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            "correspondencia" => "Autor para correspondencia&#46;"
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    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Social determinants of health influencing the choice of dialysis modality in advanced chronic kidney disease&#58; Need of an interdisciplinary approach"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">Hay estudios que afirman que incorporar al paciente con enfermedad renal cr&#243;nica avanzada &#40;ERCA&#41; a la toma de decisiones sobre la elecci&#243;n del tratamiento renal sustitutivo &#40;TRS&#41; conseguir&#237;a una distribuci&#243;n igualitaria entre hemodi&#225;lisis &#40;HD&#41; y t&#233;cnicas domiciliarias &#40;HD domiciliaria y di&#225;lisis peritoneal &#91;DP&#93;&#41;<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">1&#44;2</span></a>&#46; Sin embargo&#44; la realidad es que&#44; a pesar de sus indudables ventajas<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">3</span></a>&#44; las t&#233;cnicas domiciliarias siguen siendo modalidades de TRS infrautilizadas en una gran proporci&#243;n de pa&#237;ses&#44; incluido Espa&#241;a<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">4&#8211;6</span></a>&#46; El &#250;ltimo informe del Registro Espa&#241;ol de Enfermos Renales de 2020 muestra que&#44; al igual que el a&#241;o previo&#44; solo un 16&#37; de la poblaci&#243;n incidente en TRS elige DP&#44; mientras el 79&#44;5&#37; elige HD y un 4&#44;5&#37; recibe un trasplante renal &#40;TR&#41;&#44; mayoritariamente de donante vivo&#44; sin existir datos oficiales de elecci&#243;n de tratamiento conservador &#40;TC&#41;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">6</span></a>&#46; En esta baja utilizaci&#243;n de las t&#233;cnicas domiciliarias influyen diversos factores y se han planteado numerosas ideas para ayudar a minimizar las barreras para la adopci&#243;n y retenci&#243;n de estos tratamientos en el domicilio<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">7&#44;8</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Se conoce la influencia de los factores cl&#237;nicos en la elecci&#243;n de la t&#233;cnica&#44; como el n&#250;mero y la gravedad de las condiciones com&#243;rbidas<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">9</span></a>&#44; o aquellos que tienen que ver con los valores individuales de la persona que elige&#59; por ejemplo&#44; la necesidad de viajar o de independencia<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">10</span></a>&#46; Sin embargo&#44; la influencia en la elecci&#243;n de la t&#233;cnica de las barreras socioecon&#243;micas y culturales ha sido escasamente explorada&#44; pudiendo generar un problema de inequidad desapercibido en la asistencia sanitaria&#46; Desde la publicaci&#243;n en 1974 del informe Lalonde&#44; se conoce que los determinantes sociodemogr&#225;ficos&#44; econ&#243;micos y culturales explican m&#225;s del 75&#37; de los resultados de salud<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">11</span></a>&#44; por lo que se hace indispensable contemplar a la persona incluyendo su contexto para abordar necesidades y las actividades que nos planteamos con ella&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">El objetivo principal de este estudio fue identificar las barreras &#171;no m&#233;dicas&#187; que influyen en la elecci&#243;n de TRS&#44; como son los factores demogr&#225;ficos&#44; la etiolog&#237;a de la ERC&#44; los factores socioecon&#243;micos&#44; la nacionalidad o el idioma en una consulta de ERCA en un hospital terciario de Espa&#241;a&#46; Como variable secundaria se analiz&#243; el filtrado glomerular &#40;FG&#41; a su llegada a la consulta de ERCA y si eran o no potenciales candidatos a TR&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material y m&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Pacientes</span><p id="par0020" class="elsevierStylePara elsevierViewall">Se realiz&#243; un an&#225;lisis retrospectivo de 2009 a 2020 del total de los pacientes atendidos en la consulta de ERCA &#40;estadios 4 y 5&#41; &#40;tasa de FG estimada<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>30<span class="elsevierStyleHsp" style=""></span>ml&#47;min&#47;1&#44;73<span class="elsevierStyleHsp" style=""></span>m<span class="elsevierStyleSup">2</span>&#41; del Hospital del Mar&#44; en Barcelona &#40;Catalu&#241;a&#44; Espa&#241;a&#41;&#44; que hab&#237;an completado el proceso de deliberaci&#243;n y toma de decisiones&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Metodolog&#237;a de la toma de decisiones</span><p id="par0025" class="elsevierStylePara elsevierViewall">La inclusi&#243;n del paciente en la consulta de ERCA se iniciaba a trav&#233;s de una consulta de enfermer&#237;a&#44; que era la que llevaba a cabo el proceso de toma de decisiones&#44; y constaba de 3 visitas consecutivas&#44; divididas en 3 fases&#46; En una primera fase se exploraban los valores y preferencias del paciente mediante unas tarjetas de valores catalogadas como &#171;no importante&#187;&#44; &#171;algo importante&#187; y &#171;muy importante&#187;&#44; y de las cuales el paciente eleg&#237;a 2 muy importantes &#40;por ejemplo&#44; si un paciente eleg&#237;a &#171;ser independiente&#187; y &#171;temor a la sangre y a los pinchazos&#187; su posible opci&#243;n de tratamiento m&#225;s orientada a valores pod&#237;a ser la DP&#41;&#46; En una segunda fase se informaba acerca de las diferentes opciones disponibles con material audiovisual&#46; Finalmente&#44; en una tercera fase deliberativa&#44; el paciente tomaba la decisi&#243;n sobre su elecci&#243;n en la modalidad de TRS&#44; si se consideraba preparado&#46; Si optaban por la DP se mandaban a una consulta espec&#237;fica de esta t&#233;cnica con la enfermera y el m&#233;dico responsables de DP&#44; previa valoraci&#243;n cl&#237;nica para ver si la opci&#243;n era o no factible&#46; El resto de los pacientes que optaban por HD&#44; trasplante de vivo y TC se manten&#237;an en la consulta inicial&#46; En este trabajo solo se muestra el resultado final del proceso de toma de decisiones y la elecci&#243;n del paciente por una u otra t&#233;cnica con base en sus valores y preferencias espec&#237;ficas tras la consulta con enfermer&#237;a&#44; no el inicio en la t&#233;cnica&#44; por lo que no se consideraron aquellos pacientes que fueron excluidos de DP posteriormente por problemas m&#233;dicos<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">12</span></a>&#46; En el centro analizado no se dispon&#237;a de la posibilidad de elegir HD domiciliaria&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Variables</span><p id="par0030" class="elsevierStylePara elsevierViewall">Los datos demogr&#225;ficos y cl&#237;nicos se obtuvieron de la historia cl&#237;nica electr&#243;nica del centro de referencia&#46; Las variables consideradas para el estudio fueron&#58; edad&#44; sexo&#44; etiolog&#237;a de la ERC&#44; nivel de dependencia para las actividades b&#225;sicas de la vida diaria &#40;escala de Barthel&#41; y las actividades instrumentales de la vida diaria &#40;escala de Lawton y Brody&#41;&#44; nacionalidad &#40;espa&#241;ola vs&#46; extranjera&#41;&#44; nivel socioecon&#243;mico y barrera idiom&#225;tica &#40;aquellos pacientes con dificultad en la comunicaci&#243;n por no hablar ni entender el idioma&#41;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Otras variables registradas fueron el FG a su llegada a la consulta de ERCA y si eran potencialmente trasplantables seg&#250;n la opini&#243;n del nefr&#243;logo&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Instrumentos de medida</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Escala de Barthel</span><p id="par0040" class="elsevierStylePara elsevierViewall">La escala de Barthel<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">13</span></a> explora la independencia para las actividades b&#225;sicas de la vida diaria&#46; Son 10 las incluidas en el &#237;ndice original&#58; comer&#44; trasladarse entre la silla y la cama&#44; aseo personal&#44; uso del retrete&#44; ba&#241;arse o ducharse&#44; desplazarse &#40;andar en superficie lisa o en silla de ruedas&#41;&#44; subir o bajar escaleras&#44; vestirse o desvestirse&#44; control de heces y control de orina&#46; El rango de posibles valores de la escala de Barthel est&#225; entre 0 y 100&#44; con intervalos de 5 puntos para la versi&#243;n original&#46; Cuanto m&#225;s cerca de 0 est&#225; la puntuaci&#243;n de un sujeto&#44; m&#225;s dependencia tiene&#44; y cuanto m&#225;s cerca est&#225; de 100&#44; m&#225;s independencia&#46; Esta informaci&#243;n se obtiene preguntando directamente al individuo o a su cuidador principal&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Escala de Lawton y Brody</span><p id="par0045" class="elsevierStylePara elsevierViewall">La escala de Lawton y Brody<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">14</span></a> explora actividades instrumentales de la vida diaria&#46; Las incluidas son&#58; el uso del tel&#233;fono&#44; compras&#44; preparaci&#243;n de alimentos&#44; limpieza&#44; lavado&#44; viajes&#44; tomar medicamentos y manejar las finanzas&#46; Cada &#237;tem puede tener un valor num&#233;rico de 1 &#40;independiente&#41; a 0 &#40;dependiente&#41;&#46; La puntuaci&#243;n final es la suma del valor de todas las respuestas y oscila entre 0 &#40;m&#225;xima dependencia&#41; y 8 &#40;independencia total&#41;&#46; Esta informaci&#243;n se obtiene preguntando directamente al individuo o a su cuidador principal&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Evaluaci&#243;n del nivel socioecon&#243;mico</span><p id="par0050" class="elsevierStylePara elsevierViewall">El nivel socioecon&#243;mico se extrapol&#243; seg&#250;n el domicilio y el distrito sanitario por centro de atenci&#243;n primaria al que pertenec&#237;an los pacientes&#46; Los centros de atenci&#243;n primaria se clasificaron seg&#250;n su distrito correspondiente para obtener el recuento total de casos por distrito&#46; La informaci&#243;n m&#225;s reciente &#40;2017&#41; sobre la renta media de los distritos sanitarios se extrajo de los datos oficiales facilitados por el Ayuntamiento de Barcelona<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">15</span></a>&#46; La estimaci&#243;n utilizada fue la renta familiar per c&#225;pita&#44; que considera la renta disponible para el consumo y el ahorro acumulado por persona&#46; Posteriormente&#44; y con el objetivo de simplificar el an&#225;lisis&#44; resumimos y agrupamos las puntuaciones de acuerdo con el nivel socioecon&#243;mico del distrito en el que habitan<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">16</span></a>&#46; De esta manera&#44; los pacientes fueron clasificados en 3 grupos de nivel socioecon&#243;mico&#58; bajo&#44; medio-bajo y medio-alto&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">An&#225;lisis estad&#237;stico</span><p id="par0055" class="elsevierStylePara elsevierViewall">Las variables num&#233;ricas se describieron con la media y la desviaci&#243;n est&#225;ndar&#44; mientras que las variables categ&#243;ricas se describieron con el n&#250;mero y porcentaje de sujetos&#46; Las comparaciones entre grupos se realizaron con la prueba t de Student para variables continuas y la prueba de chi-cuadrado para variables categ&#243;ricas&#46; Se realiz&#243; adem&#225;s un an&#225;lisis multivariante mediante regresi&#243;n log&#237;stica binaria para evaluar qu&#233; factores se asociaron de manera independiente con la toma de decisiones y la elecci&#243;n entre HD y DP&#46; En el an&#225;lisis multivariante&#44; la variable dependiente fue DP versus HD y las variables incluidas en el modelo fueron edad&#44; sexo&#44; nefropat&#237;a diab&#233;tica&#44; FG al inicio de ERCA&#44; nivel socioecon&#243;mico&#44; nacionalidad&#44; barrera idiom&#225;tica&#44; &#237;ndice de Barthel&#44; &#237;ndice de Lawton y Brody y candidatura a TR&#46; Todos los an&#225;lisis estad&#237;sticos se realizaron utilizando el paquete estad&#237;stico R versi&#243;n 4&#46;0&#46;4 &#40;R Foundation for Statistical Computing&#44; Viena&#44; Austria&#41;&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Consideraciones &#233;ticas</span><p id="par0060" class="elsevierStylePara elsevierViewall">Este an&#225;lisis sigui&#243; las regulaciones de la ley de la Uni&#243;n Europea sobre protecci&#243;n de datos y privacidad para todas las personas dentro de la Uni&#243;n Europea &#40;GDPR&#47;2018&#41;&#44; y la Declaraci&#243;n de Helsinki sobre principios &#233;ticos para la investigaci&#243;n m&#233;dica con seres humanos&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Resultados</span><p id="par0065" class="elsevierStylePara elsevierViewall">Un total de 673 personas con ERC estadio 4 o 5 fueron atendidas en la consulta de ERCA en el periodo de estudio&#44; de las cuales 400 &#40;59&#44;4&#37;&#41; optaron por la t&#233;cnica de HD&#44; 156 &#40;23&#44;1&#37;&#41; por DP&#44; 4 &#40;0&#44;5&#37;&#41; por TR de vivo y 113 &#40;16&#44;7&#37;&#41; por TC&#46; En la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a> se muestra la comparativa entre las personas que eligieron las 2 modalidades dial&#237;ticas &#40;HD en el centro vs&#46; DP&#41; junto con los