Tooth loss in diabetic patients with and without end-stage renal disease and dialysis
Pérdida de dientes en pacientes diabéticos con y sin insuficiencia renal crónica y diálisis.
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While PD and TL are known to be frequent oral complications of the diabetic condition, no comparative data are available about their prevalence and severity in diabetic patients with and without ESRD. On the other hand, diabetics with ESRD frequently suffer severe malnutrition,5 and their edentulous state could be considered to have a potential role in the multifactorial origin of such malnutrition. The aim of this study was therefore to compare the severity of tooth loss, and to investigate its risk factors and some possible consequences, in patients with type 2 diabetes with ESRD on chronic dialysis and with no renal insufficiency. <br></br><br></br>PATIENTS AND METHODS <br></br><br></br>This study was conducted at the nephrology, internal medicine, and family medicine outpatient clinics and the peritoneal dialysis and hemodialysis units of two IMSS hospitals in San Luis Potosí. TL, PD, and oral symptoms and signs related to ESRD were studied in type 2 diabetics with ESRD on peritoneal dialysis or hemodialysis (ESRD DM) and type 2 diabetics with serum creatinine levels under 2.0 mg/dL (DM). Demographic, clinical, and laboratory data were collected. For tooth loss evaluation purposes, functional teeth (FT) were desfined as those exerting their masticatory function. Patients were considered to have a non-compromised dentition (NCD) when they had ≥ 25 teeth, a partially compromised dentition when they had from 9 to 24 teeth, and a compromised dentition (CD) when ≤ 8 teeth remained. In patients with functional teeth, PD was assessed using the Community Periodontal Index of Treatment Needs,6 scored as follows: 0 = healthy periodontium; 1 = gingival inflammation; 2 = gingival calculus; <br></br>3 = 4.5 mm pocket; 4 ≥ 6 mm pocket; and X = excluded sextant (without FT). Oral hygiene was rated using the Simplified Oral Hygiene Index (OHI-S) A descriptive statistical analysis was made of demographic variables. Continuous variables were compared using a Student¿s t test, and proportion using a Chi-square test. Associations were analyzed by multiple linear regression and logistic regression as applicable using Epi Info version 3.4.3, including in a first analysis variables potentially associated to the dependent variables tooth loss, periodontal disease, and hypoalbuminemia, and in a second analysis only those variables showing a value of p less than 0.50 in the first analysis. A value of p < 0.005 was considered statistically significant. <br></br><br></br>RESULTS <br></br><br></br>Values refer to the ESRD DM and DM groups, in that order, consisting of 103 and 130 patients respectively. No differences were found in age (57.9 ± 11.4 vs 58.5 ± 11.5 years, p = 0.716), sex distribution, or schooling. Age at diagnosis of type 2 diabetes was 38.5 ± 14.0 vs 47.8 ± 12.1 years (p < 0.001). In ESRD DM patients, the median known duration of diabetes before dialysis was 17 years (1-39), and the median time on dialysis 7 months (1-88). Fourteen (13,6%) ESRD DM and 29 (22.3%) DM patients reported current or prior smoking (p = 0.088); 45.6% and 26.9% (p = 0.003) reported unpleasant taste, and 43.7% and 35.4% (p = 0.197) had dry mouth. The number of teeth lost was 17.2 ± 11.5 vs 15.1 ± 11.2 (p = 0.168). CP or PCD was found in 75.5% and 64.6% (p = 0.074), 23.5% and 13.8% of whom were totally edentulous (p = 0.057) (fig. 1). In multiple linear regression, the number of teeth preserved was associated in ESRD DM patients to PD alone (p = 0.00004), and in DM patients to PD <br></br>(p = 0.008), age (p = 0.010) and, marginally, to years since onset of diabetes (p = 0.058). PD was in turn associated in multiple logistic regression to poor oral hygiene (p = 0.0006), dry mouth (p = 0.011), and a shorter diabetes duration before ESRD and dialysis (p = 0.035) in ESRD DM patients, and to poor oral hygiene alone in DM patients (p < 0.00001). In 81.1% of ESRD DM patients on peritoneal dialysis and 37.0% of those on HD, low serum albumin levels were found < 3.5 g/dl (p = 0.0003), with mean values of 2.9 ± 0.8 in PD vs. 3.5 ± 0.7 in HD (p = 0.002). Table I shows multiple logistic regression. Low