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no solo por su alta prevalencia&#44; sino tambi&#233;n por las complicaciones agudas y cr&#243;nicas que produce&#44; por su elevada tasa de morbimortalidad y sus repercusiones en la calidad de vida&#44; ocasionando un elevado consumo de los recursos sanitarios<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">15&#8211;17&#44;21&#8211;24</span></a>&#46; Algunas estimaciones muestran que el coste anual de la diabetes solo en Espa&#241;a oscilar&#237;a entre 710-2&#46;873 millones de euros&#44; lo que representar&#237;a un 1&#44;5-6&#44;2&#37; del gasto sanitario p&#250;blico espa&#241;ol<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a>&#46; Aunque estas cantidades podr&#237;an estar muy subestimadas&#44; ya que solo la DM2 tendr&#237;a un coste anual de 2&#46;403 millones de euros&#44; seg&#250;n el estudio CODE-2<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#46; En nuestro medio&#44; el coste medio anual por paciente con DM2 var&#237;a entre los 1&#46;088-5&#46;279&#8364;<a class="elsevierStyleCrossRefs" href="#bib0105"><span class="elsevierStyleSup">21&#8211;24</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">A pesar de las numerosas evidencias disponibles de la enfermedad<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2&#44;15&#8211;17</span></a>&#44; no conocemos estudios que hayan determinado los costes asociados a las comorbilidades como sobrepeso &#40;SP&#41;&#44; obesidad &#40;OBE&#41; o hipertensi&#243;n arterial &#40;HTA&#41;&#44; y el efecto de sus complicaciones &#40;micro y macrovasculares&#41;&#46; El objetivo del estudio fue evaluar las caracter&#237;sticas cl&#237;nicas &#40;comorbilidades&#44; s&#237;ndrome metab&#243;lico &#91;SM&#93;&#44; control terap&#233;utico&#44; hipoglucemias y ECV&#41; y econ&#243;micas &#40;uso de recursos y costes&#41; asociadas a la DM2 seg&#250;n determinados patrones de comorbilidad&#44; en situaci&#243;n de pr&#225;ctica cl&#237;nica habitual en un &#225;mbito poblacional&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Pacientes y m&#233;todos</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Dise&#241;o y poblaci&#243;n de estudio</span><p id="par0040" class="elsevierStylePara elsevierViewall">Se realiz&#243; un estudio observacional&#44; multic&#233;ntrico longitudinal&#44; a partir de la revisi&#243;n de los registros m&#233;dicos de pacientes seguidos en r&#233;gimen ambulatorio y hospitalario&#46; La poblaci&#243;n de estudio estuvo formada por personas pertenecientes a 6 centros reformados de atenci&#243;n primaria &#40;AP&#41; gestionados por Badalona Serveis Assistencials SA&#46; Se obtuvo informaci&#243;n de los recursos consumidos de 2 centros hospitalarios&#58; Hospital Municipal de Badalona y Hospital Germans Tr&#237;as i Pujol &#40;ingresos hospitalarios&#41;&#46; La poblaci&#243;n asignada a los centros fue en su mayor&#237;a urbana&#44; de nivel socioecon&#243;mico medio-bajo&#44; con predominio industrial&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Criterios de inclusi&#243;n y exclusi&#243;n</span><p id="par0045" class="elsevierStylePara elsevierViewall">Se incluyeron a todos los pacientes que demandaron atenci&#243;n &#40;a&#241;o 2010&#41; y que reunieron las siguientes caracter&#237;sticas&#58; a&#41; edad entre 40-99 a&#241;os&#59; b&#41; ambos sexos&#59; c&#41; estar diagnosticados de DM2 un m&#237;nimo de 12 meses antes del inicio del estudio&#59; d&#41; seguir de forma regular el protocolo&#47;gu&#237;a de riesgo cardiovascular establecido &#40;con el objetivo de mejorar la calidad de los registros&#41;&#59; e&#41; estar en el programa de prescripciones cr&#243;nicas para la obtenci&#243;n de las recetas m&#233;dicas &#40;con registro constatado de la dosis diaria&#44; el intervalo de tiempo y la duraci&#243;n de cada tratamiento administrado&#41;&#44; y f&#41; que se pudiera garantizar el seguimiento regular de los pacientes&#46; Fueron excluidos los sujetos trasladados a otros centros&#44; los desplazados y los que fueron perdidos durante el periodo de seguimiento &#40;24 meses&#59; durante los a&#241;os 2011 y 2012&#41;&#46; Tambi&#233;n se excluyeron los sujetos que desarrollaron la DM2 antes de los 40 a&#241;os y los de tipo 1&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Diagn&#243;stico de diabetes mellitus tipo 2 y de las complicaciones</span><p id="par0050" class="elsevierStylePara elsevierViewall">El diagn&#243;stico de DM2 se obtuvo a partir de la Clasificaci&#243;n Internacional de la AP &#40;CIAP-2&#41;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a> &#40;T90&#41;&#44; y de la codificaci&#243;n de las altas hospitalarias y urgencias&#44; seg&#250;n la Clasificaci&#243;n Internacional de Enfermedades&#44; 9&#46;<span class="elsevierStyleSup">a</span> Revisi&#243;n&#44; Modificaci&#243;n Cl&#237;nica&#59; CIE-9-MC &#91;250&#93;&#41;&#46; Durante el periodo de seguimiento se registraron&#58; a&#41; las hipoglucemias &#40;a criterio m&#233;dico&#59; el registro de las hipoglucemias se obtuvo en las visitas habituales de seguimiento&#41;&#59; b&#41; las complicaciones microvasculares &#40;retinopat&#237;a diab&#233;tica&#44; nefropat&#237;a diab&#233;tica y neuropat&#237;a diab&#233;tica&#41;&#44; y c&#41; las infecciones genitourinarias&#46; Los registros se obtuvieron de los motivos de consulta en los centros asistenciales&#44; y&#47;o de los protocolos cl&#237;nicos informatizados durante el seguimiento&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Tambi&#233;n se contabilizaron los casos nuevos de ECV o renal establecida &#40;complicaciones macrovasculares&#41;&#46; Estos incluyeron&#58; a&#41; cardiopat&#237;as&#44; como la isquemia cardiaca &#40;c&#243;digos&#58; K74&#44; K76&#59; estable&#44; inestable y otras&#41;&#44; el infarto agudo de miocardio &#40;K75&#41; y la insuficiencia cardiaca &#40;K77&#41;&#44; seg&#250;n la definici&#243;n de los criterios diagn&#243;sticos de la Organizaci&#243;n Mundial de la Salud&#59; b&#41; enfermedad cerebrovascular&#44; como el ictus &#40;isqu&#233;mico o hemorr&#225;gico&#59; seg&#250;n la <span class="elsevierStyleItalic">American Heart Association</span>&#41; y el accidente isqu&#233;mico transitorio &#40;K90&#44; K91&#41;&#59; c&#41; la enfermedad arterial perif&#233;rica&#44; y d&#41; la enfermedad renal &#40;nefropat&#237;a diab&#233;tica o deterioro de la funci&#243;n renal &#91;creatinina s&#233;rica&#58; varones<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>133&#93;&#41;&#59; mujeres<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>124<span class="elsevierStyleHsp" style=""></span>mmol o filtrado glomerular &#60;<span class="elsevierStyleHsp" style=""></span>60<span class="elsevierStyleHsp" style=""></span>ml&#47;min&#46; No se estandarizaron los resultados puesto que la pir&#225;mide poblacional distribuida por edad y g&#233;nero de los pacientes estudiados es parecida a la de la poblaci&#243;n de Catalu&#241;a&#46; El seguimiento de los pacientes fue de 24 meses&#44; por considerarse un periodo de tiempo suficiente&#44; m&#225;s robusto y homog&#233;neo en la detecci&#243;n de episodios &#40;complicaciones&#41; y sus costes&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Descripci&#243;n del tratamiento</span><p id="par0060" class="elsevierStylePara elsevierViewall">Estudio no intervencionista&#44; en el que se obtuvo la informaci&#243;n de los pacientes tratados en el pasado con antidiab&#233;ticos seg&#250;n la <span class="elsevierStyleItalic">Anatomical Therapeutic Chemical Classification System</span> &#40;ATC&#41;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a> a criterio del m&#233;dico&#46; Se obtuvo la informaci&#243;n de los siguientes antidiab&#233;ticos orales&#58; a&#41; metformina &#40;A10BA&#41;&#59; b&#41; estimulantes de la liberaci&#243;n de insulinas&#58; sulfonilureas &#40;A10BB&#42;&#41; y glinidas &#40;A10BX&#41;&#59; c&#41; glitazonas &#40;A10BG&#42;&#41;&#59; d&#41; inhibidores alfaglicosidasas&#58; acarbosa &#40;A10BF&#42;&#41; y miglitol &#40;A10BF&#42;&#41;&#44; IDPP4 &#40;A10BH&#42;&#41; e insulinas &#40;todos los tipos&#41; en monoterapia o en combinaci&#243;n &#40;A10BD&#42;&#41;&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Grupos de estudio</span><p id="par0065" class="elsevierStylePara elsevierViewall">Se establecieron 2 grupos &#40;presencia y ausencia de DM2 &#91;grupo control o de referencia&#93;&#41; y 6 subgrupos&#58; a&#41; DM2 solo&#59; b&#41; DM2 y HTA&#59; c&#41; DM2 y SP&#59; d&#41; DM2 y OBE&#59; e&#41; DM2&#44; HTA y SP&#44; y f&#41; DM2&#44; HTA y OBE&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Variables sociodemogr&#225;ficas y de comorbilidad</span><p id="par0070" class="elsevierStylePara elsevierViewall">Las principales variables de estudio fueron&#58; edad &#40;continua y por rangos&#41;&#44; sexo y el tiempo de evoluci&#243;n de la DM2&#44; as&#237; como los antecedentes personales obtenidos a partir de la CIAP-2<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a>&#58; HTA&#44; dislipemia &#40;hipertrigliceridemia y&#47;o hipercolesterolemia&#41;&#44; OBE&#44; SP&#44; tabaquismo&#44; alcoholismo&#44; todos los tipos de fallos org&#225;nicos &#40;cardiaco&#44; hep&#225;tico y renal&#41;&#44; cardiopat&#237;a