factores sociodemogr&#225;ficos asociados a la elecci&#243;n de los diferentes tratamientos&#46; La elecci&#243;n de DP como t&#233;cnica de TRS &#40;frente a HD&#41; se asoci&#243; con un nivel socioecon&#243;mico medio-alto &#40;38&#44;7 vs&#46; 22&#44;5&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;002&#41;&#44; nacionalidad espa&#241;ola &#40;91 vs&#46; 77&#44;7&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y una menor barrera idiom&#225;tica &#40;0&#44;6 vs&#46; 10&#44;5&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; as&#237; como con una mayor puntuaci&#243;n en la escala de Barthel &#40;mayor independencia en las actividades b&#225;sicas de la vida diaria&#41; &#40;97&#44;4 vs&#46; 92&#44;9&#41; y en la escala de Lawton y Brody &#40;mayor independencia en las actividades instrumentales de la vida diaria&#41; &#40;7 vs&#46; 6&#44;1&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Ni la edad ni el sexo mostraron diferencias significativas en la elecci&#243;n de ambas t&#233;cnicas&#46; La proporci&#243;n de personas potencialmente trasplantables fue superior en el grupo que eligi&#243; DP frente a HD &#40;67&#44;1 vs&#46; 53&#44;5&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;005&#41;&#46; Las personas que eligieron DP ten&#237;an un FG significativamente superior que los que optaron por HD en el momento de la elecci&#243;n de la t&#233;cnica &#40;22&#44;7 vs&#46; 19&#44;9<span class="elsevierStyleHsp" style=""></span>ml&#47;min&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a> se muestra la comparativa entre los pacientes que eligieron TC frente al resto&#46; Los pacientes que optaron por TC eran significativamente de mayor edad &#40;81&#44;1 vs&#46; 67&#44;7 a&#241;os&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; m&#225;s dependientes &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; una mayor proporci&#243;n de mujeres &#40;49&#44;6 vs&#46; 35&#44;2&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;006&#41; y de nacionalidad espa&#241;ola &#40;94&#44;7 vs&#46; 81&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en comparaci&#243;n con las personas que eligieron alguna t&#233;cnica dial&#237;tica como modalidad de TRS&#46; El nivel socioecon&#243;mico no influy&#243; en la elecci&#243;n de TC&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a> se muestran las t&#233;cnicas elegidas comparadas con las t&#233;cnicas con las que iniciaron el tratamiento&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">Ante la perspectiva de que variables como la nacionalidad y la barrera idiom&#225;tica estuvieran relacionadas entre s&#237;&#44; se realizaron 2 an&#225;lisis multivariantes&#58; uno que inclu&#237;a la nacionalidad y otro que la exclu&#237;a&#46; Este an&#225;lisis mostr&#243; que el sexo masculino&#44; la nefropat&#237;a diab&#233;tica&#44; la nacionalidad espa&#241;ola y la mayor independencia en las actividades instrumentales de la vida diaria se asocian con la elecci&#243;n de DP de manera independiente del resto de las variables &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#41;&#46; Una vez excluida la nacionalidad&#44; la barrera idiom&#225;tica se asociaba de manera independiente con la elecci&#243;n de HD frente a DP &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabla 5</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><elsevierMultimedia ident="tbl0025"></elsevierMultimedia></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Discusi&#243;n</span><p id="par0085" class="elsevierStylePara elsevierViewall">El principal hallazgo de este estudio es que en las personas que viven en &#225;reas con un nivel socioecon&#243;mico alto&#44; la nacionalidad espa&#241;ola&#44; el mayor nivel de independencia en actividades b&#225;sicas e instrumentales de la vida diaria y la existencia de una barrera idiom&#225;tica favorecen la elecci&#243;n de la DP frente a la HD en el centro&#44; as&#237; como la edad&#44; el sexo y el grado de dependencia influyen en la elecci&#243;n del TC&#46; En el an&#225;lisis multivariante&#44; el sexo masculino&#44; la nacionalidad espa&#241;ola y la mayor independencia en las actividades instrumentales de la vida diaria se comportaron como variables independientes en la elecci&#243;n de DP&#44; y tener nefropat&#237;a diab&#233;tica favorec&#237;a la elecci&#243;n de HD en el centro&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Estos resultados muestran que algunas variables&#44; como la nacionalidad y la barrera idiom&#225;tica&#44; est&#225;n relacionadas entre s&#237;&#59; los pacientes extranjeros tienen una mayor probabilidad de presentar barrera idiom&#225;tica y es por ello que esta deja de ser significativa en el modelo multivariante que incluye la nacionalidad&#44; al igual que sucede con el nivel socioecon&#243;mico&#46; Su inclusi&#243;n en el modelo multivariante no mejora la predicci&#243;n porque&#44; probablemente&#44; la nacionalidad se correlaciona con el nivel socioecon&#243;mico&#46; Al excluir la nacionalidad en el modelo se observa como la barrera idiom&#225;tica se asocia de manera independiente a la elecci&#243;n de HD frente a DP&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Estos hallazgos confirman la conocida mayor incidencia&#44; prevalencia&#44; progresi&#243;n y complicaciones y menor supervivencia de la ERC en poblaciones socioecon&#243;micamente m&#225;s desfavorecidas<a class="elsevierStyleCrossRefs" href="#bib0245"><span class="elsevierStyleSup">17&#8211;19</span></a>&#46; En relaci&#243;n con la elecci&#243;n de la t&#233;cnica de TRS&#44; se ha descrito una menor utilizaci&#243;n de la DP en &#225;reas con bajos recursos<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">20</span></a>&#46; Solo un estudio realizado en Australia mostr&#243; m&#225;s probabilidades de usar la HD en el centro por pacientes de &#225;reas m&#225;s favorecidas econ&#243;micamente<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">21</span></a>&#46; Aunque hay estudios que ayudan a comprender la influencia de los gradientes socioecon&#243;micos en el estado de salud&#44; a&#250;n no se han desarrollado las pol&#237;ticas adecuadas para reducir estas desigualdades<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">22</span></a>&#46; Para ejercer una aut&#233;ntica atenci&#243;n centrada en la persona y que exista equidad en la toma de decisiones&#44; se deber&#237;an apoyar intervenciones adicionales que aborden el conocimiento&#44; la educaci&#243;n&#44; las actitudes&#44; las motivaciones&#44; las habilidades y los recursos de los pacientes y donde se atiendan espec&#237;ficamente aquellos d&#233;ficits detectados&#44; con equipos interdisciplinares que incluyan a los trabajadores sociales<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">23</span></a>&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Otro de los hallazgos de este estudio es la asociaci&#243;n entre personas migrantes y&#47;o con barrera idiom&#225;tica y la elecci&#243;n de la HD en el centro frente a la DP&#46; Se ha afirmado que la infrautilizaci&#243;n de la di&#225;lisis domiciliaria por parte de las minor&#237;as raciales&#47;&#233;tnicas<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">24</span></a> no puede explicarse &#250;nicamente por las diferencias de edad y el estado de salud<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">25</span></a>&#46; Existen barreras&#44; como las diferencias de idioma&#44; religi&#243;n&#44; niveles m&#225;s bajos de alfabetizaci&#243;n en salud o menos acceso a servicios e informaci&#243;n de atenci&#243;n m&#233;dica<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">26</span></a>&#44; que podr&#237;an originar estas desigualdades&#46; La barrera idiom&#225;tica puede incrementar la vulnerabilidad en la atenci&#243;n hospitalaria y crea un vac&#237;o en la libertad de elecci&#243;n de estas personas&#46; Es por ello que en el proceso de toma de decisiones sobre la modalidad de TRS deber&#237;an implementarse intervenciones personalizadas para superar estas barreras y conseguir as&#237; una toma de decisiones equitativa&#44; libre y adaptada a cada persona<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">27&#44;28</span></a>&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Tradicionalmente&#44; la dependencia funcional y&#47;o psicol&#243;gica ha restringido el uso de terapias domiciliarias&#46; En este estudio&#44; un mayor nivel de dependencia favorece la elecci&#243;n de HD en el centro frente a la DP&#46; La incorporaci&#243;n de programas de DP asistida podr&#237;a ser una alternativa a la HD en el centro para personas con mayor grado de dependencia que eligen esta t&#233;cnica&#44; en los que se ha demostrado una mejor calidad de vida relacionada con la salud<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">29</span></a>&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">En relaci&#243;n con la elecci&#243;n de TC&#44; los resultados alcanzados se muestran iguales a los que ofrece la literatura de referencia<a class="elsevierStyleCrossRefs" href="#bib0310"><span class="elsevierStyleSup">30&#44;31</span></a>&#44; destacando que las personas que optaron por esta alternativa eran significativamente mayores&#44; ten&#237;an un mayor deterioro funcional y hab&#237;a un mayor predominio de mujeres &#40;50&#37;&#41; que en el grupo que opt&#243; por realizar TRS &#40;30&#37;&#41;&#46; El sexo ha sido descrito como causa de inequidad en la atenci&#243;n sanitaria&#44; unas veces por factores biol&#243;gicos &#40;sexo&#41; y otras por factores culturales &#40;g&#233;nero&#41;&#46; Ser&#237;an necesarios estudios cualitativos para profundizar en estas diferencias por g&#233;nero en la elecci&#243;n de la t&#233;cnica&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Este estudio plantea varias limitaciones&#44; como son el car&#225;cter observacional&#47;retrospectivo del an&#225;lisis&#44; el afectar a un &#250;nico centro&#44; el no disponer de hemodi&#225;lisis domiciliaria entre las t&#233;cnicas ofertadas&#44; la ausencia de datos de comorbilidad y apoyo social&#44; y el dise&#241;o transversal del mismo&#44; que significa que los resultados se limitan a asociaciones y no a la causalidad&#46; Aunque existe la posibilidad de que la renta media de los distritos sanitarios difiera de la renta personal del paciente concreto&#44; es una medida aproximativa y ampliamente utilizada<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">15&#44;16</span></a>&#46; En futuros estudios se deber&#237;an analizar las circunstancias socioecon&#243;micas de esta poblaci&#243;n de forma individualizada &#40;pensiones contributivas&#44; no contributivas&#44; sin pensiones&#44; etc&#46;&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Adem&#225;s&#44; no se han considerado algunos factores que se han relacionado con la elecci&#243;n de TRS en ERCA&#44; como el grado de comorbilidad&#44; la capacidad de afrontamiento&#44; la fragilidad&#44; el ajuste de la modalidad con el estilo de vida&#44; la distancia al centro&#44; el nivel de estudios y la informaci&#243;n verbal y escrita sobre la modalidad<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">32</span></a>&#46; Estas limitaciones deben equilibrarse con las fortalezas de este estudio&#44; que incluye una cohorte de pacientes en ERCA que estudia por primera vez en nuestro pa&#237;s la influencia de factores sociodemogr&#225;ficos en la elecci&#243;n de la t&#233;cnica&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; los hallazgos alcanzados indican que a pesar de que el proceso de toma de decisiones est&#225; descrito y reglado&#44; existen factores&#44; muchas veces no contemplados&#44; que pueden afectar la equidad en la elecci&#243;n de la modalidad de TRS&#46; Tomar en cuenta las necesidades socioecon&#243;micas&#44; culturales y de dependencia de la poblaci&#243;n que atendemos es cada vez m&#225;s necesario para reducir efectivamente las inequidades en salud&#46; Es necesario abordar los estados de vulnerabilidad que afectan las opciones de TRS&#46; Lograr este imperativo requiere una intervenci&#243;n intersectorial y multinivel&#44; es decir&#44; con intervenci&#243;n del Tercer Sector de Acci&#243;n Social y las administraciones p&#250;blicas competentes&#44; que incluyan red hospitalaria&#44; primaria a trav&#233;s de gestores de casos y red sociosanitaria&#41;&#44; con equipos interdisciplinares que incluyan&#44; entre otros&#44; trabajadores sociales&#44; con el fin de identificar las necesidades concretas&#44; revisar las ayudas gubernamentales disponibles y la tramitaci&#243;n de las mismas adaptadas a la necesidad&#44; para brindar una evaluaci&#243;n hol&#237;stica y centrada en la persona&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Financiaci&#243;n</span><p id="par0130" class="elsevierStylePara elsevierViewall">Este manuscrito no ha recibido ninguna financiaci&#243;n&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Conflicto de intereses</span><p id="par0135" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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              "titulo" => "Metodolog&#237;a de la toma de decisiones"
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            1 => "Nivel socioecon&#243;mico"
            2 => "Factores demogr&#225;ficos"
