Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana

Las enfermedades alérgicas hacen referencia a la reacción generada por la exposición a sustancias por ingesta, inyección, inhalación o contacto, que contienen alérgenos con el potencial de generar una respuesta de hipersensibilidad que puede afectar múltiples sistemas y tejidos, siendo potencialment...

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Autores:: Barragan Pedraza, Luis Alfonso

Tipo de recurso:: https://purl.org/coar/resource_type/c_7a1f

Fecha de publicación:: 2025

Institución:: Universidad El Bosque

Repositorio:: Repositorio U. El Bosque

Idioma:: spa

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dc.title.none.fl_str_mv	Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana
dc.title.translated.none.fl_str_mv	Patterns of allergic sensitization and associated factors in a pediatric population at the Fundación Neumológica Colombiana
title	Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana
spellingShingle	Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana Alergias Asma Rinitis Dermatitis Prick test Allergies Asthma Rhinitis Dermatitis Prick test WS 100
title_short	Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana
title_full	Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana
title_fullStr	Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana
title_full_unstemmed	Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana
title_sort	Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica Colombiana
dc.creator.fl_str_mv	Barragan Pedraza, Luis Alfonso
dc.contributor.advisor.none.fl_str_mv	Arevalo, Yaicith Baez, Martha
dc.contributor.author.none.fl_str_mv	Barragan Pedraza, Luis Alfonso
dc.contributor.orcid.none.fl_str_mv	Barragan Pedraza, Luis Alfonso [0000-0003-3197-5671]
dc.subject.none.fl_str_mv	Alergias Asma Rinitis Dermatitis Prick test
topic	Alergias Asma Rinitis Dermatitis Prick test Allergies Asthma Rhinitis Dermatitis Prick test WS 100
dc.subject.keywords.none.fl_str_mv	Allergies Asthma Rhinitis Dermatitis Prick test
dc.subject.nlm.none.fl_str_mv	WS 100
description	Las enfermedades alérgicas hacen referencia a la reacción generada por la exposición a sustancias por ingesta, inyección, inhalación o contacto, que contienen alérgenos con el potencial de generar una respuesta de hipersensibilidad que puede afectar múltiples sistemas y tejidos, siendo potencialmente mortal. 1 A nivel mundial se ha estudiado múltiples patrones de sensibilidad en aras de determinar los alergenos más importantes para cada región. En Colombia, hay pocos artículos que traten este tema específicamente. Hay un de 2010 donde solo estudian IgE específica para ácaros encontrando una alta sensibilización, mas no estudia otros alergenos.2 Con este estudio, se pretende encontrar los patrones de sensibilidad de la población pediátrica en uno de los centros más importantes de alergología y neumología del país, la Fundación Neumológica Colombiana (FNC), en Bogotá. Se realizo un estudio de cohorte retrospectivo en el que se evaluaron los pacientes de 0 a 18 años, atendidos en la FNC con diagnóstico de asma alérgica, rinitis y dermatitis alérgicas con resultado de Prick test en la institución. En el periodo de 01/01/2023 hasta 31/12/2023. Se evaluaron los resultados dependiendo del grupo etario, género, procedencia y diagnóstico. Se evaluó los resultados de los prick test a trofoalergenos, aeroalergenos y baterías especiales. Inicialmente contamos con 6779 pacientes de los cuales 873 cumplían con los criterios de inclusión. Los diagnósticos más frecuentes fueron la combinación asma y rinitis, seguido de solo asma y después la combinación de los tres diagnósticos. Prevaleció la tipificación de aeroalergenos sobre los trofoalergenos, principalmente D. pteronussinus, D. farinae, y Blomia tropicalis
publishDate	2025
dc.date.accessioned.none.fl_str_mv	2025-02-06T20:13:13Z
dc.date.available.none.fl_str_mv	2025-02-06T20:13:13Z
dc.date.issued.none.fl_str_mv	2025-01
