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[PMID]: 29267506 [Au] Autor: Zhang ZJ; Zheng ML; Nie Y; Niu ZQ [Ad] Endereço: Department of Anesthesiology, the Cangzhou Central Hospital, Cangzhou, Hebei, China. [Ti] Título: Comparison of Arndt-endobronchial blocker plus laryngeal mask airway with left-sided double-lumen endobronchial tube in one-lung ventilation in thoracic surgery in the morbidly obese. [So] Source: Braz J Med Biol Res;51(2):e6825, 2017 Dec 18. [Is] ISSN: 1414-431X [Cp] País de publicação: Brazil [La] Idioma: eng [Ab] Resumo: This study aimed to evaluate the feasibility and performance of Arndt-endobronchial blocker (Arndt) combined with laryngeal mask airway (LMA) compared with left-sided double-lumen endobronchial tube (L-DLT) in morbidly obese patients in one-lung ventilation (OLV). In a prospective, randomized double-blind controlled clinical trial, 80 morbidly obese patients (ASA I-III, aged 20-70) undergoing general anesthesia for elective thoracic surgeries were randomly allocated into groups Arndt (n=40) and L-DLT (n=40). In group Arndt, a LMA™ Proseal was placed followed by an Arndt-endobronchial blocker. In group L-DLT, patients were intubated with a left-sided double-lumen endotracheal tube. Primary endpoints were the airway establishment, ease of insertion, oxygenation, lung collapse and surgical field exposure. Results showed similar ease of airway establishment and tube/device insertion between the two groups. Oxygen arterial pressure (PaO2) of patients in the Arndt group was significantly higher than L-DLT (154±46 vs 105±52 mmHg; P<0.05). Quality of lung collapse and surgical field exposure in the Arndt group was significantly better than L-DLT (effective rate 100 vs 90%; P<0.05). Duration of surgery and anesthesia were significantly shorter in the Arndt group (2.4±1.7 vs 3.1±1.8 and 2.8±1.9 vs 3.8±1.8 h, respectively; P<0.05). Incidence of hoarseness of voice and incidence and severity of throat pain at the post-anesthesia care unit and 12, 24, 48, and 72 h after surgery were significantly lower in the Arndt group (P<0.05). Findings suggested that Arndt-endobronchial blocker combined with LMA can serve as a promising alternative for morbidly obese patients in OLV in thoracic surgery. [Mh] Termos MeSH primário: Intubação Intratraqueal/instrumentação Máscaras Laríngeas/normas Obesidade Mórbida/cirurgia Ventilação Monopulmonar/instrumentação Procedimentos Cirúrgicos Torácicos/instrumentação [Mh] Termos MeSH secundário: Adulto Idoso Método Duplo-Cego Desenho de Equipamento Feminino Seres Humanos Intubação Intratraqueal/métodos Masculino Meia-Idade Ventilação Monopulmonar/métodos Duração da Cirurgia Dor Pós-Operatória/etiologia Faringite/etiologia Estudos Prospectivos Atelectasia Pulmonar Reprodutibilidade dos Testes Procedimentos Cirúrgicos Torácicos/métodos Fatores de Tempo Resultado do Tratamento Ventiladores Mecânicos/normas [Pt] Tipo de publicação: JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180308 [Lr] Data última revisão: 180308 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171222 [St] Status: MEDLINE

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[PMID]: 29480864 [Au] Autor: Khan S; Su S; Jiang K; Wang BM [Ad] Endereço: Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, PR China. [Ti] Título: Retrograde gastroesophageal intussusception after peroral endoscopic myotomy in a patient with achalasia cardia: A case report. [So] Source: Medicine (Baltimore);97(2):e9609, 2018 Jan. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Retrograde gastroesophageal intussusception (RGEI) is a relatively rare gastrointestinal (GI) disorder in which a portion of the stomach wall invaginates into the esophagus. More recently, peroral endoscopic myotomy (POEM) has emerged as an endoscopic alternative to surgical myotomy for achalasia, and, to the best of our knowledge, our case is the first RGEI after POEM to be reported. PATIENT CONCERNS: A 22-year-old male was presented with a history of vomiting, intractable retching and hematemesis for 3 days. He had a history of achalasia and underwent POEM 3 years ago caused by symptoms of severe dysphagia to solid and liquid. DIAGNOSES: Initially, the patient was diagnosed with a blood-filled esophagus, and the mid esophagus was occluded with a ball-like mass, however, the final diagnosis of RGEI was made by thoracotomy. INTERVENTIONS: A therapeutic strategy of conservative treatment and left transthoracic surgery were applied. OUTCOMES: The surgery and post operative course were uneventful, and he remained asymptomatic 1 year after operation. LESSONS: POEM is a reliable and minimally invasive endoscopic method for esophageal achalasia. Early recognition and severity of RGEI are essential to decrease the unwanted complications. Upper GI series, esophagogastroduodenoscopy and computed tomography scan are helpful for diagnostic purposes of RGEI. Conservative treatment, endoscopic intervention, and surgery are the mainstay of treatments for RGEI. [Mh] Termos MeSH primário: Endoscopia Gastrointestinal Acalasia Esofágica/cirurgia Intussuscepção/etiologia Miotomia Complicações Pós-Operatórias Gastropatias/etiologia [Mh] Termos MeSH secundário: Tratamento Conservador Endoscopia Gastrointestinal/métodos Acalasia Esofágica/diagnóstico por imagem Acalasia Esofágica/patologia Junção Esofagogástrica Seres Humanos Intussuscepção/diagnóstico por imagem Intussuscepção/patologia Intussuscepção/terapia Masculino Miotomia/métodos Complicações Pós-Operatórias/terapia Gastropatias/diagnóstico por imagem Gastropatias/patologia Gastropatias/terapia Procedimentos Cirúrgicos Torácicos Adulto Jovem [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180305 [Lr] Data última revisão: 180305 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180227 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000009609

