&#44; since functionality is the parameter that determines life expectancy and quality of life&#44; and the support and resources that our patients will require&#44; and is one of the best indicators of health status and a predictor of adjuvant disability&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2017-09-19"
    "fechaAceptado" => "2017-09-27"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Mart&#237;nez-Velilla N&#44; Guill&#233;n CI&#44; Astiz JJ&#46; Gu&#237;as GesEPOC en ancianos&#58; todav&#237;a camino por recorrer&#46; Arch Bronconeumol&#46; 2018&#59;54&#58;298&#8211;299&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gu&#237;a de Pr&#225;ctica Cl&#237;nica para el Diagn&#243;stico y Tratamiento de Pacientes con Enfermedad Pulmonar Obstructiva Cr&#243;nica &#40;EPOC&#41; &#8211; Gu&#237;a Espa&#241;ola de la EPOC &#40;GesEPOC&#41; Versi&#243;n 2017"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Miravitlles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2017"
                        "volumen" => "53"
                        "numero" => "Suppl&#46; 1"
                        "paginaInicial" => "S1"
                        "paginaFinal" => "S64"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic obstructive pulmonary disease as a risk factor for cognitive dysfunction&#58; a meta-analysis of current studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "X&#46; Zhang"
                            1 => "X&#46; Cai"
                            2 => "X&#46; Shi"
                            3 => "Z&#46; Zheng"
                            4 => "A&#46; Zhang"
                            5 => "J&#46; Guo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3233/JAD-150735"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Alzheimers Dis"
                        "fecha" => "2016"
                        "volumen" => "52"
                        "paginaInicial" => "101"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26967208"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Frailty syndrome in ambulatory patients with COPD"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46; Limpawattana"
                            1 => "S&#46; Putraveephong"
                            2 => "P&#46; Inthasuwan"
                            3 => "W&#46; Boonsawat"
                            4 => "D&#46; Theerakulpisut"
                            5 => "J&#46; Chindaprasirt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2147/COPD.S134233"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Chron Obstruct Pulmon Dis"
                        "fecha" => "2017"
                        "volumen" => "12"
                        "paginaInicial" => "1193"
                        "paginaFinal" => "1198"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28458530"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sarcopenia and frailty in chronic respiratory disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;E&#46; Bone"
                            1 => "N&#46; Hepgul"
                            2 => "S&#46; Kon"
                            3 => "M&#46; Maddocks"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/1479972316679664"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chron Respir Dis"
                        "fecha" => "2017"
                        "volumen" => "14"
                        "paginaInicial" => "85"
                        "paginaFinal" => "99"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27923981"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The geriatric management of frailty as paradigm of &#171;The end of the disease era&#187;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Cesari"
                            1 => "E&#46; Marzetti"
                            2 => "U&#46; Thiem"
                            3 => "M&#46;U&#46; Perez-Zepeda"
                            4 => "G&#46; Abellan Van Kan"
                            5 => "F&#46; Landi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejim.2016.03.005"
                      "Revista" => array:7 [
                        "tituloSerie" => "Eur J Intern Med"
                        "fecha" => "2016"
                        "volumen" => "31"
                        "paginaInicial" => "11"
                        "paginaFinal" => "14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26997416"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1529943016302789"
                          "estado" => "S300"
                          "issn" => "15299430"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005400000005/v1_201804290447/S1579212918300843/v1_201804290447/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "45358"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005400000005/v1_201804290447/S1579212918300843/v1_201804290447/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300843?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 2 6
2024 October 33 12 45
2024 September 30 10 40
2024 August 69 34 103
2024 July 42 24 66
2024 June 69 27 96
2024 May 80 27 107
2024 April 34 27 61
2024 March 40 17 57
2024 February 40 18 58
2023 March 4 3 7
2023 February 27 22 49
2023 January 33 24 57
2022 December 47 27 74
2022 November 37 29 66
2022 October 55 36 91
2022 September 28 32 60
2022 August 27 48 75
2022 July 33 36 69
2022 June 27 37 64
2022 May 30 43 73
2022 April 32 23 55
2022 March 40 45 85
2022 February 42 25 67
2022 January 32 33 65
2021 December 28 43 71
2021 November 27 41 68
2021 October 35 52 87
2021 September 27 46 73
2021 August 22 40 62
2021 July 24 34 58
2021 June 36 34 70
2021 May 40 43 83
2021 April 104 100 204
2021 March 42 24 66
2021 February 19 19 38
2021 January 33 15 48
2020 December 18 16 34
2020 November 41 21 62
2020 October 32 15 47
2020 September 25 15 40
2020 August 23 15 38
2020 July 26 27 53
2020 June 15 6 21
2020 May 33 9 42
2020 March 10 6 16
2020 February 40 18 58
2020 January 31 24 55
2019 December 22 15 37
2019 November 26 23 49
2019 October 20 16 36
2019 September 37 9 46
2019 August 31 19 50
2019 July 18 17 35
2019 June 24 12 36
2019 May 24 16 40
2019 April 52 8 60
2019 March 39 21 60
2019 February 26 17 43
2019 January 46 23 69
2018 December 43 20 63
2018 November 52 28 80
2018 October 10 0 10
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

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