isqu&#233;mica&#44; accidente vasculocerebral&#44; enfermedad pulmonar obstructiva cr&#243;nica&#44; asma bronquial&#44; demencias o trastornos de la memoria&#44; enfermedades neurol&#243;gicas&#58; enfermedad de Parkinson&#44; epilepsia&#44; esclerosis m&#250;ltiple y otras enfermedades neurol&#243;gicas&#59; s&#237;ndrome depresivo y neoplasias malignas&#46; Como variable resumen de la comorbilidad general&#44; para cada paciente atendido&#44; se utiliz&#243;&#58; a&#41; el n&#250;mero de diagn&#243;sticos&#59; b&#41; el &#237;ndice de comorbilidad de Charlson<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a> como una aproximaci&#243;n a la gravedad del paciente&#44; y c&#41; el &#237;ndice de casu&#237;stica individual&#44; obtenido a partir de los <span class="elsevierStyleItalic">Adjusted Clinical Groups</span> &#40;ACG&#41;&#59; un sistema de clasificaci&#243;n de pacientes por iso-consumo de recursos<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a>&#46; El aplicativo ACG proporciona las bandas de utilizaci&#243;n de recursos &#40;BUR&#41;&#44; con lo que cada paciente en funci&#243;n de su morbilidad general queda agrupado en una de las 5 categor&#237;as mutuamente excluyentes &#40;1&#58; usuarios sanos o de morbilidad muy baja&#44; 2&#58; morbilidad baja&#44; 3&#58; morbilidad moderada&#44; 4&#58; morbilidad elevada&#44; y 5&#58; morbilidad muy elevada&#41;&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Par&#225;metros bioqu&#237;micos y antropom&#233;tricos&#44; y definici&#243;n de s&#237;ndrome metab&#243;lico</span><p id="par0075" class="elsevierStylePara elsevierViewall">Los par&#225;metros bioqu&#237;micos y&#47;o objetivos terap&#233;uticos de control fueron&#58; presi&#243;n arterial sist&#243;lica y diast&#243;lica &#40;mmHg&#41;&#44; &#237;ndice de masa corporal &#40;IMC&#44; kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&#44; glucemia basal &#40;mg&#47;dl&#41;&#44; hemoglobina glucosilada &#40;porcentaje&#44; control metab&#243;lico&#58; HbA1c<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>7&#37;&#41;&#59; triglic&#233;ridos s&#233;ricos&#44; colesterol total&#44; colesterol ligado a lipoprote&#237;nas de alta densidad &#40;cHDL&#41; y colesterol ligado a lipoprote&#237;nas de baja densidad &#40;cLDL&#41; en mg&#47;dl&#46; Estos par&#225;metros se obtuvieron al inicio y final del estudio &#40;seguimiento de 2 a&#241;os&#41;&#46; Se defini&#243; como SP un IMC entre 25-29&#44;9<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span> y como OBE un IMC<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>30<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">La definici&#243;n del SM se estableci&#243; cuando en un mismo individuo se cumpl&#237;an 3 de los 5 criterios siguientes&#44; modificados del Adult Treatment Panel &#40;ATP&#41; III<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a>&#58; a&#41; triglic&#233;ridos de 150<span class="elsevierStyleHsp" style=""></span>mg&#47;dl o mayor&#59; b&#41; cHDL menor de 40<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en varones o menor de 50<span class="elsevierStyleHsp" style=""></span>mg&#47;dl en mujeres&#59; c&#41; presi&#243;n arterial sist&#243;lica&#47;diast&#243;lica de 130&#47;85<span class="elsevierStyleHsp" style=""></span>mmHg o mayor o en tratamiento antihipertensivo&#59; d&#41; glucemia basal en ayunas de 110<span class="elsevierStyleHsp" style=""></span>mg&#47;dl o m&#225;s&#59; o en tratamiento hipogluc&#233;mico o diabetes previamente diagnosticada&#59; y&#47;o e&#41; IMC de 28&#44;8<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span> o superior&#46; En este estudio se ha reemplazado uno de los componentes habituales de SM&#44; la medici&#243;n de la circunferencia de la cintura&#44; por la determinaci&#243;n del IMC&#44; lo que constituye uno de los criterios modificados del NCEP-ATP III<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a>&#46; Se consider&#243; que cumpl&#237;a el criterio de componente individual de SM&#44; un IMC superior o igual a 28&#44;8<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#46; Este valor ha sido considerado equivalente al de adiposidad abdominal &#40;per&#237;metro de cintura &#62;<span class="elsevierStyleHsp" style=""></span>102<span class="elsevierStyleHsp" style=""></span>cm en varones y &#62;<span class="elsevierStyleHsp" style=""></span>88<span class="elsevierStyleHsp" style=""></span>cm en mujeres&#41;&#44; criterio original seguido por diferentes autores<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">30</span></a>&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Uso de recursos y modelo de costes</span><p id="par0085" class="elsevierStylePara elsevierViewall">Se consideraron como costes directos sanitarios &#40;costes directos&#41; los relacionados con la actividad asistencial &#40;visitas m&#233;dicas&#44; d&#237;as de hospitalizaci&#243;n&#44; urgencias&#44; solicitudes diagn&#243;sticas o terap&#233;uticas&#44; etc&#46;&#41;&#44; efectuadas por los profesionales&#59; y como indirectos&#44; los relativos a las p&#233;rdidas de productividad laboral &#40;d&#237;as de incapacidad laboral&#41;&#46; El coste fue expresado en coste medio por paciente durante los 2 a&#241;os de seguimiento del estudio &#40;coste&#47;unitario&#41;&#46; Los diferentes conceptos de estudio y su valoraci&#243;n econ&#243;mica se obtuvieron de un estudio recientemente publicado<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a>&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">An&#225;lisis estad&#237;stico</span><p id="par0090" class="elsevierStylePara elsevierViewall">Se efectu&#243; un an&#225;lisis estad&#237;stico descriptivo-univariante e intervalos de confianza &#40;IC&#41; del 95&#37;&#59; y se comprob&#243; la normalidad de la distribuci&#243;n con la prueba de Kolmog&#243;rov-Smirnov&#46; En el an&#225;lisis bivariante se utilizaron las pruebas de ANOVA&#44; Chi-cuadrado&#44; correlaci&#243;n lineal de Pearson y comparaci&#243;n de medias para grupos apareados&#46; Se efectu&#243; un an&#225;lisis de regresi&#243;n log&#237;stica para obtener las variables asociadas al perfil de paciente &#40;variable dependiente&#41;&#44; con procedimiento <span class="elsevierStyleItalic">enter</span> &#40;estad&#237;stico&#58; Wald&#41;&#46; Se realiz&#243; un modelo de regresi&#243;n lineal m&#250;ltiple &#40;pasos consecutivos&#41; para valorar las variables asociadas al coste sanitario&#46; La comparaci&#243;n del coste ambulatorio y hospitalario se realiz&#243; seg&#250;n las recomendaciones de Thompson y Barber<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">32</span></a>&#59; mediante el an&#225;lisis de la covarianza &#40;ANCOVA&#41;&#44; con el sexo&#44; la edad&#44; las BUR&#44; el &#237;ndice de Charlson y el tiempo de evoluci&#243;n de la enfermedad como covariables &#40;procedimiento&#58; estimaci&#243;n de medias marginales&#59; ajuste de Bonferroni&#41;&#46; Se utiliz&#243; el programa SPSS<span class="elsevierStyleSup">&#174;</span> versi&#243;n 17&#44; estableci&#233;ndose una significaci&#243;n estad&#237;stica para valores de p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#46;</p></span></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Resultados</span><p id="par0095" class="elsevierStylePara elsevierViewall">La poblaci&#243;n de estudio estuvo formada por 52&#46;370 sujetos<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>40 a&#241;os&#46; De estos&#44; 38&#46;295 demandaron atenci&#243;n y&#44; finalmente&#44; se seleccionaron 26&#46;845 pacientes&#46; Por grupos de estudio un 14&#44;0&#37; &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;760&#59; IC 95&#37;&#58; 13&#44;7-14&#44;2&#37;&#41; pertenecieron al grupo con diagn&#243;stico de DM2&#44; y un 86&#44;0&#37; &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#46;085&#41; al grupo de referencia&#47;control &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a> se describen las caracter&#237;sticas basales de la serie estudiada seg&#250;n los grupos&#47;subgrupos de pacientes&#46; En el modelo de regresi&#243;n log&#237;stica&#44; la DM2 se asoci&#243; mayoritariamente con la OBE OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;8 &#40;IC 95&#37;&#58; 2&#44;4-3&#44;1&#41;&#44; la HTA OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;4 &#40;IC 95&#37;&#58; 2&#44;2-2&#44;6&#41;&#44; y el SP OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;9 &#40;IC 95&#37;&#58; 1&#44;7-2&#44;2&#41;&#59; y en menor probabilidad con la dislipemia OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;5 &#40;IC 95&#37;&#58; 1&#44;4-1&#44;7&#41;&#44; la cardiopat&#237;a isqu&#233;mica OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;5 &#40;IC 95&#37;&#58; 1&#44;1-2&#44;0&#41;&#44; el accidente cerebrovascular OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;4 &#40;IC 95&#37;&#58; 1&#44;1-1&#44;8&#41;&#44; los varones OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;2 &#40;IC 95&#37;&#58; 1&#44;1-1&#44;3&#41; y la edad OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;2 &#40;IC 95&#37;&#58; 1&#44;1-1&#44;3&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#46; La distribuci&#243;n del grupo de DM2 por subgrupos de factores fue la