            3 => "Toma de decisiones compartida"
            4 => "Terapia de reemplazo renal"
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            1 => "Socioeconomic status"
            2 => "Demographic factors"
            3 => "Shared decision-making"
            4 => "Renal replacement therapy"
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            6 => "Hemodialysis"
            7 => "Kidney transplantation"
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        "titulo" => "Resumen"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La influencia de los determinantes sociales de la salud en la elecci&#243;n de las t&#233;cnicas de tratamiento renal sustitutivo &#40;TRS&#41; en la enfermedad renal cr&#243;nica avanzada &#40;ERCA&#41; ha sido escasamente explorada&#44; pudiendo generar problemas de inequidad&#44; frecuentemente desapercibidos en la asistencia sanitaria&#46; El objetivo de este estudio es identificar las desigualdades sociales y econ&#243;micas que influyen en la elecci&#243;n de TRS en una consulta de ERCA en Espa&#241;a&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">An&#225;lisis retrospectivo incluyendo el total de pacientes atendidos en la consulta de ERCA en un hospital terciario desde 2009 a 2020&#46; La inclusi&#243;n en la consulta de ERCA comenzaba por un proceso de toma de decisiones&#44; conducido por una enfermera espec&#237;ficamente instruida&#46; Las variables consideradas para el estudio fueron&#58; edad&#44; sexo&#44; etiolog&#237;a de la ERC&#44; nivel de dependencia para las actividades b&#225;sicas de la vida diaria &#40;escala de Barthel&#41; y actividades instrumentales de la vida diaria &#40;escala de Lawton y Brody&#41;&#44; nacionalidad espa&#241;ola versus extranjera&#44; nivel socioecon&#243;mico y barrera idiom&#225;tica&#46; El nivel socioecon&#243;mico se extrapol&#243; seg&#250;n el domicilio y el distrito sanitario por centro de atenci&#243;n primaria al que pertenec&#237;an los pacientes&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Un total de 673 personas fueron atendidas en la consulta de ERCA en el periodo de estudio&#44; de los cuales 400 &#40;59&#44;4&#37;&#41; optaron por la t&#233;cnica de hemodi&#225;lisis &#40;HD&#41;&#44; 156 &#40;23&#44;1&#37;&#41; por di&#225;lisis peritoneal &#40;DP&#41;&#44; 4 &#40;0&#44;5&#37;&#41; por trasplante renal de donante vivo anticipado y 113 &#40;16&#44;7&#37;&#41; eligieron tratamiento conservador &#40;TC&#41;&#46; La elecci&#243;n de DP como t&#233;cnica de TRS elegida &#40;frente a HD&#41; se asoci&#243; a personas con nivel socioecon&#243;mico alto &#40;38&#44;7 vs&#46; 22&#44;5&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;002&#41;&#44; a la nacionalidad espa&#241;ola &#40;91 vs&#46; 77&#44;7&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; a una menor barrera idiom&#225;tica &#40;0&#44;6 vs&#46; 10&#44;5&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y a mayores puntuaciones en la escala de Barthel &#40;97&#44;4 vs&#46; 92&#44;9&#41; y la escala de Lawton y Brody &#40;7 vs&#46; 6&#44;1&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Ni la edad ni el sexo mostraron diferencias significativas en la elecci&#243;n de ambas t&#233;cnicas&#46; Los pacientes que optaron por TC eran significativamente de mayor edad &#40;81&#44;1 vs&#46; 67&#44;7 a&#241;os&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; m&#225;s dependientes &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; con una mayor proporci&#243;n de mujeres &#40;49&#44;6 vs&#46; 35&#44;2&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;006&#41; y de espa&#241;oles &#40;94&#44;7 vs&#46; 81&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; en relaci&#243;n con la elecci&#243;n de otras t&#233;cnicas &#40;DP y HD&#41;&#46; El nivel socioecon&#243;mico no influy&#243; en la elecci&#243;n de TC&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A pesar de que el proceso de toma de decisiones en la elecci&#243;n de TRS est&#225; reglado y estandarizado&#44; existen factores como la situaci&#243;n socioecon&#243;mica&#44; la migraci&#243;n&#44; la barrera idiom&#225;tica o la dependencia que influyen en el tipo de TRS elegido&#46; Para abordar estos aspectos que pueden ser causa de inequidad se requiere de una intervenci&#243;n intersectorial y multinivel con equipos interdisciplinares que incluyan&#44; entre otros&#44; trabajadores sociales&#44; para brindar una evaluaci&#243;n m&#225;s hol&#237;stica y centrada en la persona&#46;</p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The influence of socioeconomic and cultural barriers in the choice of renal replacement therapy &#40;RRT&#41; techniques in advanced chronic kidney disease &#40;ACKD&#41; has been scarcely explored&#44; which can generate problems of inequity&#44; frequently unnoticed in health care&#46; The aim of this study is to identify the &#8220;non-medical&#8221; barriers that influence the choice of RRT in an ACKD consultation in Spain&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective analysis including the total number of patients seen in the ACKD consultation in a tertiary hospital from 2009 to 2020&#46; Inclusion in the ACKD consultation began with an eligibility test and a decision-making process&#44; conducted by a specifically trained nurse&#46; The variables considered for the study were&#58; age&#44; sex&#44; etiology of CKD&#44; level of dependence for basic activities of daily living &#40;Barthel scale&#41; and instrumental activities of daily living &#40;Lawton and Brody scale&#41;&#44; Spanish versus foreign nationality&#44; socioeconomic level and language barrier&#46; The socioeconomic level was extrapolated according to home and health district by primary care center to which the patients belonged&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 673 persons were seen in the ACKD consultation during the study period&#44; of whom 400 &#40;59&#46;4&#37;&#41; opted for hemodialysis &#40;HD&#41;&#44; 156 &#40;23&#46;1&#37;&#41; for peritoneal dialysis &#40;PD&#41;&#44; 4 &#40;0&#46;5&#37;&#41; for early living donor renal transplantation and 113 &#40;16&#46;7&#37;&#41; chose conservative care &#40;CC&#41;&#46; The choice of PD as the chosen RRT technique &#40;vs&#46; HD&#41; was associated with people with a high socioeconomic level &#40;38&#46;7 vs&#46; 22&#46;5&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;002&#41;&#44; Spanish nationality &#40;91 vs&#46; 77&#46;7&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; to a lower language barrier &#40;0&#46;6 vs&#46; 10&#46;5&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; and to a higher score on the Barthel scale &#40;97&#46;4 vs&#46; 92&#46;9&#41; and on the Lawton and Brody scale &#40;7 vs&#46; 6&#46;1&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Neither age nor sex showed significant differences in the choice of both techniques&#46; Patients who opted for CC were significantly older &#40;81&#46;1 vs&#46; 67&#46;7 years&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; more dependent &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; with a higher proportion of women &#40;49&#46;6 vs&#46; 35&#46;2&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;006&#41; and a higher proportion of Spaniards &#40;94&#46;7 vs&#46; 81&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; in relation to the choice of other techniques &#40;PD and HD&#41;&#46; Socioeconomic level did not influence the choice of CC&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Despite a regulated decision-making process&#44; there are factors such as socioeconomic status&#44; migration&#44; language barrier and dependency of the population that influence the type of RRT chosen&#46; To address these aspects that may cause inequity&#44; an intersectoral and multilevel intervention is required with interdisciplinary teams that include&#44; among others&#44; social workers&#44; to provide a more holistic and person-centered assessment&#46;</p></span>"
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          "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Se han excluido los pacientes que eligieron tratamiento conservador y los que eligieron trasplante de vivo&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">DE&#58; desviaci&#243;n est&#225;ndar&#59; DP&#58; di&#225;lisis peritoneal&#59; ERCA&#58; enfermedad renal cr&#243;nica avanzada&#59; FG&#58; filtrado glomerular &#40;ml&#47;min&#41;&#59; HD&#58; hemodi&#225;lisis&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">DP&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">156&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Edad &#40;a&#241;os&#41;&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">68&#44;4 &#40;12&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">66&#44;1 &#40;14&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;068&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo &#40;hombre&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">360 &#40;64&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">254 &#40;63&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">106 &#40;67&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;375&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Enfermedad de base&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glomerulonefritis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51 &#40;9&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20 &#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a diab&#233;tica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">127 &#40;22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">110 &#40;27&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17 &#40;10&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a vascular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">137 &#40;24&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">98 &#40;24&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39 &#40;25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a tubulointersticial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53 &#40;9&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">47 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;3&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No filiada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">112 &#40;20&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">70 &#40;17&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42 &#40;26&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33 &#40;8&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19 &#40;12&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Poliquistosis renal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">24 &#40;4&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">31 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20 &#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nefropat&#237;a diab&#233;tica &#40;s&#237;&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">127 &#40;22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">110 &#40;27&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17 &#40;10&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de soporte&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">27&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;512&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Familiar&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">168 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">146 &#40;67&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22 &#40;81&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Formal o instituciones&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">18 &#40;7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 &#40;3&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Informal &#40;amigos&#44; vecinos&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;0&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sin soporte&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;22&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">51 &#40;23&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4 &#40;14&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nivel socioecon&#243;mico&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">431&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">320&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">111&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;002&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">173 &#40;40&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">141 &#40;44&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">32 &#40;28&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico medio-bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">143 &#40;33&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">107 &#40;33&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">36 &#40;32&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico medio-alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">115 &#40;26&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">72 &#40;22&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">43 &#40;38&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">672&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Enfermedad