albumin levels were associated to peritoneal dialysis, female sex, reporting of unpleasant taste, and compromised dentition (≤ 8 teeth remaining), but not to age, years of diabetes, months on dialysis, body mass index, or other oral mucosa symptoms or changes. <br></br><br></br>DISCUSSION <br></br><br></br>Tooth loss is associated to various risk factors.7,8 Age is a significant factor. The reported prevalence of edentulism in a group of Mexican-American adults was 4.3%.9 Mean edentulism rates of 16.4% have been reported in patients on hemodialysis, 10 with figures of 20.9% and 3.5% for diabetic and non-diabetic patients respectively.11 Association between TL and diabetes has mainly been explained by a poor chronic glycemic control2,8,9 and severe periodontal disease.1,2,7 This study found 23.5% and 13.8% edentulous patients (p = 0.057), and patients with CD and PCD represented 75.5% and 64.6% (p = 0.074). PD was by far the main risk factor for tooth loss in both groups. Age and, marginally, years since diabetes onset were also risk factors in the DM group. TL reduces masticatory efficiency and food enjoyment,12,13 promotes the intake of soft food, often rich in cholesterol and saturated fat, and hinders consumption of fiber and vegetables, and may cause impaired nutrition14,15 and an increased cardiovascular risk.15 Patients with ESRD and chronic dialysis, particularly diabetics, frequently experience severe malnutrition due to disease effects on the one hand5,16 and to the effects of treatment on the other hand.16,17 It is therefore relevant the finding in the ESRD DM group of an association between compromised <br></br>dentition and low serum albumin, a known risk factor for increased morbidity and mortality in patients on chronic <br></br>dialysis.17 TL exceeding a certain level compromises the masticatory function. This has been called ¿functional edentulism¿, 8,14 and edentulous patients are considered to be orally disabled, and may only achieve partial rehabilitation despite prosthetic treatment.14 When oral disability is added to other frequent causes of disability in diabetes such as ESRD, ocular, cardiovascular, and neurological disease, the clinical picture ¿and probably prognosis- worsens, often resulting in a therapeutic nihilism status known as renalism,18 which is frequent in coronary artery disease in renal diabetics,19 but also possibly common in oral medicine, as suggested by the low <br></br>frequency of denture use among total or functional edentulous patients in both our study groups, but more marked in ESRD DM patients. <br></br><br></br>While a clear trend exists to a greater tooth loss in the ESRD DM group, our data showed no statistical difference in <br></br>its frequency and severity ¿nor in those of PD¿ between both study groups, and agree with previous reports that ESRD does not contribute to PD severity.20 If confirmed by other studies, the explanation for the marginal increase in CD and PCD frequency in the ESRD DM group should be searched for in other factors not identified in our data. Age differences at diabetes diagnosis could be part of the explanation, probably with a longer mean time since PD onset (edentulous patients, who did not participate in PD comparison, probably lost their teeth for this same reason). A clear need exists of preventive and therapeutic oral care, including oral hygiene, with reinforcement of instructions on brushing techniques at the time diabetes is diagnosed, periodontal disease care, and TL management, as part of the treatment requirements of diabetic patients with or without chronic complications, but particularly in renal diabetic patients, whose nutritional status is an essential factor in their chances of survival. The high prevalence of poor oral hygiene in both patient groups, which agrees with other reports in patients on dialysis ,7,10,11 represents an adequate starting point of the oral component of management, but it would also be probably useful to explore the effect of sugar-free chewing gum or alcohol-free disinfecting mouthwashes that would promote removal of the bacterial dental plaque or oral biofilm accumulated on the teeth and tongue, which is in part one of the factors associated to an unpleasant oral taste. This unpleasant taste possibly acts upon nutritional evolution by preventing diabetic patients with ESRD on chronic dialysis to feel the taste of food. <br></br>" "pdfFichero" => "P-E-S-A336-EN.