siguiente&#58; 6&#44;7&#37; con DM2 solo &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>253&#59; IC 95&#37;&#58; 5&#44;9-7&#44;5&#37;&#41;&#44; 7&#44;0&#37; con DM2-HTA &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>263&#59; IC 95&#37;&#58; 6&#44;2-7&#44;8&#37;&#41;&#44; 15&#44;4&#37; con DM2-SP &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>579&#59; IC 95&#37;&#58; 14&#44;2-16&#44;6&#37;&#41;&#44; 10&#44;7&#37; con DM2-OBE &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>403&#59; IC 95&#37;&#58; 9&#44;7-11&#44;7&#37;&#41;&#44; 26&#44;1&#37; con DM2-HTA-SP &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>980&#59; IC 95&#37;&#58; 24&#44;7-27&#44;5&#37;&#41; y 34&#44;1&#37; con DM2-HTA-OBE &#40;N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;282&#59; IC 95&#37;&#58; 32&#44;6-35&#44;6&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">La distribuci&#243;n de las complicaciones microvasculares&#44; la prevalencia del SM&#44; la medicaci&#243;n farmacol&#243;gica antidiab&#233;tica y las hipoglucemias de los pacientes con DM2 se detallan en la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#46; La prevalencia del SM en la DM2 fue del 75&#44;4&#37; &#40;IC 95&#37;&#58; 74&#44;0-75&#44;8&#37;&#41;&#44; siendo mayor en los subgrupos DM2-OBE &#40;75&#44;8&#37;&#41;&#44; DM2-HTA-SP &#40;78&#44;7&#37;&#41; y&#44; sobre todo&#44; en DM2-HTA-OBE &#40;98&#44;7&#37;&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#44; respectivamente&#46; El consumo de antidiab&#233;ticos fue del 85&#44;3&#37; y el de hipoglucemias del 37&#44;5&#37; &#40;en AP&#58; 41&#44;3&#37;&#41;&#46; En el grupo control cabe destacar una reducci&#243;n de los niveles de triglic&#233;ridos &#40;118&#44;6 vs&#46; 115&#44;2<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y de colesterol total &#40;209&#44;8 vs&#46; 207&#44;3<span class="elsevierStyleHsp" style=""></span>mmHg&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#59; mientras que el grupo con DM2 muestra unas reducciones superiores &#40;150&#44;8 vs&#46; 141&#44;8<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y de colesterol total &#40;191&#44;1 vs&#46; 182&#44;0<span class="elsevierStyleHsp" style=""></span>mmHg&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Estas diferencias tambi&#233;n se mostraron en todos los subgrupos analizados&#46; El 60&#44;0&#37; de los pacientes con DM2 mostraron un adecuado control metab&#243;lico &#40;IC 95&#37;&#58; 58&#44;4-61&#44;6&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">Los sujetos con DM2 en comparaci&#243;n con los del grupo control&#47;referencia utilizaron m&#225;s visitas m&#233;dicas en AP &#40;26&#44;9 vs&#46; 15&#44;4&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; d&#237;as de hospitalizaci&#243;n &#40;0&#44;6 vs&#46; 0&#44;2&#59; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y visitas en atenci&#243;n especializada &#40;1&#44;2 vs&#46; 0&#44;2&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; No hubo diferencias en los d&#237;as de incapacidad laboral&#46; Por subgrupos de DM2&#44; el uso de recursos fue m&#225;s destacado en los pacientes con DM2-HTA-SP y DM2-HTA-OBE&#46; El modelo de costes brutos y corregidos &#40;por covariables&#41; seg&#250;n los grupos de estudio&#44; se describe en la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#46; En los costes sanitarios&#44; el 89&#44;0&#37; correspondieron a costes en AP &#40;medicaci&#243;n&#58; 60&#44;5&#37;&#44; visitas m&#233;dicas&#58; 15&#44;8&#37;&#41; y el 11&#44;0&#37; en atenci&#243;n especializada &#40;visitas m&#233;dicas&#58; 3&#44;2&#37;&#41;&#46; El promedio&#47;unitario de los costes totales de los sujetos con DM2 en comparaci&#243;n con el de control&#47;referencia fueron superiores &#40;4&#46;908&#8364; frente a 2&#46;645&#8364;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; En el modelo corregido &#40;ANCOVA&#41; fueron de 4&#46;458&#8364; &#40;IC 95&#37;&#58; 4&#46;269-4&#46;647&#8364;&#41; vs&#46; 2&#46;784&#8364;&#59; &#40;IC 95&#37;&#58; 2&#46;710-2&#46;858&#8364;&#41;&#59; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#46; Adem&#225;s&#44; los costes sanitarios de los pacientes con DM2 fueron superiores en los sujetos con mal control metab&#243;lico &#40;HbA1c<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>7&#37;&#59; 4&#46;118 vs&#46; 3&#46;406&#8364;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; la presencia de SM &#40;4&#46;128 vs&#46; 3&#46;048&#8364;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y&#47;o presentar antecedentes de ECV previo &#40;5&#46;448 vs&#46; 3&#46;418&#8364;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Los pacientes con DM2 en comparaci&#243;n con el grupo control mostraron mayores tasas en todos los episodios&#59; destacando los ECV &#40;4&#44;7 vs&#46; 1&#44;7&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; insuficiencia renal &#40;1&#44;8 vs&#46; 0&#44;6&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; e infecciones genitourinarias &#40;11&#44;2 vs&#46; 8&#44;6&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Por subgrupos &#40;DM2 solo&#44; DM2-HTA&#44; DM2-SP&#44; DM2-OBE&#44; DM2-HTA-SP y DM2-HTA-OBE&#41;&#44; las tasas de ECV fueron del 4&#44;7&#59; 4&#44;6&#59; 2&#44;1&#59; 5&#44;0&#59; 4&#44;8 y 5&#44;6&#37;&#44; respectivamente &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; las de insuficiencia card&#237;aca del 1&#44;6&#59; 0&#44;8&#59; 1&#44;2&#59; 1&#44;5&#59; 1&#44;8 y 2&#44;6&#37;&#44; respectivamente &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; las de insuficiencia renal del 0&#44;1&#59; 1&#44;9&#59; 0&#44;3&#59; 1&#44;0&#59; 3&#44;4 y 1&#44;9&#37;&#44; respectivamente &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; y las de infecci&#243;n genito-urinaria del 10&#44;7&#59; 13&#44;7&#59; 8&#44;3&#59; 9&#44;2&#59; 11&#44;1 y 12&#44;7&#37;&#44; respectivamente &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Las diferencias fueron estad&#237;sticamente significativas en los subgrupos DM2-HTA-SP y DM2-HTA-OBE &#40;en todos los episodios&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">En el modelo de regresi&#243;n log&#237;stica &#40;corregido por covariables&#41;&#44; la presencia de ECV en los pacientes diab&#233;ticos se asoci&#243; al bajo control metab&#243;lico de la DM2 &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;8&#41;&#59; al sexo masculino &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;3&#41;&#59; OBE &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;8&#41;&#59; dislipemia &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;7&#41;&#59; HTA &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;5&#41;&#44; y SP &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;4&#41;&#46; Mientras que las hipoglucemias se asociaron con dislipemia &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;5&#41;&#44; OBE &#40;OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;7&#41; y la comorbilidad general &#40;&#237;ndice de Charlson&#44; OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;3&#41;&#46; A su vez&#44; los costes sanitarios &#40;corregido por covariables&#41; se asociaron a los reingresos hospitalarios &#40;&#223;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;432&#41;&#44; la edad &#40;&#223;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;196&#41;&#44; la OBE &#40;&#223;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;117&#41;&#44; el mal control metab&#243;lico &#40;&#223;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;093&#41; y la hipoglucemia &#40;&#223;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;052&#41;&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Discusi&#243;n</span><p id="par0125" class="elsevierStylePara elsevierViewall">Este estudio demuestra que los pacientes con DM2 presentan una elevada asociaci&#243;n con la OBE&#44; HTA y SP&#44; circunstancia que puede ocasionar mayores tasas de ECV &#40;complicaciones&#41; y costes sanitarios durante la progresi&#243;n de la enfermedad&#46; La singularidad del estudio reside en la medida conjunta de las variables analizadas &#40;control metab&#243;lico&#44; complicaciones y costes&#41;&#44; por lo que puede considerarse como una fortaleza del estudio&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Los resultados del estudio resaltan la asociaci&#243;n de la DM2 con el SP&#44; la OBE y la HTA<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#8211;11&#44;13&#44;14&#44;17</span></a>&#46; Llama la atenci&#243;n que el grupo con DM2-HTA-OBE fue m&#225;s prevalente que el de DM2-HTA-SP&#59; esta circunstancia podr&#237;a ser debida a un efecto casual&#44; aunque la explicaci&#243;n m&#225;s plausible consistir&#237;a en que en el subgrupo con SP son pacientes de mayor edad&#44; y podr&#237;an presentar una reducci&#243;n del tejido adiposo<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;13</span></a>&#46; Los resultados observados de la prevalencia del SM son consistentes con otros estudios publicados<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">33&#44;34</span></a>&#59; mientras que los del control metab&#243;lico son parecidos o ligeramente superiores a los datos consultados en la