de base&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glomerulonefritis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a diab&#233;tica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">127 &#40;22&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a vascular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">172 &#40;25&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a tubulointersticial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No filiada&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">61 &#40;9&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Poliquistosis renal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Glomerular &#40;s&#237;&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">672&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;031&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nefropat&#237;a diab&#233;tica &#40;s&#237;&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">672&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">149 &#40;22&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22 &#40;19&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">127 &#40;22&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;526&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de soporte&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">285&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">39&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">246&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;161&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Familiar&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">203 &#40;71&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33 &#40;84&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">170 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Formal o instituciones&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">18 &#40;6&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">18 &#40;7&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Informal &#40;amigos&#44; vecinos&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;0&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;0&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sin soporte&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">62 &#40;21&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6 &#40;15&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">56 &#40;22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nivel socioecon&#243;mico&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">535&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">535&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">434&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;901&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">216 &#40;40&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">40 &#40;39&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">176 &#40;40&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico medio-bajo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">175 &#40;32&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">32 &#40;31&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">143 &#40;32&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico medio-alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">144 &#40;26&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">29 &#40;28&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">115 &#40;26&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Nacionalidad espa&#241;ola&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">671&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">559 &#40;83&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">107 &#40;94&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">452 &#40;81&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Barrera idiom&#225;tica&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">671&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">48 &#40;7&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5 &#40;4&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">43 &#40;7&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;301&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Puntuaci&#243;n en la escala de Barthel&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">609&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">91&#44;8 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">80&#44;6 &#40;18&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">94&#44;0 &#40;10&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Puntuaci&#243;n en la escala Lawton y Brody&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">610&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">6&#44;0 &#40;2&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;3 &#40;2&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;3 &#40;1&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">FG al inicio de ERCA &#40;ml&#47;min&#41;&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">673&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;9 &#40;6&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#44;2 &#40;7&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;7 &#40;6&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;038&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Meses en ERCA&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">673&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">30&#44;3 &#40;28&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#44;7 &#40;21&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&#44;1 &#40;29&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;141&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Factores sociodemogr&#225;ficos asociados a la elecci&#243;n de la modalidad de tratamiento conservador en ERCA</p>"
        ]
      ]
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          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">No se incluyen los pacientes fallecidos&#44; perdidos en consulta&#44; trasladados o que segu&#237;a activos en la consulta de enfermedad renal cr&#243;nica avanzada en el momento del an&#225;lisis&#46;</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">DP&#58; di&#225;lisis peritoneal&#59; HD&#58; hemodi&#225;lisis&#59; TR&#58; trasplante renal&#59; tto&#58; tratamiento&#46;</p>"
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                  <table border="0" frame="\n
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Tipo de tratamiento escogido&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">DP&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">HD&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">TR conservador&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">TR vivo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">673&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">113&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Tipo tto renal iniciado&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">276 &#40;41&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">74 &#40;47&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">197 &#40;49&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;1&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">3 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">DP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52 &#40;18&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">52 &#40;70&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">200 &#40;72&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;10&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">192 &#40;97&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;18&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;2&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab3595920.png"
              ]
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        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Comparativa del tipo de tratamiento que iniciaron los pacientes frente al tratamiento escogido &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>397&#41;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0020"
        "etiqueta" => "Tabla 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at4"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">N&#250;mero de pacientes incluidos en el an&#225;lisis&#58; 390 &#40;83 di&#225;lisis peritoneal y 307 hemodi&#225;lisis&#41;&#46;</p><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Se ha considerado que los de nacionalidad espa&#241;ola no tienen barrera idiom&#225;tica&#46;</p><p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">DE&#58; desviaci&#243;n est&#225;ndar&#59; ERCA&#58; enfermedad renal cr&#243;nica avanzada&#59; FG&#58; filtrado glomerular &#40;ml&#47;min&#41;&#59; IC&#58; intervalo de confianza&#59; OR&#58; odds ratio&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a> &#91;IC 95&#37;&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Edad &#40;a&#241;os&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#91;0&#44;95-1&#44;00&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;042&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sexo &#40;hombre&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;12 &#91;1&#44;18-3&#44;94&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nefropat&#237;a diab&#233;tica &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;38 &#91;0&#44;18-0&#44;76&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FG al inicio de ERCA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;04 &#91;0&#44;99-1&#44;09&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;083&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nivel socioecon&#243;mico medio-bajo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;08 &#91;0&#44;56-2&#44;08&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;827&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nivel socioecon&#243;mico medio-alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;59 &#91;0&#44;82-3&#44;11&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;174&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nacionalidad espa&#241;ola &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;44 &#91;1&#44;30-10&#44;39&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;019&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Barrera idiom&#225;tica &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;26 &#91;0&#44;01-1&#44;71&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;230&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Puntuaci&#243;n en la escala de Barthel&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#91;0&#44;96-1&#44;04&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;839&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Puntuaci&#243;n en la escala de Lawton y Brody&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;42 &#91;1&#44;14-1&#44;81&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Candidato a trasplante renal &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;34 &#91;0&#44;70-2&#44;58&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;383&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR &#91;IC 95&#37;&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">EDAD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#91;0&#44;96-1&#44;01&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;210&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SEXO hombre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;01 &#91;1&#44;12-3&#44;71&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;021&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nefropat&#237;a diab&#233;tica &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;36 &#91;0&#44;17-0&#44;72&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;006&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FGERCA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;05 &#91;1&#44;00-1&#44;10&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;046&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ABS2nivel socioecon&#243;mico intermedio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;19 &#91;0&#44;62-2&#44;27&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;606&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ABS2nivel socioecon&#243;mico alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;72 &#91;0&#44;89-3&#44;35&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;106&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Barrera idiom&#225;tica &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;10 &#91;0&#44;01-0&#44;52&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;029&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BARTHEL&nbsp;\t\t\t\t\t\t\n
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Original
Influencia de los determinantes sociales de la salud en la elección de tratamiento renal sustitutivo en la enfermedad renal crónica avanzada: necesidad de un enfoque multidisciplinar
Social determinants of health influencing the choice of dialysis modality in advanced chronic kidney disease: Need of an interdisciplinary approach
María Dolores Arenasa,b,
Autor para correspondencia
lola@olemiswebs.com

Autor para correspondencia.