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dc.type.local.spa.fl_str_mv	Tesis/Trabajo de grado - Monografía - Especialización
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dc.identifier.reponame.spa.fl_str_mv	reponame:Repositorio Institucional Universidad El Bosque
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dc.language.iso.fl_str_mv	spa
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dc.relation.references.none.fl_str_mv	1. iu T, Lai SY, Li WS, Jiang YM, Bellou A. Prevalence of food allergen and aeroallergen sensitization among children in Sichuan province. Medicine (United States). 2020 Jul 2;99(27):E21055. 2. Dennis RJ, Caraballo L, García E, Rojas MX, Rondon MA, Pérez A, et al. Prevalence of asthma and other allergic conditions in Colombia 2009-2010: a cross-sectional study. BMC Pulm Med. 2012 May 2;12. 3. Larché M, Akdis CA, Valenta R. Immunological mechanisms of allergen-specific immunotherapy. Vol. 6, Nature Reviews Immunology. 2006. p. 761–71. 4. Atakul G, Çimen SS. The prevalence of sensitization to food allergens in children with atopic dermatitis. Allergol Immunopathol (Madr). 2023;51(3):85–90. 5. Vásquez L del M, Olaya M, Cleves D, Ramírez-Zuluaga LF, Serrano C. Characterization of children younger than five years with suspected allergic diseases. Rev Alerg Mex. 2018 Jan 1;65(1):52–60. 6. Foley SC, Préfontaine D, Hamid Q. Images in allergy and immunology: Role of eosinophils in airway remodeling. Journal of Allergy and Clinical Immunology. 2007 Jun;119(6):1563–6. 7. Asher I, Montefort S, Björkstén B, Lai CKW, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys [Internet]. Vol. 368, www.thelancet.com. 2006. Available from: www.thelancet.com 8. Morgan WJ, Stern DA, Sherrill DL, Guerra S, Holberg CJ, Guilbert TW, et al. Outcome of asthma and wheezing in the first 6 years of life follow-up through adolescence. Am J Respir Crit Care Med. 2005 Nov 15;172(10):1253–8. 9. Galli SJ, Tsai M, Piliponsky AM. The development of allergic inflammation. Vol. 454, Nature. Nature Publishing Group; 2008. p. 445–54. 10. Wise SK, Lin SY, Toskala E, Orlandi RR, Akdis CA, Alt JA, et al. International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis. Int Forum Allergy Rhinol. 2018 Feb 1;8(2):108–352 11. Calle A, Santamaría L, Sánchez J, Cardona R. The current state of the knowledge about local allergic rhinitis. Rev Alerg Mex. 2020 Mar 1;67(1):54–61. 12. Pawankar R, Canonica GW, Holgate ST, Lockey RF, Blaiss MS. WAO White Book on Allergy: Update 2013 Executive Summary [Internet]. 2013. Available from: www.worldallergy.org 13. Torres-Borrego J, Sánchez-Solís M. Dissecting Airborne Allergens. Vol. 12, Journal of Clinical Medicine. Multidisciplinary Digital Publishing Institute (MDPI); 2023. 14. Drazdauskaitė G, Layhadi JA, Shamji MH, Shamji mshamji MH. Mechanisms of Allergen Immunotherapy in Allergic Rhinitis. Available from: https://doi.org/10.1007/s11882-020-00977-7 15. Bousquet J, Heinzerling L, Bachert C, Papadopoulos NG, Bousquet PJ, Burney PG, et al. Practical guide to skin prick tests in allergy to aeroallergens. Allergy: European Journal of Allergy and Clinical Immunology. 2012 Jan;67(1):18–24. 16. GINA Report GS for AM and P 2023. P consultar las guías completas de G en GAGuidelines. GINA Report, Global Strategy for Asthma Management and Prevention, 2023. 2023; 17. Tidke M, Borghare PT, Pardhekar P, Nasre Y, Gomase K, Chaudhary M. Recent Advances in Allergic Rhinitis: A Narrative Review. Cureus. 2024 Sep 4; 18. Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, et al. Guidelines of care for the management of atopic dermatitis: Section 1. Diagnosis and assessment of atopic dermatitis Work Group. J Am Acad Dermatol. 2014 Feb;70(2):338–51. 19. Wang J, Zhou Y, Zhang H, Hu L, Liu J, Wang L, et al. Pathogenesis of allergic diseases and implications for therapeutic interventions. Vol. 8, Signal Transduction and Targeted Therapy. Springer Nature; 2023. 