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:6 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec440523" "palabras" => array:1 [ 0 => "enfermedad periodontal" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec440525" "palabras" => array:1 [ 0 => "edentulia" ] ] 2 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec440527" "palabras" => array:1 [ 0 => "pérdida de dientes" ] ] 3 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec440529" "palabras" => array:1 [ 0 => "insuficiencia renal crónica" ] ] 4 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec440531" "palabras" => array:1 [ 0 => "Diabetes mellitus" ] ] 5 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec440533" "palabras" => array:1 [ 0 => "albúmina sérica" ] ] ] "en" => array:6 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec440524" "palabras" => array:1 [ 0 => "periodontal disease" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec440526" "palabras" => array:1 [ 0 => "edentulia" ] ] 2 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec440528" "palabras" => array:1 [ 0 => "tooth loss" ] ] 3 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec440530" "palabras" => array:1 [ 0 => "end stage renal disease" ] ] 4 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec440532" "palabras" => array:1 [ 0 => "Diabetes mellitus" ] ] 5 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec440534" "palabras" => array:1 [ 0 => "serum albumin" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "RESUMEN Objetivos: Comparar la pérdida de dientes (PD) en diabéticos tipo 2 con (DM IRC) y sin (DM) insuficiencia renal crónica. Métodos: Se cuantificó la pérdida de dientes (PD) y se clasificó en: dentadura no comprometida (DNC) ≥ 25 dientes, parcialmente comprometida (DPC) 9 a 24, comprometida (DC) 0 a 8. Resultados: DM IRC y DM: n = 103 y 130, edad promedio 57,9 y 58,5 años (p = 0,716), y al diagnóstico de diabetes 38,5 y 47,8 años (p < 0,001), edéntulos 23,5% y 13,8% (p = 0,057), DNC 24,5% y 35,4% (p = 0,074). La PD se asoció fundamentalmente a EP (p < 0,001). En DM IRC, albúmina baja ( < 3,5 g/dl) fue más frecuente en diálisis peritoneal (p = 0,0014), mujeres (p = 0,0100), personas que sufrían mal sabor de boca (MSB) (p = 0,0174) y DC (p = 0,0242). Conclusiones: Existe una tendencia clara, pero no se confirma mayor PD en DM IRC vs DM. La asociación de albúmina baja con MSB y DC sugiere manejo de estas condiciones como parte del manejo nutricional del paciente diabético con IRC." ] "en" => array:1 [ "resumen" => "SUMMARY Aim: To compare tooth loss (TL) in ESRD (ESRD DM) and non-ESRD (DM) type 2 diabetic patients. Methods: Teeth loss was quantified, and dentition classified as: Non-Compromised (NCD) with ≥ 25 teeth, partially compromised (PCD) with 9 to 24, and compromised (CD) with 0 to 8 teeth. Results: ESRD DM and DM: n = 103 and 130, mean age 57.9 and 58.5 yr (p = 0.716), and at diabetes diagnosis 38.5 and 47.8 yr (p < 0.001). Edentulous 23.5% and 13.8% (p = 0.057), NCD 24.5% and 35.4% (p = 0.074). TL was strongly associated mainly to periodontal disease (p < 0.001). For ESRD DM, a low serum albumin ( < 3.5 g/dl) was more prevalent in peritoneal dialysis cases (p = 0.0014), women (p = 0.0100), people reporting unpleasant taste (UT) (p = 0.0174), and those with a CD (p = 0.0242). Conclusions: There was a clear trend for more severe TL in ESRD DM cases, but no statistical difference was found. The association between low serum albumin, UT and CD imply a need for treatment of these conditions as a part of nutritional intervention in ESRD DM cases." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Referencias" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Mealey BL, Oates TW. Diabetes mellitus and periodontal disease. AAP-Commissioned Review. J Periodontol 77: 1289-1303, 2006." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Cukovíc-Bagic´, Zeljko Verzak, Nikica Car, Antoinette Car. Tooth loss among diabetic patients. Diabetología Croatica 33: 23-7, 2004." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "De la Rosa GE, Mondragón PA, Aranda RS, Bustamante RML. Oral mucosa symptoms, signs and lesions, in end stage renal disease and non-end stage renal disease diabetic patients. Med Oral Patol Oral Cir Bucal 11: E 467-473, 2006." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Proctor R, Kumar N, Stein A, Moles D, Porter S. Oral and dental aspects of chronic renal failure. J Dent Res 84: 199-208, 2005. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15723858" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Espinosa A, Cueto MA, Velásquez AC, Hernández A, Cruz N, Zamora B, et al. Prevalence of malnutrition in Mexican CAPD diabetic and non diabetic patients. Adv Perit Dial 12: 302-306, 1996. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8865924" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Holmgren CJ. CPITN ¿Interpretations and limitations. Int Dent J 44: 533-546, 1994. <a href="http://www.ncbi.nlm.nih.gov/pubmed/7836008" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Al-Shammari KF, Al-Khabbaz AK, Al-Ansari JM, Neiva R, Wang H-L. Risk indicators for tooth loss due to periodontal disease. J Periodontol 76: 1910-1918, 2005. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16274310" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Cleary TJ, Hutton JE. An assessment of the association between functional edentulism, obesity and NIDDM. Diabetes Care 18: 1007-1009, 1995." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Ismail AI, Burt BA, Brunelle JA. Prevalence of total tooth loss, dental caries, and periodontal disease in Mexican-American adults: Results from then Southwestern HHANES. J Dent Res 66:1183-1188, 1987. <a href="http://www.ncbi.nlm.nih.gov/pubmed/3476591" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Castillo A, Mesa F, Liébana J, García-Martinez O, Ruiz S, García Valdecasas J, et al. Periodontal and oral microbiological status of an adult population undergoing haemodialysis: a cross-sectional study. Oral Dis 13: 198-205, 2007. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17305623" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Chuang SF, Sung JM, Kuo SCh, Huang JJ, Lee SY. Oral and dental manifestations in diabetic and nondiabetic uremic patients receiving hemodialysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99: 689-695, 2005. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15897855" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Krall E, Hayes C, García R. How dentitions status and masticatory function affect nutrient intake. JADA 129:1261-1269, 1998. <a href="http://www.ncbi.nlm.nih.gov/pubmed/9766107" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Chauncey HH, Muench ME, Kapur KK, Wayler AH. The effect of the loss of teeth on diet and nutrition. Int Dent J 34: 98-104, 1984. <a href="http://www.ncbi.nlm.nih.gov/pubmed/6588038" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Carlsson GE. Masticatory efficiency: the effect of age, the loss of teeth and prosthetic rehabilitation. Int Dent J 34: 93-97, 1984. <a href="http://www.ncbi.nlm.nih.gov/pubmed/6376372" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Hung H-C, Willet W, Ascherio A, Rosner BA, Rimm E, Joshipura KJ. Tooth loss and dietary intake. JADA 134: 1185-1192, 2003. <a href="http://www.ncbi.nlm.nih.gov/pubmed/14528990" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Haller C. Hypoalbuminemia in renal failure: pathogenesis and therapeutic considerations. Kidney Blood Press Res 28:307-10, 2005. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16534226" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Heaf JG, Sarac S, Afzal S. A high peritoneal large pore fluid flux causes hypoalbuminaemia and is a risk factor for death in peritoneal dialysis patients. Nephrol Dial Transplant 10: 2194-2201, 2005." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Mora-Fernández C, Muros M, Jarque A, González Cabrera F, García Pérez J, Navarro J. Characteristics of the diabetic patients referred for the first time to the nephrologist. Nefrología 27: 154-161, 2007. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17564559" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Chertow GM, Normand SLT, Mcneil BJ. ¿Renalism¿. Inappropriately low rates of coronary angiography in elderly individuals with renal insufficiency. J Am Soc Nephrol 15: 2462-2468, 2004. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15339996" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Bayraktar G, Kurtulus I, Duraduryan A, Cintan S, Kazancioglu R, Yildiz A et al. Dental and periodontal findings in hemodialysis patients . Oral Dis 13:393-397, 2007. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17577325" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002800000006/v0_201502091634/X2013251408004288/v0_201502091634/en/main.assets" "Apartado" => array:4 [ "identificador" => "35444" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Short Originals" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002800000006/v0_201502091634/X2013251408004288/v0_201502091634/en/P-E-S-A336-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408004288?idApp=UINPBA000064" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 11 | 11 | 22 |
| 2024 October | 34 | 70 | 104 |
| 2024 September | 51 | 45 | 96 |
| 2024 August | 65 | 61 | 126 |
| 2024 July | 30 | 32 | 62 |
| 2024 June | 61 | 40 | 101 |
| 2024 May | 43 | 31 | 74 |
| 2024 April | 33 | 35 | 68 |
| 2024 March | 51 | 23 | 74 |
| 2024 February | 27 | 29 | 56 |
| 2024 January | 37 | 24 | 61 |
| 2023 December | 22 | 28 | 50 |
| 2023 November | 27 | 35 | 62 |
| 2023 October | 62 | 40 | 102 |
| 2023 September | 42 | 25 | 67 |
| 2023 August | 23 | 31 | 54 |
| 2023 July | 42 | 31 | 73 |
| 2023 June | 32 | 32 | 64 |
| 2023 May | 28 | 32 | 60 |
| 2023 April | 26 | 25 | 51 |
| 2023 March | 23 | 15 | 38 |
| 2023 February | 29 | 30 | 59 |
| 2023 January | 23 | 30 | 53 |
| 2022 December | 25 | 40 | 65 |
| 2022 November | 44 | 26 | 70 |
| 2022 October | 28 | 39 | 67 |
| 2022 September | 32 | 29 | 61 |
| 2022 August | 42 | 35 | 77 |
| 2022 July | 24 | 32 | 56 |
| 2022 June | 33 | 31 | 64 |
| 2022 May | 29 | 25 | 54 |
| 2022 April | 25 | 37 | 62 |
| 2022 March | 39 | 47 | 86 |
| 2022 February | 23 | 41 | 64 |
| 2022 January | 24 | 24 | 48 |
| 2021 December | 34 | 43 | 77 |
| 2021 November | 20 | 31 | 51 |
| 2021 October | 31 | 38 | 69 |
| 2021 September | 23 | 34 | 57 |
| 2021 August | 19 | 32 | 51 |
| 2021 July | 29 | 32 | 61 |
| 2021 June | 22 | 14 | 36 |
| 2021 May | 19 | 29 | 48 |
| 2021 April | 58 | 27 | 85 |
| 2021 March | 19 | 18 | 37 |
| 2021 February | 23 | 22 | 45 |
| 2021 January | 22 | 15 | 37 |
| 2020 December | 22 | 9 | 31 |
| 2020 November | 35 | 17 | 52 |
| 2020 October | 16 | 16 | 32 |
| 2020 September | 17 | 7 | 24 |
| 2020 August | 32 | 9 | 41 |
| 2020 July | 23 | 7 | 30 |
| 2020 June | 21 | 23 | 44 |
| 2020 May | 29 | 17 | 46 |
| 2020 April | 31 | 9 | 40 |
| 2020 March | 34 | 10 | 44 |
| 2020 February | 29 | 17 | 46 |
| 2020 January | 40 | 24 | 64 |
| 2019 December | 33 | 20 | 53 |
| 2019 November | 32 | 19 | 51 |
| 2019 October | 18 | 10 | 28 |
| 2019 September | 23 | 11 | 34 |
| 2019 August | 14 | 15 | 29 |
| 2019 July | 24 | 17 | 41 |
| 2019 June | 14 | 4 | 18 |
| 2019 May | 19 | 4 | 23 |
| 2019 April | 36 | 19 | 55 |
| 2019 March | 16 | 15 | 31 |
| 2019 February | 24 | 22 | 46 |
| 2019 January | 17 | 18 | 35 |
| 2018 December | 49 | 26 | 75 |
| 2018 November | 60 | 13 | 73 |
| 2018 October | 36 | 16 | 52 |
| 2018 September | 44 | 14 | 58 |
| 2018 August | 29 | 6 | 35 |
| 2018 July | 42 | 18 | 60 |
| 2018 June | 31 | 10 | 41 |
| 2018 May | 32 | 12 | 44 |
| 2018 April | 26 | 10 | 36 |
| 2018 March | 25 | 7 | 32 |
| 2018 February | 20 | 6 | 26 |
| 2018 January | 33 | 8 | 41 |
| 2017 December | 33 | 10 | 43 |
| 2017 November | 34 | 8 | 42 |
| 2017 October | 44 | 12 | 56 |
| 2017 September | 26 | 18 | 44 |
| 2017 August | 34 | 15 | 49 |
| 2017 July | 29 | 12 | 41 |
| 2017 June | 30 | 11 | 41 |
| 2017 May | 33 | 18 | 51 |
| 2017 April | 21 | 13 | 34 |
| 2017 March | 26 | 15 | 41 |
| 2017 February | 30 | 10 | 40 |
| 2017 January | 12 | 5 | 17 |
| 2016 December | 55 | 8 | 63 |
| 2016 November | 53 | 7 | 60 |
| 2016 October | 66 | 14 | 80 |
| 2016 September | 107 | 11 | 118 |
| 2016 August | 169 | 5 | 174 |
| 2016 July | 148 | 4 | 152 |
| 2016 June | 100 | 0 | 100 |
| 2016 May | 117 | 0 | 117 |
| 2016 April | 85 | 0 | 85 |
| 2016 March | 82 | 0 | 82 |
| 2016 February | 84 | 0 | 84 |
| 2016 January | 88 | 0 | 88 |
| 2015 December | 98 | 0 | 98 |
| 2015 November | 78 | 0 | 78 |
| 2015 October | 87 | 0 | 87 |
| 2015 September | 63 | 0 | 63 |
| 2015 August | 74 | 0 | 74 |
| 2015 July | 58 | 0 | 58 |
| 2015 June | 36 | 0 | 36 |
| 2015 May | 48 | 0 | 48 |
| 2015 April | 6 | 0 | 6 |
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