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                      "titulo" => "Criterios de selecci&#243;n de pacientes con enfermedades no oncol&#243;gicas en programas y&#47;o servicios de cuidados paliativos"
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                            1 => "L&#46; Rexach Cano"
                            2 => "A&#46; Gisbert Aguilar"
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                          "autores" => array:6 [
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                            3 => "B&#46; Escolano-Fern&#225;ndez"
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DOI: 10.1016/j.rceng.2018.02.001
Limitation of therapeutic effort in departments of internal medicine
Limitación del esfuerzo terapéutico en medicina interna
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I. Torrente Jiménez
Corresponding author
isaluna29@gmail.com

Corresponding author.
, M.A. Villarino Marzo, S. Herranz Martínez
Unidad de Geriatría de Agudos y Paciente Crónico Complejo, Consorcio Sanitario Parc Taulí, Sabadell, Barcelona, Spain

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