literatura<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;14&#44;35&#44;36</span></a>&#46; Esta circunstancia puede ser debida a que nuestros datos son de m&#225;s reciente aparici&#243;n&#59; no obstante&#44; aun queda un cierto margen de mejora&#44; tal como se indica en las sociedades cient&#237;ficas<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">15&#44;16</span></a>&#46; La DM2 es una de las enfermedades con mayor impacto sociosanitario&#44; por las complicaciones que produce y un elevado consumo de los recursos sanitarios que genera<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">15&#44;16</span></a>&#46; La tasas de hipoglucemias fueron del 37&#44;5&#37;&#59; y no hubo diferencias entre los subgrupos estudiados&#44; por lo que podr&#237;a suponerse que el perfil de tolerancia y seguridad &#40;propiedades farmacocin&#233;ticas y farmacodin&#225;micas&#41; de los pacientes&#44; junto a la distribuci&#243;n de los IDPP4 fue parecido entre los subgrupos analizados&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">El an&#225;lisis de los costes debe ser interpretado como una fortaleza del estudio&#46; Estos se asociaron a los reingresos &#40;ECV&#41;&#44; la edad&#44; la OBE&#44; el mal control metab&#243;lico y la hipoglucemia&#46; En este sentido&#44; los limitados estudios existentes muestran que cuanto mayor sea el cumplimiento y el control metab&#243;lico de estos pacientes&#44; menor es el riesgo de hospitalizaci&#243;n<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">37</span></a>&#46; No obstante&#44; la variabilidad en los estudios revisados fue alta&#44; circunstancia que dificulta la comparaci&#243;n de los resultados&#46; En general&#44; nuestros resultados son consistentes con estos estudios<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">22&#44;23</span></a>&#44; destacando la asociaci&#243;n de la hipoglucemia con los costes<a class="elsevierStyleCrossRefs" href="#bib0190"><span class="elsevierStyleSup">38&#8211;40</span></a>&#46; Ballesta et al&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">41</span></a> en una muestra de 517 pacientes con DM2&#44; estimaron un coste anual directo asociado a la diabetes de 2&#46;504&#8364;&#46; Los autores encontraron una asociaci&#243;n significativa entre los costes totales asociados a la DM2 y las variables tiempo de evoluci&#243;n de la diabetes&#44; valor promedio de la HbA1c y presencia de complicaciones&#46; Giorda et al&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">42</span></a>&#44; reafirman la tesitura que una terapia eficaz con un buen control metab&#243;lico puede reducir el riesgo de complicaciones y representa una estrategia v&#225;lida desde un punto de vista econ&#243;mico&#46; Con las limitaciones comentadas con anterioridad&#44; nuestros resultados estar&#237;an en consonancia con los datos revisados<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">43</span></a>&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Las posibles limitaciones del estudio inciden en el diagn&#243;stico preciso de la DM2&#44; el posible sesgo de clasificaci&#243;n de los pacientes y en la medida operativa de los costes&#44; atribuibles al sistema de informaci&#243;n desarrollado&#46; Otras limitaciones del estudio consisten en la falta de medida de algunas variables &#40;cumplimiento terap&#233;utico&#44; nivel socioecon&#243;mico&#44; etc&#46;&#41;&#44; aunque su distribuci&#243;n tambi&#233;n deber&#237;a de ser parecido en los grupos de estudio &#40;variables cl&#237;nicas&#41; analizados&#46; Otra limitaci&#243;n del estudio se refiere a la medida de la hipoglucemia&#44; puesto que solo se identificaron los episodios en los que el paciente requiri&#243; asistencia sanitaria y esta qued&#243; documentada&#44; por lo que podr&#237;a hacer un infradiagn&#243;stico de los casos&#46; Desde un punto de vista estrictamente farmacoecon&#243;mico parece mucho m&#225;s atrayente analizar el gasto en funci&#243;n de los par&#225;metros que potencialmente pudieran ser modificables como la presencia o no de hipoglucemias&#44; el control metab&#243;lico o incluso el control de otros factores de riesgo asociados&#44; por lo que esta circunstancia podr&#237;a interpretarse como una limitaci&#243;n del estudio&#46; Otra de las limitaciones del estudio est&#225; en relaci&#243;n con el control metab&#243;lico&#59; de forma general se considera un buen control metab&#243;lico A1c<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>7&#37;&#44; pero esto est&#225; en discusi&#243;n hoy en d&#237;a en funci&#243;n de la actual recomendaci&#243;n de individualizar los objetivos&#46; Otra limitaci&#243;n del estudio podr&#237;a deberse a no haber incluido a los pacientes con DM2 y a los de edad inferior a 40 a&#241;os&#44; aunque su repercusi&#243;n es escasa&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Las perspectivas futuras que nos ofrece este estudio se centran en replicarlo en otras instituciones sanitarias&#44; as&#237; como mejorar las estrategias realizadas por equipos pluridisciplinares que promuevan intervenciones efectivas en la reducci&#243;n de la OBE&#44; en las que los pacientes est&#233;n altamente comprometidos en su autocuidado&#46; En conclusi&#243;n&#44; la DM2 tiene una asociaci&#243;n importante con la OBE&#44; HTA y SP&#46; La DM2-OBES origina m&#225;s coste que la DM2-HTA&#46; La presencia de estos factores en la DM2 puede ocasionar mayores tasas de ECV y costes sanitarios en el sistema nacional de salud&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Financiaci&#243;n</span><p id="par0150" class="elsevierStylePara elsevierViewall">Trabajo financiado por Bristol-Myers Squibb y Astra-Zeneca&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Conflicto de intereses</span><p id="par0155" class="elsevierStylePara elsevierViewall">Los autores manifiestan no tener ning&#250;n conflicto de intereses&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Contribuci&#243;n de los autores</span><p id="par0160" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Concepci&#243;n y dise&#241;o del manuscrito&#58;</span> A&#46; Sicras&#44; R&#46; Navarro y J&#46; Ib&#225;&#241;ez&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Recogida de los datos&#58;</span> A&#46; Sicras&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">An&#225;lisis e interpretaci&#243;n de los datos&#58;</span> A&#46; Sicras&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">La redacci&#243;n&#44; revisi&#243;n y aprobaci&#243;n del manuscrito remitido&#58;</span> A&#46; Sicras&#44; R&#46; Navarro y J&#46; Ib&#225;&#241;ez&#46;</p></span></span>"
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          "titulo" => "Discusi&#243;n"
        ]
        8 => array:2 [
          "identificador" => "sec0080"
          "titulo" => "Financiaci&#243;n"
        ]
        9 => array:2 [
          "identificador" => "sec0085"
          "titulo" => "Conflicto de intereses"
        ]
        10 => array:2 [
          "identificador" => "sec0090"
          "titulo" => "Contribuci&#243;n de los autores"
        ]
        11 => array:1 [
          "titulo" => "Bibliograf&#237;a"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2013-09-21"
    "fechaAceptado" => "2013-11-03"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec311409"
          "palabras" => array:5 [
            0 => "Diabetes"
            1 => "S&#237;ndrome metab&#243;lico"
            2 => "Hipoglucemias"
            3 => "Enfermedad cardiovascular"
            4 => "Costes sanitarios"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec311410"
          "palabras" => array:5 [
            0 => "Diabetes"
            1 => "Metabolic syndrome"
            2 => "Hypoglycemia"
            3 => "Cardiovascular disease"
            4 => "Health care costs"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La diabetes mellitus tipo 2 &#40;DM2&#41; suele acompa&#241;arse de diversas comorbilidades que pueden incrementar el coste de su tratamiento&#46; No conocemos estudios que hayan determinado los costes asociados al tratamiento de los enfermos con DM2 que&#44; adem&#225;s padecen sobrepeso &#40;SP&#41;&#44; obesidad &#40;OBE&#41; o hipertensi&#243;n arterial &#40;HTA&#41;&#46; Hemos examinado el gasto sanitario y la incidencia de enfermedad cardiovascular &#40;ECV&#41; en estos enfermos&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dise&#241;o observacional-multic&#233;ntrico de car&#225;cter retrospectivo&#46; Se incluyeron pacientes entre 40-99 a&#241;os que demandaron atenci&#243;n durante 2010 en Badalona &#40;Barcelona&#44; Espa&#241;a&#41;&#46; Se establecieron 2 grupos de estudio&#58; presencia-DM2 y ausencia-DM2 &#40;referencia&#47;control&#41;&#44; y 6 subgrupos&#58; DM2-solo&#44; DM2-HTA&#44; DM2-SP&#44; DM2-OBE&#59; DM2-HTA-SP y DM2-HTA-OBE&#46; Las principales medidas fueron&#58; comorbilidad&#44; s&#237;ndrome metab&#243;lico &#40;SM&#41;&#44; complicaciones &#40;hipoglucemias&#44; ECV&#41; y costes &#40;sanitarios&#59; no-sanitarios&#41;&#46; El seguimiento se realiz&#243; durante 2 a&#241;os&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se reclutaron 26&#46;845 pacientes&#46; La prevalencia de DM2 fue del 14&#44;0&#37;&#46; Los sujetos con DM2 mostraron mayor edad &#40;67&#44;8 vs&#46; 