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[PMID]: 29428031 [Au] Autor: Rosati CM; Gaudino M; Vardas PN; Weber DJ; Blitzer D; Hameedi F; Koniaris LG; Girardi LN [Ti] Título: Academic Clinical Productivity of Cardiac Surgeons in the State of New York: Who Publishes More and Who Operates More. [So] Source: Am Surg;84(1):71-79, 2018 Jan 01. [Is] ISSN: 1555-9823 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: We investigated whether/how cardiac surgeons can be productive both academically and clinically. Using online resources (New York State Adult Cardiac Surgery database, SCOPUS), we collected individual clinical volumes (operations performed/year), academic metrics (ongoing publications, role as author), practice setting, and seniority for all cardiac surgeons in the State of New York from 1994 to 2011. Over time, individual clinical volumes decreased (median operations/year: 193 in 1995 vs 126 in 2010; P < 0.001), whereas academic productivity remained unchanged (median publications/year: 0.7 vs 0.3; P = 0.55). There was no correlation (Spearman's correlation coefficient: -0.061; P = 0.08) between the number of new publications and operations/year for the whole population. More operations/year (median: 155 vs 144; P = 0.03) were performed by surgeons without versus with publications during that same year. Who published more worked at hospitals with higher clinical volumes (Spearman's correlation coefficient: 0.16; P < 0.001) and was more likely affiliated with thoracic surgery fellowship programs (median publications/year: 1.7 for affiliated vs 0 for nonaffiliated surgeons; P < 0.001). Cardiac surgeons could be classified into four categories: ∼40 per cent clinically busy, but not publishing at all; ∼45 per cent operating less, but publishing a little; ∼15 per cent clinically very productive (operating as much as the nonpublishers) and publishing a lot; and ∼1 per cent operating the least, but publishing the most. [Mh] Termos MeSH primário: Academias e Institutos Eficiência Transplante de Coração/estatística & dados numéricos Hospitais Universitários/estatística & dados numéricos Editoração/estatística & dados numéricos Cirurgia Torácica/recursos humanos Cirurgia Torácica/estatística & dados numéricos [Mh] Termos MeSH secundário: Adulto Procedimentos Cirúrgicos Cardíacos/estatística & dados numéricos Bases de Dados Factuais Hospitais/estatística & dados numéricos Seres Humanos New York Procedimentos Cirúrgicos Torácicos/estatística & dados numéricos [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180212 [St] Status: MEDLINE

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[PMID]: 29373004 [Au] Autor: Fazi AC; Davis ML; Kurian S; McClellan WT [Ti] Título: Acquires Anterior Thoracic Lung Herniation and Repair: A Rare Case and Discussion. [So] Source: W V Med J;113(1):40-2, 2017 Jan-Feb. [Is] ISSN: 0043-3284 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: We report a case of acquired anterior thoracic lung herniation in a 63-yeal-old female. This painful herniation developed four years after uncomplicated video-assisted thoracic surgery for lung cancer resection and adjuvant radiation for concomitant breast cancer. The herniation site was remote from all prior incisions, and demonstrated intercostal muscle denervation and radiation fibrosis. The 8 cm x 10 cm chest wall defect was reconstructed with inlay PROCEED mesh and reinforced with a pedicled latissimus dorsi flap. Five months postoperatively the patient had complete resolution of symptoms, no evidence of herniation, and a stable wound. [Mh] Termos MeSH primário: Hérnia/etiologia Hérnia/terapia Pneumopatias/etiologia Pneumopatias/cirurgia Parede Torácica/cirurgia [Mh] Termos MeSH secundário: Feminino Seres Humanos Meia-Idade Músculo Esquelético/cirurgia Cirurgia Torácica Vídeoassistida/efeitos adversos Procedimentos Cirúrgicos Torácicos/métodos Resultado do Tratamento [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180215 [Lr] Data última revisão: 180215 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180127 [St] Status: MEDLINE