20. Tsoi LC, Rodriguez E, Stölzl D, Wehkamp U, Sun J, Gerdes S, et al. Progression of acute-to-chronic atopic dermatitis is associated with quantitative rather than qualitative changes in cytokine responses. Journal of Allergy and Clinical Immunology. 2020 May 1;145(5):1406–15. 21. Escarrer-Jaume M, Juliá-Benito JC, Quevedo-Teruel S, Prieto del-Prado A, Sandoval-Ruballos M, Quesada-Sequeira F, et al. Changes in epidemiology and clinical practice in IgE-mediated allergy in children. An Pediatr (Engl Ed). 2021 Jul 1;95(1):56.e1-56.e8. 22. Ferrante G, La Grutta S. The burden of pediatric asthma. Vol. 6, Frontiers in Pediatrics. Frontiers Media S.A.; 2018. 23. Orozco-Levi M BLBLLSSS. Distribución de la prevalencia de asma registrada en Colombia. rev colomb neumol [Internet]. 2023 [cited 2024 Nov 3]; Available from: https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/821 24. Londoño ÁM, Castro-Ayarza JR, Kronfly A, Buitrago DC, Samacá DF. Epidemiology and healthcare resource utilization in atopic dermatitis in Colombia: A retrospective analysis of data from the National Health Registry from 2015 to 2020. Biomedica. 2023;43(1):107–20. 25. Wise SK, Damask C, Roland LT, Ebert C, Levy JM, Lin S, et al. International consensus statement on allergy and rhinology: Allergic rhinitis – 2023. Vol. 13, International Forum of Allergy and Rhinology. John Wiley and Sons Inc; 2023. p. 293–859. 26. Agache I, Akdis CA. Precision medicine and phenotypes, endotypes, genotypes, regiotypes, and theratypes of allergic diseases. Vol. 129, Journal of Clinical Investigation. American Society for Clinical Investigation; 2019. p. 1493–503. 27. Schoettler N, Ober C. Genetic architecture of moderate-to-severe asthma mirrors that of mild asthma. Vol. 144, Journal of Allergy and Clinical Immunology. Mosby Inc.; 2019. p. 1521–3. 28. Stark GR, Darnell JE. The JAK-STAT Pathway at Twenty. Vol. 36, Immunity. 2012. p. 503–14. 29. Flaquer A, Heinzmann A, Rospleszcz S, Mailaparambil B, Dietrich H, Strauch K, et al. Association study of mitochondrial genetic polymorphisms in asthmatic children. Mitochondrion. 2014 Jan;14(1):49–53. 30. Wise SK, Damask C, Roland LT, Ebert C, Levy JM, Lin S, et al. International consensus statement on allergy and rhinology: Allergic rhinitis – 2023. Vol. 13, International Forum of Allergy and Rhinology. John Wiley and Sons Inc; 2023. p. 293–859. 31. Altmann F. The role of protein glycosylation in allergy. Vol. 142, International Archives of Allergy and Immunology. 2007. p. 99–115. 32. Zhou Y, Wang JS, Yang XJ, Lin DH, Gao YF, Su YJ, et al. Peanut allergy, allergen composition, and methods of reducing allergenicity: A review. Vol. 2013, International Journal of Food Science. Hindawi Publishing Corporation; 2013. 33. Migueres M, Dávila I, Frati F, Azpeitia A, Jeanpetit Y, Lhéritier-Barrand M, et al. Types of sensitization to aeroallergens: Definitions, prevalences and impact on the diagnosis and treatment of allergic respiratory disease. Vol. 4, Clinical and Translational Allergy. BioMed Central Ltd.; 2014. 34. Ferreira F, Hawranek T, Gruber P, Wopfner N, Mari A. Allergic cross-reactivity: From gene to the clinic. Vol. 59, Allergy: European Journal of Allergy and Clinical Immunology. 2004. p. 243–67 35. Stark GR, Darnell JE. The JAK-STAT Pathway at Twenty. Vol. 36, Immunity. 2012. p. 503–14. 36. Burbach GJ, Heinzerling LM, Edenharter G, Bachert C, Bindslev-Jensen C, Bonini S, et al. GA2LEN skin test study II: Clinical relevance of inhalant allergen sensitizations in Europe. Allergy: European Journal of Allergy and Clinical Immunology. 2009 Sep;64(10):1507–15. 37. Newcastle-Ottawa Quality Assessment Form for Cohort Studies. 38. National Center for Health Statistics in collaboration with the National Center for Chronic Disease Prevention and Health Promotion. National Center for Health Statistics. CDC Growth Charts. 2000. 39. Tam H, Calderon MA, Manikam L, Nankervis H, García Núñez I, Williams HC, et al. Specific allergen immunotherapy for the treatment of atopic eczema. Vol. 2016, Cochrane Database of Systematic Reviews. John Wiley and Sons Ltd; 2016.