59&#44;7 a&#241;os&#41; y porcentaje de varones &#40;51&#44;3 vs&#46; 43&#44;0&#37;&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#46; La DM2 se asoci&#243; principalmente a OBE &#40;OR&#58;<span class="elsevierStyleHsp" style=""></span>2&#44;8&#59; IC 95&#37;&#58; 2&#44;4-3&#44;1&#41;&#44; HTA &#40;OR&#58;<span class="elsevierStyleHsp" style=""></span>2&#44;4&#59; IC 95&#37;&#58; 2&#44;2-2&#44;6&#41; y SP &#40;OR&#58;<span class="elsevierStyleHsp" style=""></span>1&#44;9&#59; IC 95&#37;&#58; 1&#44;7-2&#44;2&#41;&#46; La distribuci&#243;n por subgrupos oscil&#243; entre el 6&#44;7&#37; para los enfermos que solo presentaban DM2&#44; y el 26&#44;1&#37; para los diagnosticados de DM2-HTA-SP y el 34&#44;1&#37; para los que ten&#237;an DM2-HTA-OBE&#46; El SM se identific&#243; en el 75&#44;4&#37; y un 37&#44;5&#37; refiri&#243; alg&#250;n episodio de hipoglucemia&#46; El coste-total&#47;paciente con DM2 al cabo de 2 a&#241;os fue de 4&#46;458&#8364;&#46; Por subgrupos fue de DM2&#58; 3&#46;431&#8364;&#59; DM2-HTA&#58; 4&#46;075&#8364;&#59; DM2-SP&#58; 4&#46;057&#8364;&#59; DM2-OBE&#58; 4&#46;915&#8364;&#59; DM2-HTA-SP&#58; 4&#46;203&#8364; y DM2-HTA-OBE&#58; 5&#46;02&#8364; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; La tasa de ECV en los enfermos con DM2 fue del 4&#44;7&#37;&#44; y del 1&#44;7&#37; en los que no padec&#237;an esta condici&#243;n &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La OBE es una comorbilidad asociada a la DM2 que origina un mayor gasto sanitario que la HTA&#46; La presencia de estas comorbilidades ocasiona mayores tasas de ECV&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0035">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Type 2 diabetes mellitus &#40;DM2&#41; is usually accompanied by various comorbidities that can increase the cost of treatment&#46; We are not aware of studies that have determined the costs associated with treating DM2 patients with co-morbidities such as overweight &#40;OW&#41;&#44; obesity &#40;OBE&#41; or arterial hypertension &#40;AHT&#41;&#46; The aim of the study was to examine the health-related costs and the incidence of cardiovascular disease &#40;CVD&#41; in these patients&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0040">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Multicenter&#44; observational retrospective design&#46; We included patients 40-99 years of age who requested medical attention in 2010 in Badalona &#40;Barcelona&#44; Spain&#41;&#46; There were two study groups&#58; those with DM2 and without DM2 &#40;reference group&#47;control&#41;&#44; and six subgroups&#58; DM2-only&#44; DM2-AHT&#44; DM2-OW&#44; DM2-OBE&#59; DM2-AHT-OW and DM2-AHT-OBE&#46; The main outcome measures were&#58; co-morbidity&#44; metabolic syndrome &#40;MS&#41;&#44; complications &#40;hypoglycemia&#44; CVD&#41; and costs &#40;health and non-health&#41;&#46; Follow-up was carried out for two years&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 26&#44;845 patients were recruited&#46; The prevalence of DM2 was 14&#46;0&#37;&#46; Subjects with DM2 were older &#40;67&#46;8 vs&#46; 59&#46;7 years&#41; and more were men &#40;51&#46;3 vs&#46; 43&#46;0&#37;&#41;&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;001&#46; DM2 status was associated primarily with OBE &#40;OR&#61;2&#46;8&#44; <span class="elsevierStyleSmallCaps">CI</span>&#61;2&#46;4-3&#46;1&#41;&#44; AHT &#40;OR&#61;2&#46;4&#44; CI&#61;2&#46;2-2&#46;6&#41; and OW &#40;OR&#61;1&#46;9&#44; CI&#61;1&#46;7-2&#46;2&#41;&#46; The distribution by subgroups was&#58; 6&#46;7&#37; of patients had only DM2&#44; 26&#46;1&#37; had DM2&#44; AHT and OW&#44; and 34&#46;1&#37; had DM2&#44; AHT&#44; and OBE&#46; Some 75&#46;4&#37; had MS and 37&#46;5&#37; reported an episode of hypoglycemia&#46; The total cost&#47;patient with DM2 was &#8364;4&#44;458&#46; By subgroups the costs were as follows&#58; DM2&#58; &#8364;3&#44;431&#59; DM2-AHT&#58; &#8364;4&#44;075&#59; DM2-OW&#58; &#8364;4&#44;057&#59; DM2-OBE&#58; &#8364;4&#44;915&#59; DM2-AHT-OW&#58; &#8364;4&#44;203 and DM2-AHT-OBE&#58; &#8364;5&#44;021&#44; <span class="elsevierStyleItalic">P</span>&#60;&#46;001&#46; The CVD rate among patients with DM2 was 4&#46;7 vs&#46; 1&#46;7&#37; in those without DM2 <span class="elsevierStyleItalic">P</span>&#60;&#46;001&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0050">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Obesity is a comorbidity associated with DM2 that leads to greater healthcare costs than AHT&#46; The presence of these comorbidities causes increased rates of CVD&#46;</p>"
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
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        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Esquema general del estudio&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">BUR&#58; bandas de utilizaci&#243;n de recursos&#59; DM2&#58; diabetes mellitus tipo 2&#59; EPOC&#58; enfermedad pulmonar obstructiva cr&#243;nica&#59; HTA&#58; hipertensi&#243;n arterial&#59; OBE&#58; obesidad&#59; SP&#58; sobrepeso&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Valores expresados en porcentaje o media &#40;desviaci&#243;n est&#225;ndar&#41;&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Valor p global en la comparaci&#243;n general entre grupos&#58; <span class="elsevierStyleSup">a</span>p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#59; &#42;&#42;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#59; &#42;&#42;&#42;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001 en la comparaci&#243;n por pares&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">En los subgrupos&#44; diferencias estad&#237;sticamente significativas respecto al grupo control&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td 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">Grupos de estudio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Grupos generales</td><td class="td" title="\n
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                  \t\t\t\t  " colspan="6" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Subgrupos de estudio &#40;comorbilidad asociada a la diabetes&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">Control&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">Diabetes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2 solo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-HTA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-SP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-OBE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-HTA-SP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-HTA-OBE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">N&#250;mero de pacientes&#44; &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>26&#46;845 &#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-head\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>23&#46;085 &#40;86&#44;0&#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="left" valign="\n
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                  \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"><span class="elsevierStyleBold">Caracter&#237;sticas sociodemogr&#225;ficas</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Promedio de edad&#44; a&#241;os</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">60&#44;9 &#40;13&#44;1&#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="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">67&#44;8 &#40;11&#44;3&#41;&#42;&#42;&#42;&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</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">71&#44;7 &#40;10&#44;4&#41;<span class="elsevierStyleSup">a</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">64&#44;2 &#40;12&#44;1&#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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">R&#233;gimen de pensionista&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Promedio de BUR</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">Comorbilidades asociadas</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Hipertensi&#243;n arterial&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Dislipemia&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Sobrepeso&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Obesidad&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Fumadores activos&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22&#44;5&#42;&#42;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33&#44;6<span class="elsevierStyleSup">a</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">29&#44;7<span class="elsevierStyleSup">a</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">26&#44;3<span class="elsevierStyleSup">a</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Alcoholismo&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;6&#42;&#42;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8&#44;3<span class="elsevierStyleSup">a</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Cardiopat&#237;a isqu&#233;mica&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">14&#44;1&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Accidente cerebrovascular&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Evento