, Marisol Fernández-Chamarrob, Guillermo Pedreira-Roblesb, Silvia Colladob, Julia Farrerab, Isabel Galceranb, Francesc Barbosab, Higini Caob, Alicia Morenoc, Laura Morroc, Jose Luis Fernández-Martind, Marta Crespob, Julio Pascualb
a Fundación Renal Íñigo Álvarez de Toledo, Madrid, España
b Department of Nephrology, Hospital del Mar, Hospital del Mar Medical Research Institute (IMIM), RD16/0009/0013 (ISCIII FEDER REDinREN), Barcelona, España
c Department of Social Work, Hospital del Mar, Hospital del Mar Medical Research Institute (IMIM), Barcelona, España
d Unidad de Gestión Clínica de Metabolismo Óseo, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), REDinREN (RD16/0009/0017) y RICORS2040 (RD21/0005/0019) del Instituto de Salud Carlos III, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
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incluido Espa&#241;a<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">4&#8211;6</span></a>&#46; El &#250;ltimo informe del Registro Espa&#241;ol de Enfermos Renales de 2020 muestra que&#44; al igual que el a&#241;o previo&#44; solo un 16&#37; de la poblaci&#243;n incidente en TRS elige DP&#44; mientras el 79&#44;5&#37; elige HD y un 4&#44;5&#37; recibe un trasplante renal &#40;TR&#41;&#44; mayoritariamente de donante vivo&#44; sin existir datos oficiales de elecci&#243;n de tratamiento conservador &#40;TC&#41;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">6</span></a>&#46; En esta baja utilizaci&#243;n de las t&#233;cnicas domiciliarias influyen diversos factores y se han planteado numerosas ideas para ayudar a minimizar las barreras para la adopci&#243;n y retenci&#243;n de estos tratamientos en el domicilio<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">7&#44;8</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Se conoce la influencia de los factores cl&#237;nicos en la elecci&#243;n de la t&#233;cnica&#44; como el n&#250;mero y la gravedad de las condiciones com&#243;rbidas<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">9</span></a>&#44; o aquellos que tienen que ver con los valores individuales de la persona que elige&#59; por ejemplo&#44; la necesidad de viajar o de independencia<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">10</span></a>&#46; Sin embargo&#44; la influencia en la elecci&#243;n de la t&#233;cnica de las barreras socioecon&#243;micas y culturales ha sido escasamente explorada&#44; pudiendo generar un problema de inequidad desapercibido en la asistencia sanitaria&#46; Desde la publicaci&#243;n en 1974 del informe Lalonde&#44; se conoce que los determinantes sociodemogr&#225;ficos&#44; econ&#243;micos y culturales explican m&#225;s del 75&#37; de los resultados de salud<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">11</span></a>&#44; por lo que se hace indispensable contemplar a la persona incluyendo su contexto para abordar necesidades y las actividades que nos planteamos con ella&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">El objetivo principal de este estudio fue identificar las barreras &#171;no m&#233;dicas&#187; que influyen en la elecci&#243;n de TRS&#44; como son los factores demogr&#225;ficos&#44; la etiolog&#237;a de la ERC&#44; los factores socioecon&#243;micos&#44; la nacionalidad o el idioma en una consulta de ERCA en un hospital terciario de Espa&#241;a&#46; Como variable secundaria se analiz&#243; el filtrado glomerular &#40;FG&#41; a su llegada a la consulta de ERCA y si eran o no potenciales candidatos a TR&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material y m&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Pacientes</span><p id="par0020" class="elsevierStylePara elsevierViewall">Se realiz&#243; un an&#225;lisis retrospectivo de 2009 a 2020 del total de los pacientes atendidos en la consulta de ERCA &#40;estadios 4 y 5&#41; &#40;tasa de FG estimada<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>30<span class="elsevierStyleHsp" style=""></span>ml&#47;min&#47;1&#44;73<span class="elsevierStyleHsp" style=""></span>m<span class="elsevierStyleSup">2</span>&#41; del Hospital del Mar&#44; en Barcelona &#40;Catalu&#241;a&#44; Espa&#241;a&#41;&#44; que hab&#237;an completado el proceso de deliberaci&#243;n y toma de decisiones&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Metodolog&#237;a de la toma de decisiones</span><p id="par0025" class="elsevierStylePara elsevierViewall">La inclusi&#243;n del paciente en la consulta de ERCA se iniciaba a trav&#233;s de una consulta de enfermer&#237;a&#44; que era la que llevaba a cabo el proceso de toma de decisiones&#44; y constaba de 3 visitas consecutivas&#44; divididas en 3 fases&#46; En una primera fase se exploraban los valores y preferencias del paciente mediante unas tarjetas de valores catalogadas como &#171;no importante&#187;&#44; &#171;algo importante&#187; y &#171;muy importante&#187;&#44; y de las cuales el paciente eleg&#237;a 2 muy importantes &#40;por ejemplo&#44; si un paciente eleg&#237;a &#171;ser independiente&#187; y &#171;temor a la sangre y a los pinchazos&#187; su posible opci&#243;n de tratamiento m&#225;s orientada a valores pod&#237;a ser la DP&#41;&#46; En una segunda fase se informaba acerca de las diferentes opciones disponibles con material audiovisual&#46; Finalmente&#44; en una tercera fase deliberativa&#44; el paciente tomaba la decisi&#243;n sobre su elecci&#243;n en la modalidad de TRS&#44; si se consideraba preparado&#46; Si optaban por la DP se mandaban a una consulta espec&#237;fica de esta t&#233;cnica con la enfermera y el m&#233;dico responsables de DP&#44; previa valoraci&#243;n cl&#237;nica para ver si la opci&#243;n era o no factible&#46; El resto de los pacientes que optaban por HD&#44; trasplante de vivo y TC se manten&#237;an en la consulta inicial&#46; En este trabajo solo se muestra el resultado final del proceso de toma de decisiones y la elecci&#243;n del paciente por una u otra t&#233;cnica con base en sus valores y preferencias espec&#237;ficas tras la consulta con enfermer&#237;a&#44; no el inicio en la t&#233;cnica&#44; por lo que no se consideraron aquellos pacientes que fueron excluidos de DP posteriormente por problemas m&#233;dicos<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">12</span></a>&#46; En el centro analizado no se dispon&#237;a de la posibilidad de elegir HD domiciliaria&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Variables</span><p id="par0030" class="elsevierStylePara elsevierViewall">Los datos demogr&#225;ficos y cl&#237;nicos se obtuvieron de la historia cl&#237;nica electr&#243;nica del centro de referencia&#46; Las variables consideradas para el estudio fueron&#58; edad&#44; sexo&#44; etiolog&#237;a de la ERC&#44; nivel de dependencia para las actividades b&#225;sicas de la vida diaria &#40;escala de Barthel&#41; y las actividades instrumentales de la vida diaria &#40;escala de Lawton y Brody&#41;&#44; nacionalidad &#40;espa&#241;ola vs&#46; extranjera&#41;&#44; nivel socioecon&#243;mico y barrera idiom&#225;tica &#40;aquellos pacientes con dificultad en la comunicaci&#243;n por no hablar ni entender el idioma&#41;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Otras variables registradas fueron el FG a su llegada a la consulta de ERCA y si eran potencialmente trasplantables seg&#250;n la opini&#243;n del nefr&#243;logo&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Instrumentos de medida</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Escala de Barthel</span><p id="par0040" class="elsevierStylePara elsevierViewall">La escala de Barthel<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">13</span></a> explora la independencia para las actividades b&#225;sicas de la vida diaria&#46; Son 10 las incluidas en el &#237;ndice original&#58; comer&#44; trasladarse entre la silla y la cama&#44; aseo personal&#44; uso del retrete&#44; ba&#241;arse o ducharse&#44; desplazarse &#40;andar en superficie lisa o en silla de ruedas&#41;&#44; subir o bajar escaleras&#44; vestirse o desvestirse&#44; control de heces y control de orina&#46; El rango de posibles valores de la escala de Barthel est&#225; entre 0 y 100&#44; con intervalos de 5 puntos para la versi&#243;n original&#46; Cuanto m&#225;s cerca de 0 est&#225; la puntuaci&#243;n de un sujeto&#44; m&#225;s dependencia tiene&#44; y cuanto m&#225;s cerca est&#225; de 100&#44; m&#225;s independencia&#46; Esta informaci&#243;n se obtiene preguntando directamente al individuo o a su cuidador principal&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Escala de Lawton y Brody</span><p id="par0045" class="elsevierStylePara elsevierViewall">La escala de Lawton y Brody<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">14</span></a> explora actividades instrumentales de la vida diaria&#46; Las incluidas son&#58; el uso del tel&#233;fono&#44; compras&#44; preparaci&#243;n de alimentos&#44; limpieza&#44; lavado&#44; viajes&#44; tomar medicamentos y manejar las finanzas&#46; Cada &#237;tem puede tener un valor num&#233;rico de 1 &#40;independiente&#41; a 0 &#40;dependiente&#41;&#46; La puntuaci&#243;n final es la suma del valor de todas las respuestas y oscila entre 0 &#40;m&#225;xima dependencia&#41; y 8 &#40;independencia total&#41;&#46; Esta informaci&#243;n se obtiene preguntando directamente al individuo o a su cuidador principal&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Evaluaci&#243;n del nivel socioecon&#243;mico</span><p id="par0050" class="elsevierStylePara elsevierViewall">El nivel socioecon&#243;mico se extrapol&#243; seg&#250;n el domicilio y el distrito sanitario por centro de atenci&#243;n primaria al que pertenec&#237;an los pacientes&#46; Los centros de atenci&#243;n primaria se clasificaron seg&#250;n su distrito correspondiente para obtener el recuento total de casos por distrito&#46; La informaci&#243;n m&#225;s reciente &#40;2017&#41; sobre la renta media de los distritos sanitarios se extrajo de los datos oficiales facilitados por el Ayuntamiento de Barcelona<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">15</span></a>&#46; La estimaci&#243;n utilizada fue la renta familiar per c&#225;pita&#44; que considera la renta disponible para el consumo y el ahorro acumulado por persona&#46; Posteriormente&#44; y con el objetivo de simplificar el an&#225;lisis&#44; resumimos y agrupamos las puntuaciones de acuerdo con el nivel socioecon&#243;mico del distrito en el que habitan<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">16</span></a>&#46; De esta manera&#44; los pacientes fueron clasificados en 3 grupos de nivel socioecon&#243;mico&#58; bajo&#44; medio-bajo y medio-alto&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">An&#225;lisis estad&#237;stico</span><p id="par0055" class="elsevierStylePara elsevierViewall">Las variables num&#233;ricas se describieron con la media y la desviaci&#243;n est&#225;ndar&#44; mientras que las variables categ&#243;ricas se describieron con el n&#250;mero y porcentaje de sujetos&#46; Las comparaciones entre grupos se realizaron con la prueba t de Student para variables continuas y la prueba de chi-cuadrado para variables categ&#243;ricas&#46; Se realiz&#243; adem&#225;s un an&#225;lisis multivariante mediante regresi&#243;n log&#237;stica binaria para evaluar qu&#233; factores se asociaron de manera independiente con la toma de decisiones y la elecci&#243;n entre HD y DP&#46; En el an&#225;lisis multivariante&#44; la variable dependiente fue DP versus HD y las variables incluidas en el modelo fueron edad&#44; sexo&#44; nefropat&#237;a diab&#233;tica&#44; FG al inicio de ERCA&#44; nivel socioecon&#243;mico&#44; nacionalidad&#44; barrera idiom&#225;tica&#44; &#237;ndice de Barthel&#44; &#237;ndice de Lawton y Brody y candidatura a TR&#46; Todos los an&#225;lisis estad&#237;sticos se realizaron utilizando el paquete estad&#237;stico R versi&#243;n 4&#46;0&#46;4 &#40;R Foundation for Statistical Computing&#44; Viena&#44; Austria&#41;&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Consideraciones &#233;ticas</span><p id="par0060" class="elsevierStylePara elsevierViewall">Este an&#225;lisis sigui&#243; las regulaciones de la ley de la Uni&#243;n Europea sobre protecci&#243;n de datos y privacidad para todas las personas dentro de la Uni&#243;n Europea &#40;GDPR&#47;2018&#41;&#44; y la Declaraci&#243;n de Helsinki sobre principios &#233;ticos para la investigaci&#243;n m&#233;dica con seres humanos&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Resultados</span><p id="par0065" class="elsevierStylePara elsevierViewall">Un total de 673 personas con ERC estadio 4 o 5 fueron atendidas en la consulta de ERCA en el periodo de estudio&#44; de las cuales 400 &#40;59&#44;4&#37;&#41; optaron por la t&#233;cnica de HD&#44; 156 &#40;23&#44;1&#37;&#41; por DP&#44; 4 &#40;0&#44;5&#37;&#41; por TR de vivo y 113 &#40;16&#44;7&#37;&#41; por TC&#46; En la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a> se muestra la comparativa entre las personas que eligieron las 2 modalidades dial&#237;ticas &#40;HD en el centro vs&#46; DP&#41; junto con los factores sociodemogr&#225;ficos asociados a la elecci&#243;n de los diferentes tratamientos&#46; La elecci&#243;n de DP como t&#233;cnica de TRS &#40;frente a HD&#41; se asoci&#243; con un nivel socioecon&#243;mico medio-alto &#40;38&#44;7 vs&#46; 22&#44;5&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;002&#41;&#44; nacionalidad