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spelling	Arevalo, YaicithBaez, MarthaBarragan Pedraza, Luis AlfonsoBarragan Pedraza, Luis Alfonso [0000-0003-3197-5671]2025-02-06T20:13:13Z2025-02-06T20:13:13Z2025-01https://hdl.handle.net/20.500.12495/13865instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coLas enfermedades alérgicas hacen referencia a la reacción generada por la exposición a sustancias por ingesta, inyección, inhalación o contacto, que contienen alérgenos con el potencial de generar una respuesta de hipersensibilidad que puede afectar múltiples sistemas y tejidos, siendo potencialmente mortal. 1 A nivel mundial se ha estudiado múltiples patrones de sensibilidad en aras de determinar los alergenos más importantes para cada región. En Colombia, hay pocos artículos que traten este tema específicamente. Hay un de 2010 donde solo estudian IgE específica para ácaros encontrando una alta sensibilización, mas no estudia otros alergenos.2 Con este estudio, se pretende encontrar los patrones de sensibilidad de la población pediátrica en uno de los centros más importantes de alergología y neumología del país, la Fundación Neumológica Colombiana (FNC), en Bogotá. Se realizo un estudio de cohorte retrospectivo en el que se evaluaron los pacientes de 0 a 18 años, atendidos en la FNC con diagnóstico de asma alérgica, rinitis y dermatitis alérgicas con resultado de Prick test en la institución. En el periodo de 01/01/2023 hasta 31/12/2023. Se evaluaron los resultados dependiendo del grupo etario, género, procedencia y diagnóstico. Se evaluó los resultados de los prick test a trofoalergenos, aeroalergenos y baterías especiales. Inicialmente contamos con 6779 pacientes de los cuales 873 cumplían con los criterios de inclusión. Los diagnósticos más frecuentes fueron la combinación asma y rinitis, seguido de solo asma y después la combinación de los tres diagnósticos. Prevaleció la tipificación de aeroalergenos sobre los trofoalergenos, principalmente D. pteronussinus, D. farinae, y Blomia tropicalisFundación Neumológica ColombianaEspecialista en PediatríaEspecializaciónAllergic diseases refer to the reaction generated by exposure to substances through ingestion, injection, inhalation, or contact, which contain allergens with the potential to trigger a hypersensitivity response that can affect multiple systems and tissues, potentially leading to death. Globally, various patterns of sensitivity have been studied to determine the most important allergens for each region. In Colombia, there are few articles specifically addressing this topic. One from 2010 studied only specific IgE for dust mites, finding high sensitization but not studying other allergens. This study aims to identify the sensitivity patterns of the pediatric population at one of the country's most important centers for allergy and pulmonology, the Fundación Neumológica Colombiana (FNC) in Bogotá. A retrospective cohort study was conducted, evaluating patients aged 0 to 18 years, treated at FNC with a diagnosis of allergic asthma, allergic rhinitis, and allergic dermatitis, based on the Prick test results at the institution during the period from 01/01/2023 to 31/12/2023. Results were evaluated by age group, gender, origin, and diagnosis. Prick test results for trophoallergens, aeroallergens, and special batteries were assessed. Initially, there were 6,779 patients, of which 873 met the inclusion criteria. The most frequent diagnoses were the combination of asthma and rhinitis, followed by asthma alone, and then the combination of all three diagnoses. Aeroallergen sensitization predominated over trophoallergens, primarily D. pteronyssinus, D. farinae, and Blomia tropicalis.application/pdfAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Acceso abiertohttps://purl.org/coar/access_right/c_abf2http://purl.org/coar/access_right/c_abf2AlergiasAsmaRinitisDermatitisPrick testAllergiesAsthmaRhinitisDermatitisPrick testWS 100Patrones de sensibilización alérgica y factores asociados en una población pediátrica en la Fundación Neumológica ColombianaPatterns of allergic sensitization and associated factors in a pediatric population at the Fundación Neumológica ColombianaEspecialización en PediatríaUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aa1. iu T, Lai SY, Li WS, Jiang YM, Bellou A. Prevalence of food allergen and aeroallergen sensitization among children in Sichuan province. Medicine (United States). 