cardiovascular&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Insuficiencias org&#225;nicas&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Asma bronquial&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Neoplasias malignas&#44; &#37;</span>&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">DM2-HTA-OBE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td 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" style="border-bottom: 2px solid black">N&#250;mero de pacientes&#44; &#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;760&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>253&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>263&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>579&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>403&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>980&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">N<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;282&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><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="elsevierStyleBold">Tiempo desde el diagn&#243;stico&#44; a&#241;os</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">8&#44;5 &#40;3&#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;5 &#40;3&#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&#44;7 &#40;3&#44;2&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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;1 &#40;2&#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">6&#44;0 &#40;3&#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">8&#44;8 &#40;2&#44;9&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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&#44;9 &#40;3&#44;5&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Complicaciones microvasculares</span></td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Retinopat&#237;a diab&#233;tica&#44; &#37;&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;1&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">15&#44;1&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&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;1&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">13&#44;9&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&#44;0&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">23&#44;2<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Neuropat&#237;a diab&#233;tica&#44; &#37;&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;4&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;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;9&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;1&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;1&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;0&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;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Nefropat&#237;a diab&#233;tica&#44; &#37;&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;2&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;5&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;9&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;4&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;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;9&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;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Microalbuminuria&#44; &#37;&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">25&#44;7&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&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">23&#44;7&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;0&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&#44;9&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;0<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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;3<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Componentes del s&#237;ndrome metab&#243;lico</span></td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>IMC<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>28&#44;8<span class="elsevierStyleHsp" style=""></span>kg&#47;m<span class="elsevierStyleSup">2</span>&#44; &#37;&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">63&#44;4&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">11&#44;6&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&#44;6&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">49&#44;6&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">100&#44;0<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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&#44;1&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">100&#44;0<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Presi&#243;n arterial<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>130&#47;85<span class="elsevierStyleHsp" style=""></span>mmHg o tratamiento&#44; &#37;&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">85&#44;9&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">49&#44;8&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">100&#44;0<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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\ttop\n
                  \t\t\t\t">59&#44;0&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\ttop\n
                  \t\t\t\t">65&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">100&#44;0<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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">100&#44;0<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Triglic&#233;ridos<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>150 mg&#47;dl&#44; &#37;&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">35&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">19&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">26&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">38&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">34&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">41&#44;8<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Glucemia en ayunas<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>110<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; &#37;&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">88&#44;9&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">88&#44;4&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">89&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">88&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">88&#44;0&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">89&#44;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">89&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>HDLc<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>40 varones o &#60;<span class="elsevierStyleHsp" style=""></span>50 mujeres mg&#47;dl&#44; &#37;&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">66&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">42&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">63&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">60&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">62&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">71&#44;8<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">72&#44;7<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><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="elsevierStyleBold">Prevalencia del s&#237;ndrome metab&#243;lico&#44; &#37;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">75&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">31&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">67&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">64&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">75&#44;8<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">78&#44;7<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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">98&#44;7<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Medicaci&#243;n farmacol&#243;gica</span></td></tr><tr title="table-row"><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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Consumo de antidiab&#233;ticos&#44; &#37;&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">85&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">75&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">86&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">81&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">79&#44;2&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">86&#44;9<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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">89&#44;3<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Metformina&#44; &#37;&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">68&#44;7&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">52&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">68&#44;0&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">65&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">71&#44;8<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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">73&#44;0<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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">74&#44;0<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Sulfonilureas&#44; &#37;&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">29&#44;4&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">30&#44;9&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">35&#44;1<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&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">30&#44;1&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">30&#44;7&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">29&#44;9&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">27&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Glinidas&#44; &#37;&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">5&#44;6&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">6&#44;8&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">4&#44;4&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">4&#44;7&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\ttop\n