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[PMID]: 29226712 [Au] Autor: Vágvölgyi A; Rozgonyi Z; Vadász P; Varga JT [Ad] Endereço: Mellkassebészeti Osztály, Országos Korányi Pulmonológiai Intézet Budapest. [Ti] Título: [Risk stratification before thoracic surgery, perioperative pulmonary rehabilitation]. [Ti] Título: A mellkassebészeti mutéti teherbíró képesség megítélése, perioperatív légzésrehabilitáció.. [So] Source: Orv Hetil;158(50):1989-1997, 2017 Dec. [Is] ISSN: 0030-6002 [Cp] País de publicação: Hungary [La] Idioma: hun [Ab] Resumo: INTRODUCTION: Besides the oncology and operative surgical technics, functional aspects influence the operability of lung cancer. Preoperative risk stratification, evaluation of postoperative complications needs to be considered. AIM: To review international literature and experiences of our institute. METHOD: We focused the literature of risk stratification of thoracic surgery. Lung function, lung mechanics, chest kinematics, exercise physiology were considered. Effectiveness of pulmonary rehabilitation for cardiovascular system, lung mechanics, muscles, exercise capacity and quality of life were evaluated. Laboratory parameters, comorbidities, obesity, cachexia, smoking cessation were considered. RESULTS: Elevated blood sugar, kidney function, reduced albumin level increased the risk. COPD, sleep apnoea, heart failure, obesity and cachexia influences the outcome. Smoking cessation may reduce postoperative complications. Controlled breathing technics, chest wall mobilization, training have favourable effects. Psychosocial support and dietetics are important. CONCLUSIONS: Risk stratification is supported by laboratory parameters, lung function, oxygen uptake and comorbidities. Pulmonary rehabilitation can improve functionality and quality of life. Orv Hetil. 2017; 158(50): 1989-1997. [Mh] Termos MeSH primário: Assistência Perioperatória/métodos Complicações Pós-Operatórias/prevenção & controle Procedimentos Cirúrgicos Torácicos [Mh] Termos MeSH secundário: Seres Humanos Neoplasias Pulmonares/cirurgia Terapia Respiratória/métodos Fatores de Tempo [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180213 [Lr] Data última revisão: 180213 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171212 [St] Status: MEDLINE [do] DOI: 10.1556/650.2017.30862

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[PMID]: 29181991 [Au] Autor: Joshi V; Offer G; Richards C; Rathinam S [Ad] Endereço: University Hospitals of Leicester NHS Trust , UK. [Ti] Título: Chest wall resection and reconstruction for Rosai-Dorfman disease masquerading as a chest wall sarcoma. [So] Source: Ann R Coll Surg Engl;100(2):e28-e30, 2018 Feb. [Is] ISSN: 1478-7083 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Rosai-Dorfman disease (RDD) is a rare benign histiocytic proliferative disease that can present as a pseudotumour of soft tissue. We describe the first chest wall resection and reconstruction. [Mh] Termos MeSH primário: Histiocitose Sinusal Neoplasias do Mediastino Parede Torácica [Mh] Termos MeSH secundário: Diagnóstico Diferencial Feminino Histiocitose Sinusal/diagnóstico Histiocitose Sinusal/patologia Histiocitose Sinusal/cirurgia Seres Humanos Neoplasias do Mediastino/diagnóstico Neoplasias do Mediastino/patologia Neoplasias do Mediastino/cirurgia Meia-Idade Procedimentos Cirúrgicos Reconstrutivos Sarcoma Procedimentos Cirúrgicos Torácicos Parede Torácica/patologia Parede Torácica/cirurgia [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180209 [Lr] Data última revisão: 180209 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171129 [St] Status: MEDLINE [do] DOI: 10.1308/rcsann.2017.0199