2020 Jul 2;99(27):E21055.2. Dennis RJ, Caraballo L, García E, Rojas MX, Rondon MA, Pérez A, et al. Prevalence of asthma and other allergic conditions in Colombia 2009-2010: a cross-sectional study. BMC Pulm Med. 2012 May 2;12.3. Larché M, Akdis CA, Valenta R. Immunological mechanisms of allergen-specific immunotherapy. Vol. 6, Nature Reviews Immunology. 2006. p. 761–71.4. Atakul G, Çimen SS. The prevalence of sensitization to food allergens in children with atopic dermatitis. Allergol Immunopathol (Madr). 2023;51(3):85–90.5. Vásquez L del M, Olaya M, Cleves D, Ramírez-Zuluaga LF, Serrano C. Characterization of children younger than five years with suspected allergic diseases. Rev Alerg Mex. 2018 Jan 1;65(1):52–60.6. Foley SC, Préfontaine D, Hamid Q. Images in allergy and immunology: Role of eosinophils in airway remodeling. Journal of Allergy and Clinical Immunology. 2007 Jun;119(6):1563–6.7. Asher I, Montefort S, Björkstén B, Lai CKW, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys [Internet]. Vol. 368, www.thelancet.com. 2006. Available from: www.thelancet.com8. Morgan WJ, Stern DA, Sherrill DL, Guerra S, Holberg CJ, Guilbert TW, et al. Outcome of asthma and wheezing in the first 6 years of life follow-up through adolescence. Am J Respir Crit Care Med. 2005 Nov 15;172(10):1253–8.9. Galli SJ, Tsai M, Piliponsky AM. The development of allergic inflammation. Vol. 454, Nature. Nature Publishing Group; 2008. p. 445–54.10. Wise SK, Lin SY, Toskala E, Orlandi RR, Akdis CA, Alt JA, et al. International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis. Int Forum Allergy Rhinol. 2018 Feb 1;8(2):108–35211. Calle A, Santamaría L, Sánchez J, Cardona R. The current state of the knowledge about local allergic rhinitis. Rev Alerg Mex. 2020 Mar 1;67(1):54–61.12. Pawankar R, Canonica GW, Holgate ST, Lockey RF, Blaiss MS. WAO White Book on Allergy: Update 2013 Executive Summary [Internet]. 2013. Available from: www.worldallergy.org13. Torres-Borrego J, Sánchez-Solís M. Dissecting Airborne Allergens. Vol. 12, Journal of Clinical Medicine. Multidisciplinary Digital Publishing Institute (MDPI); 2023.14. Drazdauskaitė G, Layhadi JA, Shamji MH, Shamji mshamji MH. Mechanisms of Allergen Immunotherapy in Allergic Rhinitis. Available from: https://doi.org/10.1007/s11882-020-00977-715. Bousquet J, Heinzerling L, Bachert C, Papadopoulos NG, Bousquet PJ, Burney PG, et al. Practical guide to skin prick tests in allergy to aeroallergens. Allergy: European Journal of Allergy and Clinical Immunology. 2012 Jan;67(1):18–24.16. GINA Report GS for AM and P 2023. P consultar las guías completas de G en GAGuidelines. GINA Report, Global Strategy for Asthma Management and Prevention, 2023. 2023;17. Tidke M, Borghare PT, Pardhekar P, Nasre Y, Gomase K, Chaudhary M. Recent Advances in Allergic Rhinitis: A Narrative Review. Cureus. 2024 Sep 4;18. Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, et al. Guidelines of care for the management of atopic dermatitis: Section 1. Diagnosis and assessment of atopic dermatitis Work Group. J Am Acad Dermatol. 2014 Feb;70(2):338–51.19. Wang J, Zhou Y, Zhang H, Hu L, Liu J, Wang L, et al. Pathogenesis of allergic diseases and implications for therapeutic interventions. Vol. 8, Signal Transduction and Targeted Therapy. Springer Nature; 2023.20. Tsoi LC, Rodriguez E, Stölzl D, Wehkamp U, Sun J, Gerdes S, et al. Progression of acute-to-chronic atopic dermatitis is associated with quantitative rather than qualitative changes in cytokine responses. Journal of Allergy and Clinical Immunology. 2020 May 1;145(5):1406–15.21. Escarrer-Jaume M, Juliá-Benito JC, Quevedo-Teruel S, Prieto del-Prado A, Sandoval-Ruballos M, Quesada-Sequeira F, et al. Changes in epidemiology and clinical practice in IgE-mediated allergy in children. An Pediatr (Engl Ed). 2021 Jul 1;95(1):56.e1-56.e8.22. Ferrante G, La Grutta S. The burden of pediatric asthma. Vol. 6, Frontiers in Pediatrics. Frontiers Media S.A.; 2018.23. Orozco-Levi M BLBLLSSS. Distribución de la prevalencia de asma registrada en Colombia. rev colomb neumol [Internet]. 2023 [cited 2024 Nov 3]; Available from: https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/82124. Londoño ÁM, Castro-Ayarza JR, Kronfly A, Buitrago DC, Samacá DF. Epidemiology and healthcare resource utilization in atopic dermatitis in Colombia: A retrospective analysis of data from the National Health Registry from 2015 to 2020. Biomedica. 2023;43(1):107–20.25. 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