                  \t\t\t\t">3&#44;8&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">5&#44;8&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;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Glitazonas&#44; &#37;&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">1&#44;4&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">0&#44;0&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">0&#44;0&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">1&#44;1&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">1&#44;3&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">1&#44;8&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">1&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Acarbosa&#44; &#37;&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;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;0&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">0&#44;9&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;0&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;0&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">0&#44;7&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;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Miglitol&#44; &#37;&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">0&#44;2&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">1&#44;0&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">0&#44;4&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;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>IDDP4&#44; &#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;9&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">1&#44;0&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">3&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Metformina&#47;glitazonas&#44; &#37;&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">1&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;5&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">0&#44;9&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">1&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Metformina&#47;IDDP4&#44; &#37;&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">12&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">12&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">12&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11&#44;9&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"><span class="elsevierStyleHsp" style=""></span>Insulina&#44; &#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">23&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">24&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">25&#44;5<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Terapia farmacol&#243;gica</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;4 &#40;0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;4 &#40;0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;4 &#40;0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;4 &#40;0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;5 &#40;0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;4 &#40;0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;5 &#40;0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Monoterapia&#44; &#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">61&#44;5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">69&#44;6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">65&#44;8&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">63&#44;5&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">59&#44;6&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">61&#44;5&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">59&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Doble terapia&#44; &#37;&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&#44;1&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">25&#44;7&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">30&#44;7&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">30&#44;4&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&#44;5&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">34&#44;2&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">35&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Triple terapia o superior&#44; &#37;&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&#44;4&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&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;5&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;2&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;9&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&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;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Hipoglucemias &#40;durante el seguimiento&#41;</span></td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Con ingreso hospitalario&#44; &#37;&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;5&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;0&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;0&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;5&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;0&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;0&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;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>En urgencias hospitalarias&#44; &#37;&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;0&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;0&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;0&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;9&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;0&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;6&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;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>En atenci&#243;n primaria&#44; &#37;&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">34&#44;1&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">37&#44;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="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">46&#44;0&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">35&#44;1&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">35&#44;5&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&#44;4&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&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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><span class="elsevierStyleHsp" style=""></span>Hipoglucemias total&#44; &#37;&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">37&#44;7&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&#44;2&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">48&#44;0&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">36&#44;0&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">35&#44;5&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&#44;9&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">35&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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            0 => array:3 [
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">En los subgrupos&#44; diferencias estad&#237;sticamente significativas respecto al grupo general de diabetes&#46;</p>"
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          "es" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Distribuci&#243;n de las complicaciones microvasculares&#44; s&#237;ndrome metab&#243;lico&#44; medicaci&#243;n farmacol&#243;gica e hipoglucemias de los pacientes con diabetes</p>"
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          "leyenda" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Valores expresados en media &#40;DE&#41;&#59; DE&#58; desviaci&#243;n est&#225;ndar&#59; DM2&#58; diabetes mellitus tipo 2&#59; HTA&#58; hipertensi&#243;n arterial&#59; IC&#58; intervalo de confianza&#59; OBE&#58; obesidad&#59; SP&#58; sobrepeso&#46;</p><p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">En los subgrupos existen diferencias significativas respecto al grupo control en todos los componentes&#44; excepto en los d&#237;as de incapacidad laboral&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td 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" style="border-bottom: 2px solid black">Grupos de estudio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">Control&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">Diabetes<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2 solo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-HTA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-SP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-OBE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-HTA-SP&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td 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" style="border-bottom: 2px solid black">DM2-HTA-OBE&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Modelo de costes sin corregir</span></td></tr><tr title="table-row"><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>Costes sanitarios&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