espa&#241;ola &#40;91 vs&#46; 77&#44;7&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y una menor barrera idiom&#225;tica &#40;0&#44;6 vs&#46; 10&#44;5&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; as&#237; como con una mayor puntuaci&#243;n en la escala de Barthel &#40;mayor independencia en las actividades b&#225;sicas de la vida diaria&#41; &#40;97&#44;4 vs&#46; 92&#44;9&#41; y en la escala de Lawton y Brody &#40;mayor independencia en las actividades instrumentales de la vida diaria&#41; &#40;7 vs&#46; 6&#44;1&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Ni la edad ni el sexo mostraron diferencias significativas en la elecci&#243;n de ambas t&#233;cnicas&#46; La proporci&#243;n de personas potencialmente trasplantables fue superior en el grupo que eligi&#243; DP frente a HD &#40;67&#44;1 vs&#46; 53&#44;5&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;005&#41;&#46; Las personas que eligieron DP ten&#237;an un FG significativamente superior que los que optaron por HD en el momento de la elecci&#243;n de la t&#233;cnica &#40;22&#44;7 vs&#46; 19&#44;9<span class="elsevierStyleHsp" style=""></span>ml&#47;min&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a> se muestra la comparativa entre los pacientes que eligieron TC frente al resto&#46; Los pacientes que optaron por TC eran significativamente de mayor edad &#40;81&#44;1 vs&#46; 67&#44;7 a&#241;os&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; m&#225;s dependientes &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; una mayor proporci&#243;n de mujeres &#40;49&#44;6 vs&#46; 35&#44;2&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;006&#41; y de nacionalidad espa&#241;ola &#40;94&#44;7 vs&#46; 81&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; en comparaci&#243;n con las personas que eligieron alguna t&#233;cnica dial&#237;tica como modalidad de TRS&#46; El nivel socioecon&#243;mico no influy&#243; en la elecci&#243;n de TC&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a> se muestran las t&#233;cnicas elegidas comparadas con las t&#233;cnicas con las que iniciaron el tratamiento&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">Ante la perspectiva de que variables como la nacionalidad y la barrera idiom&#225;tica estuvieran relacionadas entre s&#237;&#44; se realizaron 2 an&#225;lisis multivariantes&#58; uno que inclu&#237;a la nacionalidad y otro que la exclu&#237;a&#46; Este an&#225;lisis mostr&#243; que el sexo masculino&#44; la nefropat&#237;a diab&#233;tica&#44; la nacionalidad espa&#241;ola y la mayor independencia en las actividades instrumentales de la vida diaria se asocian con la elecci&#243;n de DP de manera independiente del resto de las variables &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#41;&#46; Una vez excluida la nacionalidad&#44; la barrera idiom&#225;tica se asociaba de manera independiente con la elecci&#243;n de HD frente a DP &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabla 5</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><elsevierMultimedia ident="tbl0025"></elsevierMultimedia></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Discusi&#243;n</span><p id="par0085" class="elsevierStylePara elsevierViewall">El principal hallazgo de este estudio es que en las personas que viven en &#225;reas con un nivel socioecon&#243;mico alto&#44; la nacionalidad espa&#241;ola&#44; el mayor nivel de independencia en actividades b&#225;sicas e instrumentales de la vida diaria y la existencia de una barrera idiom&#225;tica favorecen la elecci&#243;n de la DP frente a la HD en el centro&#44; as&#237; como la edad&#44; el sexo y el grado de dependencia influyen en la elecci&#243;n del TC&#46; En el an&#225;lisis multivariante&#44; el sexo masculino&#44; la nacionalidad espa&#241;ola y la mayor independencia en las actividades instrumentales de la vida diaria se comportaron como variables independientes en la elecci&#243;n de DP&#44; y tener nefropat&#237;a diab&#233;tica favorec&#237;a la elecci&#243;n de HD en el centro&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Estos resultados muestran que algunas variables&#44; como la nacionalidad y la barrera idiom&#225;tica&#44; est&#225;n relacionadas entre s&#237;&#59; los pacientes extranjeros tienen una mayor probabilidad de presentar barrera idiom&#225;tica y es por ello que esta deja de ser significativa en el modelo multivariante que incluye la nacionalidad&#44; al igual que sucede con el nivel socioecon&#243;mico&#46; Su inclusi&#243;n en el modelo multivariante no mejora la predicci&#243;n porque&#44; probablemente&#44; la nacionalidad se correlaciona con el nivel socioecon&#243;mico&#46; Al excluir la nacionalidad en el modelo se observa como la barrera idiom&#225;tica se asocia de manera independiente a la elecci&#243;n de HD frente a DP&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Estos hallazgos confirman la conocida mayor incidencia&#44; prevalencia&#44; progresi&#243;n y complicaciones y menor supervivencia de la ERC en poblaciones socioecon&#243;micamente m&#225;s desfavorecidas<a class="elsevierStyleCrossRefs" href="#bib0245"><span class="elsevierStyleSup">17&#8211;19</span></a>&#46; En relaci&#243;n con la elecci&#243;n de la t&#233;cnica de TRS&#44; se ha descrito una menor utilizaci&#243;n de la DP en &#225;reas con bajos recursos<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">20</span></a>&#46; Solo un estudio realizado en Australia mostr&#243; m&#225;s probabilidades de usar la HD en el centro por pacientes de &#225;reas m&#225;s favorecidas econ&#243;micamente<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">21</span></a>&#46; Aunque hay estudios que ayudan a comprender la influencia de los gradientes socioecon&#243;micos en el estado de salud&#44; a&#250;n no se han desarrollado las pol&#237;ticas adecuadas para reducir estas desigualdades<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">22</span></a>&#46; Para ejercer una aut&#233;ntica atenci&#243;n centrada en la persona y que exista equidad en la toma de decisiones&#44; se deber&#237;an apoyar intervenciones adicionales que aborden el conocimiento&#44; la educaci&#243;n&#44; las actitudes&#44; las motivaciones&#44; las habilidades y los recursos de los pacientes y donde se atiendan espec&#237;ficamente aquellos d&#233;ficits detectados&#44; con equipos interdisciplinares que incluyan a los trabajadores sociales<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">23</span></a>&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Otro de los hallazgos de este estudio es la asociaci&#243;n entre personas migrantes y&#47;o con barrera idiom&#225;tica y la elecci&#243;n de la HD en el centro frente a la DP&#46; Se ha afirmado que la infrautilizaci&#243;n de la di&#225;lisis domiciliaria por parte de las minor&#237;as raciales&#47;&#233;tnicas<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">24</span></a> no puede explicarse &#250;nicamente por las diferencias de edad y el estado de salud<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">25</span></a>&#46; Existen barreras&#44; como las diferencias de idioma&#44; religi&#243;n&#44; niveles m&#225;s bajos de alfabetizaci&#243;n en salud o menos acceso a servicios e informaci&#243;n de atenci&#243;n m&#233;dica<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">26</span></a>&#44; que podr&#237;an originar estas desigualdades&#46; La barrera idiom&#225;tica puede incrementar la vulnerabilidad en la atenci&#243;n hospitalaria y crea un vac&#237;o en la libertad de elecci&#243;n de estas personas&#46; Es por ello que en el proceso de toma de decisiones sobre la modalidad de TRS deber&#237;an implementarse intervenciones personalizadas para superar estas barreras y conseguir as&#237; una toma de decisiones equitativa&#44; libre y adaptada a cada persona<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">27&#44;28</span></a>&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Tradicionalmente&#44; la dependencia funcional y&#47;o psicol&#243;gica ha restringido el uso de terapias domiciliarias&#46; En este estudio&#44; un mayor nivel de dependencia favorece la elecci&#243;n de HD en el centro frente a la DP&#46; La incorporaci&#243;n de programas de DP asistida podr&#237;a ser una alternativa a la HD en el centro para personas con mayor grado de dependencia que eligen esta t&#233;cnica&#44; en los que se ha demostrado una mejor calidad de vida relacionada con la salud<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">29</span></a>&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">En relaci&#243;n con la elecci&#243;n de TC&#44; los resultados alcanzados se muestran iguales a los que ofrece la literatura de referencia<a class="elsevierStyleCrossRefs" href="#bib0310"><span class="elsevierStyleSup">30&#44;31</span></a>&#44; destacando que las personas que optaron por esta alternativa eran significativamente mayores&#44; ten&#237;an un mayor deterioro funcional y hab&#237;a un mayor predominio de mujeres &#40;50&#37;&#41; que en el grupo que opt&#243; por realizar TRS &#40;30&#37;&#41;&#46; El sexo ha sido descrito como causa de inequidad en la atenci&#243;n sanitaria&#44; unas veces por factores biol&#243;gicos &#40;sexo&#41; y otras por factores culturales &#40;g&#233;nero&#41;&#46; Ser&#237;an necesarios estudios cualitativos para profundizar en estas diferencias por g&#233;nero en la elecci&#243;n de la t&#233;cnica&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Este estudio plantea varias limitaciones&#44; como son el car&#225;cter observacional&#47;retrospectivo del an&#225;lisis&#44; el afectar a un &#250;nico centro&#44; el no disponer de hemodi&#225;lisis domiciliaria entre las t&#233;cnicas ofertadas&#44; la ausencia de datos de comorbilidad y apoyo social&#44; y el dise&#241;o transversal del mismo&#44; que significa que los resultados se limitan a asociaciones y no a la causalidad&#46; Aunque existe la posibilidad de que la renta media de los distritos sanitarios difiera de la renta personal del paciente concreto&#44; es una medida aproximativa y ampliamente utilizada<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">15&#44;16</span></a>&#46; En futuros estudios se deber&#237;an analizar las circunstancias socioecon&#243;micas de esta poblaci&#243;n de forma individualizada &#40;pensiones contributivas&#44; no contributivas&#44; sin pensiones&#44; etc&#46;&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Adem&#225;s&#44; no se han considerado algunos factores que se han relacionado con la elecci&#243;n de TRS en ERCA&#44; como el grado de comorbilidad&#44; la capacidad de afrontamiento&#44; la fragilidad&#44; el ajuste de la modalidad con el estilo de vida&#44; la distancia al centro&#44; el nivel de estudios y la informaci&#243;n verbal y escrita sobre la modalidad<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">32</span></a>&#46; Estas limitaciones deben equilibrarse con las fortalezas de este estudio&#44; que incluye una cohorte de pacientes en ERCA que estudia por primera vez en nuestro pa&#237;s la influencia de factores sociodemogr&#225;ficos en la elecci&#243;n de la t&#233;cnica&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">En conclusi&#243;n&#44; los hallazgos alcanzados indican que a pesar de que el proceso de toma de decisiones est&#225; descrito y reglado&#44; existen factores&#44; muchas veces no contemplados&#44; que pueden afectar la equidad en la elecci&#243;n de la modalidad de TRS&#46; Tomar en cuenta las necesidades socioecon&#243;micas&#44; culturales y de dependencia de la poblaci&#243;n que atendemos es cada vez m&#225;s necesario para reducir efectivamente las inequidades en salud&#46; Es necesario abordar los estados de vulnerabilidad que afectan las opciones de TRS&#46; Lograr este imperativo requiere una intervenci&#243;n intersectorial y multinivel&#44; es decir&#44; con intervenci&#243;n del Tercer Sector de Acci&#243;n Social y las administraciones p&#250;blicas competentes&#44; que incluyan red hospitalaria&#44; primaria a trav&#233;s de gestores de casos y red sociosanitaria&#41;&#44; con equipos interdisciplinares que incluyan&#44; entre otros&#44; trabajadores sociales&#44; con el fin de identificar las necesidades concretas&#44; revisar las ayudas gubernamentales disponibles y la tramitaci&#243;n de las mismas adaptadas a la necesidad&#44; para brindar una evaluaci&#243;n hol&#237;stica y centrada en la persona&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Financiaci&#243;n</span><p id="par0130" class="elsevierStylePara elsevierViewall">Este manuscrito no ha recibido ninguna financiaci&#243;n&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Conflicto de intereses</span><p id="par0135" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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              "titulo" => "An&#225;lisis estad&#237;stico"
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            1 => "Nivel socioecon&#243;mico"
            2 => "Factores demogr&#225;ficos"
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            1 => "Socioeconomic status"
            2 => "Demographic factors"
            3 => "Shared decision-making"
            4 => "Renal replacement therapy"