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Costes en atenci&#243;n primaria&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Visitas m&#233;dicas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Pruebas de laboratorio&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Radiolog&#237;a convencional&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Pruebas complementarias&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Medicamentos &#40;todos&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antidiab&#233;ticos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#8211;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">625 &#40;821&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">734 &#40;979&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">593 &#40;774&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Costes en atenci&#243;n especializada&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>D&#237;as de hospitalizaci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Visitas m&#233;dicas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Costes no sanitarios &#40;productividad&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Costes totales&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Modelo de costes corregidos</span><a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Costes sanitarios&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IC 95&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;848-3&#46;313&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;387-2&#46;725&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;034-3&#46;281&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;655-3&#46;876&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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>Costes en atenci&#243;n primaria&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">2&#46;870&#42;&#42;&#42;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;238&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;355&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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>IC 95&#37;&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">1&#46;628-1&#46;672&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;814-2&#46;927&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;035-2&#46;440&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">2&#46;634-3&#46;026&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">2&#46;167-2&#46;452&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&#46;634-2&#46;954&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&#46;655-2&#46;863&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&#46;261-3&#46;448&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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>Coste en medicamentos &#40;todos&#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">899&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">1&#46;859&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">1&#46;406&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">1&#46;701&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">1&#46;469&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">1&#46;850&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">1&#46;696&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">2&#46;252&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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>IC 95&#37;&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">868-929&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">1&#46;818-1&#46;899&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">1&#46;305-1&#46;506&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">1&#46;611-1&#46;791&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">1&#46;369-1&#46;569&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">1&#46;780-1&#46;920&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">1&#46;613-1&#46;779&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&#46;162-2&#46;342&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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>Coste en antidiab&#233;ticos&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">&#8211;&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">563&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">536&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">363&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">558&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">655&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">421&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">701&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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>IC 95&#37;&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">&#8211;&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">522-603&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">435-636&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">273-453&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">458-658&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">585-725&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">337-504&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">611-791&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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>Costes en atenci&#243;n especializada&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">133&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">360&#42;&#42;&#42;&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">289&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">250&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">246&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">364&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">398&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">411&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><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>IC 95&#37;&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">122-143&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">333-387&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">191-386&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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              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Modelo de ANCOVA&#58; los contrastes se basan en las comparaciones por pares&#44; linealmente independientes&#44; entre las medias marginales estimadas&#46;</p>"
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          "es" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Modelo de costes brutos y corregidos &#40;seguimiento de 24 meses&#41; seg&#250;n los grupos de estudio &#40;en euros&#41;</p>"
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          "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">&#191;Qu&#233; sabemos&#63;</span><p id="par0010" class="elsevierStylePara elsevierViewall">La diabetes mellitus tipo 2 &#40;DM2&#41; es una enfermedad con un elevado riesgo de padecer alguna enfermedad vascular&#44; especialmente si se asocia a otros factores de riesgo cardiovasculares como obesidad e hipertensi&#243;n arterial &#40;HTA&#41;&#46; No conocemos estudios que hayan determinado los costes de la DM2 cuando coexiste sobrepeso&#44; obesidad o HTA&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">&#191;Qu&#233; aporta este estudio&#63;</span><p id="par0015" class="elsevierStylePara elsevierViewall">El an&#225;lisis de 3&#46;760 enfermos con DM2 muestra que los costes asociados a la obesidad son mayores que a la HTA&#46; La incidencia de enfermedad cardiovascular fue m&#225;s de 2&#44;5 veces mayor en los enfermos con DM2 que en los que no padec&#237;an esta condici&#243;n&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Los Editores</p></span></span>"
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Original
Características clínicas y económicas asociadas a la diabetes tipo 2
Clinical and economic characteristics associated with type 2 diabetes
A. Sicras-Mainara,
Autor para correspondencia
asicras@bsa.cat

Autor para correspondencia.
, R. Navarro-Artiedab, J. Ibáñez-Nollac
a Dirección de planificación, Badalona Serveis Assistencials SA, Badalona, Barcelona, España
b Documentación médica, Hospital Germans Trias i Pujol, Badalona, Barcelona, España
c Dirección médica, Badalona Serveis Assistencials SA, Badalona, Barcelona, España

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