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        "titulo" => "Resumen"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La influencia de los determinantes sociales de la salud en la elecci&#243;n de las t&#233;cnicas de tratamiento renal sustitutivo &#40;TRS&#41; en la enfermedad renal cr&#243;nica avanzada &#40;ERCA&#41; ha sido escasamente explorada&#44; pudiendo generar problemas de inequidad&#44; frecuentemente desapercibidos en la asistencia sanitaria&#46; El objetivo de este estudio es identificar las desigualdades sociales y econ&#243;micas que influyen en la elecci&#243;n de TRS en una consulta de ERCA en Espa&#241;a&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">An&#225;lisis retrospectivo incluyendo el total de pacientes atendidos en la consulta de ERCA en un hospital terciario desde 2009 a 2020&#46; La inclusi&#243;n en la consulta de ERCA comenzaba por un proceso de toma de decisiones&#44; conducido por una enfermera espec&#237;ficamente instruida&#46; Las variables consideradas para el estudio fueron&#58; edad&#44; sexo&#44; etiolog&#237;a de la ERC&#44; nivel de dependencia para las actividades b&#225;sicas de la vida diaria &#40;escala de Barthel&#41; y actividades instrumentales de la vida diaria &#40;escala de Lawton y Brody&#41;&#44; nacionalidad espa&#241;ola versus extranjera&#44; nivel socioecon&#243;mico y barrera idiom&#225;tica&#46; El nivel socioecon&#243;mico se extrapol&#243; seg&#250;n el domicilio y el distrito sanitario por centro de atenci&#243;n primaria al que pertenec&#237;an los pacientes&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Un total de 673 personas fueron atendidas en la consulta de ERCA en el periodo de estudio&#44; de los cuales 400 &#40;59&#44;4&#37;&#41; optaron por la t&#233;cnica de hemodi&#225;lisis &#40;HD&#41;&#44; 156 &#40;23&#44;1&#37;&#41; por di&#225;lisis peritoneal &#40;DP&#41;&#44; 4 &#40;0&#44;5&#37;&#41; por trasplante renal de donante vivo anticipado y 113 &#40;16&#44;7&#37;&#41; eligieron tratamiento conservador &#40;TC&#41;&#46; La elecci&#243;n de DP como t&#233;cnica de TRS elegida &#40;frente a HD&#41; se asoci&#243; a personas con nivel socioecon&#243;mico alto &#40;38&#44;7 vs&#46; 22&#44;5&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;002&#41;&#44; a la nacionalidad espa&#241;ola &#40;91 vs&#46; 77&#44;7&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; a una menor barrera idiom&#225;tica &#40;0&#44;6 vs&#46; 10&#44;5&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y a mayores puntuaciones en la escala de Barthel &#40;97&#44;4 vs&#46; 92&#44;9&#41; y la escala de Lawton y Brody &#40;7 vs&#46; 6&#44;1&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Ni la edad ni el sexo mostraron diferencias significativas en la elecci&#243;n de ambas t&#233;cnicas&#46; Los pacientes que optaron por TC eran significativamente de mayor edad &#40;81&#44;1 vs&#46; 67&#44;7 a&#241;os&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; m&#225;s dependientes &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; con una mayor proporci&#243;n de mujeres &#40;49&#44;6 vs&#46; 35&#44;2&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;006&#41; y de espa&#241;oles &#40;94&#44;7 vs&#46; 81&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; en relaci&#243;n con la elecci&#243;n de otras t&#233;cnicas &#40;DP y HD&#41;&#46; El nivel socioecon&#243;mico no influy&#243; en la elecci&#243;n de TC&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A pesar de que el proceso de toma de decisiones en la elecci&#243;n de TRS est&#225; reglado y estandarizado&#44; existen factores como la situaci&#243;n socioecon&#243;mica&#44; la migraci&#243;n&#44; la barrera idiom&#225;tica o la dependencia que influyen en el tipo de TRS elegido&#46; Para abordar estos aspectos que pueden ser causa de inequidad se requiere de una intervenci&#243;n intersectorial y multinivel con equipos interdisciplinares que incluyan&#44; entre otros&#44; trabajadores sociales&#44; para brindar una evaluaci&#243;n m&#225;s hol&#237;stica y centrada en la persona&#46;</p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The influence of socioeconomic and cultural barriers in the choice of renal replacement therapy &#40;RRT&#41; techniques in advanced chronic kidney disease &#40;ACKD&#41; has been scarcely explored&#44; which can generate problems of inequity&#44; frequently unnoticed in health care&#46; The aim of this study is to identify the &#8220;non-medical&#8221; barriers that influence the choice of RRT in an ACKD consultation in Spain&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective analysis including the total number of patients seen in the ACKD consultation in a tertiary hospital from 2009 to 2020&#46; Inclusion in the ACKD consultation began with an eligibility test and a decision-making process&#44; conducted by a specifically trained nurse&#46; The variables considered for the study were&#58; age&#44; sex&#44; etiology of CKD&#44; level of dependence for basic activities of daily living &#40;Barthel scale&#41; and instrumental activities of daily living &#40;Lawton and Brody scale&#41;&#44; Spanish versus foreign nationality&#44; socioeconomic level and language barrier&#46; The socioeconomic level was extrapolated according to home and health district by primary care center to which the patients belonged&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 673 persons were seen in the ACKD consultation during the study period&#44; of whom 400 &#40;59&#46;4&#37;&#41; opted for hemodialysis &#40;HD&#41;&#44; 156 &#40;23&#46;1&#37;&#41; for peritoneal dialysis &#40;PD&#41;&#44; 4 &#40;0&#46;5&#37;&#41; for early living donor renal transplantation and 113 &#40;16&#46;7&#37;&#41; chose conservative care &#40;CC&#41;&#46; The choice of PD as the chosen RRT technique &#40;vs&#46; HD&#41; was associated with people with a high socioeconomic level &#40;38&#46;7 vs&#46; 22&#46;5&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;002&#41;&#44; Spanish nationality &#40;91 vs&#46; 77&#46;7&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; to a lower language barrier &#40;0&#46;6 vs&#46; 10&#46;5&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; and to a higher score on the Barthel scale &#40;97&#46;4 vs&#46; 92&#46;9&#41; and on the Lawton and Brody scale &#40;7 vs&#46; 6&#46;1&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Neither age nor sex showed significant differences in the choice of both techniques&#46; Patients who opted for CC were significantly older &#40;81&#46;1 vs&#46; 67&#46;7 years&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; more dependent &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#44; with a higher proportion of women &#40;49&#46;6 vs&#46; 35&#46;2&#37;&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;006&#41; and a higher proportion of Spaniards &#40;94&#46;7 vs&#46; 81&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41; in relation to the choice of other techniques &#40;PD and HD&#41;&#46; Socioeconomic level did not influence the choice of CC&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Despite a regulated decision-making process&#44; there are factors such as socioeconomic status&#44; migration&#44; language barrier and dependency of the population that influence the type of RRT chosen&#46; To address these aspects that may cause inequity&#44; an intersectoral and multilevel intervention is required with interdisciplinary teams that include&#44; among others&#44; social workers&#44; to provide a more holistic and person-centered assessment&#46;</p></span>"
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          "leyenda" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Se han excluido los pacientes que eligieron tratamiento conservador y los que eligieron trasplante de vivo&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">DE&#58; desviaci&#243;n est&#225;ndar&#59; DP&#58; di&#225;lisis peritoneal&#59; ERCA&#58; enfermedad renal cr&#243;nica avanzada&#59; FG&#58; filtrado glomerular &#40;ml&#47;min&#41;&#59; HD&#58; hemodi&#225;lisis&#46;</p>"
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">HD&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">DP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">N</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">400&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">156&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Edad &#40;a&#241;os&#41;&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">67&#44;8 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">68&#44;4 &#40;12&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">66&#44;1 &#40;14&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;068&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Sexo &#40;hombre&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">360 &#40;64&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">254 &#40;63&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">106 &#40;67&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;375&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Enfermedad de base&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">556&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">400&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glomerulonefritis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">51 &#40;9&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">31 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20 &#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a diab&#233;tica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">127 &#40;22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">110 &#40;27&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17 &#40;10&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a vascular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">137 &#40;24&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">98 &#40;24&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">39 &#40;25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a tubulointersticial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">53 &#40;9&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">47 &#40;11&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6 &#40;3&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No filiada&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">112 &#40;20&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">70 &#40;17&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">42 &#40;26&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">52 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33 &#40;8&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">19 &#40;12&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Poliquistosis renal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">24 &#40;4&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11 &#40;2&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">13 &#40;8&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">51 &#40;9&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">31 &#40;7&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20 &#40;12&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nefropat&#237;a diab&#233;tica &#40;s&#237;&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">127 &#40;22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">110 &#40;27&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17 &#40;10&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de soporte&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">27&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;512&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Familiar&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">168 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">146 &#40;67&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22 &#40;81&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Formal o instituciones&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">18 &#40;7&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17 &#40;7&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 &#40;3&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Informal &#40;amigos&#44; vecinos&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;0&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sin soporte&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">55 &#40;22&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">51 &#40;23&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4 &#40;14&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nivel socioecon&#243;mico&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">431&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">320&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">111&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;002&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">173 &#40;40&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">141 &#40;44&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">32 &#40;28&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico medio-bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">143 &#40;33&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">107 &#40;33&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">36 &#40;32&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico medio-alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">115 &#40;26&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">72 &#40;22&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">43 &#40;38&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Nacionalidad espa&#241;ola&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">555&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Enfermedad de base&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Glomerulonefritis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a diab&#233;tica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a vascular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a tubulointersticial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No filiada&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Poliquistosis renal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 &#40;0&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Glomerular &#40;s&#237;&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">672&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3 &#40;2&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nefropat&#237;a diab&#233;tica &#40;s&#237;&#41;&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">672&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">149 &#40;22&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">127 &#40;22&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;526&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de soporte&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Familiar&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">203 &#40;71&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33 &#40;84&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">170 &#40;69&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Formal o instituciones&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">18 &#40;6&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">18 &#40;7&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Informal &#40;amigos&#44; vecinos&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;0&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2 &#40;0&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sin soporte&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">62 &#40;21&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6 &#40;15&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">56 &#40;22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Nivel socioecon&#243;mico&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">535&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">535&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">434&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;901&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">216 &#40;40&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">40 &#40;39&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">176 &#40;40&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico medio-bajo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">175 &#40;32&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">32 &#40;31&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">143 &#40;32&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Nivel socioecon&#243;mico medio-alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">144 &#40;26&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">29 &#40;28&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">115 &#40;26&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Nacionalidad espa&#241;ola&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">671&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">559 &#40;83&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">107 &#40;94&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">452 &#40;81&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Barrera idiom&#225;tica&#44; n &#40;&#37;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">671&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">48 &#40;7&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5 &#40;4&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">43 &#40;7&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;301&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Puntuaci&#243;n en la escala de Barthel&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">609&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">91&#44;8 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">80&#44;6 &#40;18&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">94&#44;0 &#40;10&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Puntuaci&#243;n en la escala Lawton y Brody&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">610&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#44;0 &#40;2&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4&#44;3 &#40;2&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#44;3 &#40;1&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">FG al inicio de ERCA &#40;ml&#47;min&#41;&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">673&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;9 &#40;6&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#44;2 &#40;7&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;7 &#40;6&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;038&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Meses en ERCA&#44; media &#40;DE&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">673&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">30&#44;3 &#40;28&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#44;7 &#40;21&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&#44;1 &#40;29&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;141&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Factores sociodemogr&#225;ficos asociados a la elecci&#243;n de la modalidad de tratamiento conservador en ERCA</p>"
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          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">No se incluyen los pacientes fallecidos&#44; perdidos en consulta&#44; trasladados o que segu&#237;a activos en la consulta de enfermedad renal cr&#243;nica avanzada en el momento del an&#225;lisis&#46;</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">DP&#58; di&#225;lisis peritoneal&#59; HD&#58; hemodi&#225;lisis&#59; TR&#58; trasplante renal&#59; tto&#58; tratamiento&#46;</p>"
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                  <table border="0" frame="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Tipo de tratamiento escogido&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">DP&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">HD&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">TR conservador&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">TR vivo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">N&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">673&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">113&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Tipo tto renal iniciado&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">276 &#40;41&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">74 &#40;47&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">197 &#40;49&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2 &#40;1&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">3 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">DP&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52 &#40;18&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">52 &#40;70&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">200 &#40;72&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;10&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">192 &#40;97&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">TR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;8&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;18&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;2&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "descripcion" => array:1 [
          "es" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Comparativa del tipo de tratamiento que iniciaron los pacientes frente al tratamiento escogido &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>397&#41;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0020"
        "etiqueta" => "Tabla 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at4"
            "detalle" => "Tabla "
            "rol" => "short"
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        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">N&#250;mero de pacientes incluidos en el an&#225;lisis&#58; 390 &#40;83 di&#225;lisis peritoneal y 307 hemodi&#225;lisis&#41;&#46;</p><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Se ha considerado que los de nacionalidad espa&#241;ola no tienen barrera idiom&#225;tica&#46;</p><p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">DE&#58; desviaci&#243;n est&#225;ndar&#59; ERCA&#58; enfermedad renal cr&#243;nica avanzada&#59; FG&#58; filtrado glomerular &#40;ml&#47;min&#41;&#59; IC&#58; intervalo de confianza&#59; OR&#58; odds ratio&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a> &#91;IC 95&#37;&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Edad &#40;a&#241;os&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97 &#91;0&#44;95-1&#44;00&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;042&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sexo &#40;hombre&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;12 &#91;1&#44;18-3&#44;94&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nefropat&#237;a diab&#233;tica &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;38 &#91;0&#44;18-0&#44;76&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FG al inicio de ERCA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;04 &#91;0&#44;99-1&#44;09&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;083&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nivel socioecon&#243;mico medio-bajo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;08 &#91;0&#44;56-2&#44;08&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;827&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nivel socioecon&#243;mico medio-alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;59 &#91;0&#44;82-3&#44;11&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;174&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nacionalidad espa&#241;ola &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;44 &#91;1&#44;30-10&#44;39&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;019&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Barrera idiom&#225;tica &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;26 &#91;0&#44;01-1&#44;71&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;230&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Puntuaci&#243;n en la escala de Barthel&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#91;0&#44;96-1&#44;04&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;839&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Puntuaci&#243;n en la escala de Lawton y Brody&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;42 &#91;1&#44;14-1&#44;81&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Candidato a trasplante renal &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;34 &#91;0&#44;70-2&#44;58&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;383&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">OR &#91;IC 95&#37;&#93;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;98 &#91;0&#44;96-1&#44;01&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;210&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">SEXO hombre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;01 &#91;1&#44;12-3&#44;71&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;021&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nefropat&#237;a diab&#233;tica &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;36 &#91;0&#44;17-0&#44;72&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;006&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FGERCA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;05 &#91;1&#44;00-1&#44;10&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;046&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ABS2nivel socioecon&#243;mico intermedio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;19 &#91;0&#44;62-2&#44;27&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;606&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ABS2nivel socioecon&#243;mico alto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;72 &#91;0&#44;89-3&#44;35&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;106&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Barrera idiom&#225;tica &#40;s&#237;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;10 &#91;0&#44;01-0&#44;52&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;029&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">BARTHEL&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00 &#91;0&#44;96-1&#44;04&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;846&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">LAWTONBRODY&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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