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[PMID]: 27568138 [Au] Autor: Ragalie WS; Mitchell ME [Ad] Endereço: Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin. [Ti] Título: Advances in Surgical Treatment of Congenital Airway Disease. [So] Source: Semin Thorac Cardiovasc Surg;28(1):62-8, 2016. [Is] ISSN: 1532-9488 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Tracheobronchomalacia (TBM) is frequently present in infants and children with congenital heart disease (CHD). Infants with CHD and TBM appear to do worse than those without TBM. The principle of operative intervention for TBM is to improve function of the airway and clinical status. When indicated, conventional surgical options include tracheostomy, aortopexy, tracheoplasty, and anterior tracheal suspension. There is no consensus on the optimal treatment of severe tracheobonchomalacia, which can be associated with a mortality rate as high as 80%. Congenital tracheal stenosis is also frequently associated with CHD (vascular rings, atrioventricular canal defects, and septal defects) and may require concomitant repair. Repair of tracheal stenosis is often associated with distal TBM. This article addresses new techniques that can be performed in corrective surgery for both TBM and congenital tracheal stenosis. [Mh] Termos MeSH primário: Brônquios/cirurgia Constrição Patológica/cirurgia Procedimentos Cirúrgicos Torácicos Traqueia/anormalidades Traqueia/cirurgia Traqueobroncomalácia/cirurgia [Mh] Termos MeSH secundário: Brônquios/anormalidades Brônquios/fisiopatologia Constrição Patológica/diagnóstico Constrição Patológica/mortalidade Constrição Patológica/fisiopatologia Difusão de Inovações História do Século XX História do Século XXI Seres Humanos Recuperação de Função Fisiológica Índice de Gravidade de Doença Procedimentos Cirúrgicos Torácicos/história Procedimentos Cirúrgicos Torácicos/tendências Traqueia/fisiopatologia Traqueobroncomalácia/diagnóstico Traqueobroncomalácia/mortalidade Traqueobroncomalácia/fisiopatologia Resultado do Tratamento [Pt] Tipo de publicação: HISTORICAL ARTICLE; JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1703 [Cu] Atualização por classe: 180126 [Lr] Data última revisão: 180126 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160829 [St] Status: MEDLINE

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[PMID]: 28455601 [Au] Autor: Saeki N; Sugimoto Y; Mori Y; Kato T; Miyoshi H; Nakamura R; Koga T [Ad] Endereço: Department of Anesthesiology and Critical Care, Hiroshima University Hospital, 1-2-3 Kasumi, Hiroshima, Hiroshima, 734-8551, Japan. nsaeki@hiroshima-u.ac.jp. [Ti] Título: Paravertebral block catheter breakage by electrocautery during thoracic surgery. [So] Source: J Anesth;31(3):463-466, 2017 Jun. [Is] ISSN: 1438-8359 [Cp] País de publicação: Japan [La] Idioma: eng [Ab] Resumo: Advantages of thoracic paravertebral analgesia (TPA) include placement of the catheter closer to the surgical field; however, the catheter can become damaged during the operation. We experienced a case of intraoperative TPA catheter breakage that prompted us to perform an experiment to investigate possible causes. A 50-year-old male underwent a thoracoscopic lower lobectomy under general anesthesia with TPA via an intercostal approach. Following surgery, it was discovered that the catheter had become occluded, as well as cut and fused, so we reopened the incision and removed the residual catheter. From that experience, we performed an experiment to examine electrocautery-induced damage in normal (Portex™, Smith's Medical), radiopaque (Perifix SoftTip™, BBraun), and reinforced (Perifix FX™, BBraun) epidural catheters (n = 8 each). Chicken meat was penetrated by each catheter and then cut by electrocautery. In the normal group, breakage occurred in 8 and occlusion in 6 of the catheters, and in the radiopaque group breakage occurred in 8 and occlusion in 7. In contrast, breakage occurred in only 3 and occlusion in none in the reinforced group, with the 5 without breakage remaining connected only by the spring coil. Furthermore, in 7 of the reinforced catheters, electric arc-induced thermal damage was observed at the tip of the catheter. A TPA catheter for thoracic surgery should be inserted via the median approach, or it should be inserted after surgery to avoid catheter damage during surgery. [Mh] Termos MeSH primário: Cateteres/efeitos adversos Eletrocoagulação/efeitos adversos Bloqueio Nervoso/métodos Procedimentos Cirúrgicos Torácicos/métodos [Mh] Termos MeSH secundário: Analgesia/métodos Anestesia Epidural/métodos Anestesia Geral/métodos Cateterismo/efeitos adversos Eletrocoagulação/métodos Seres Humanos Masculino Meia-Idade Manejo da Dor Vértebras Torácicas [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171207 [Lr] Data última revisão: 171207 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170430 [St] Status: MEDLINE [do] DOI: 10.1007/s00540-017-2361-z

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[PMID]: 29054210 [Au] Autor: Gaissert HA; Fernandez FG; Crabtree T; Burfeind WR; Allen MS; Block MI; Schipper PH; Jacobs JP; Habib RH; Shahian DM; Additional Authors [Ad] Endereço: Division of Thoracic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: hgaissert@partners.org. [Ti] Título: The Society of Thoracic Surgeons General Thoracic Surgery Database: 2017 Update on Research. [So] Source: Ann Thorac Surg;104(5):1450-1455, 2017 Nov. [Is] ISSN: 1552-6259 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: The outcomes research efforts based on The Society of Thoracic Surgeons (STS) General Thoracic Surgery Database include two established research programs with dedicated task forces and with data analyses conducted at the STS data analytic center: (1) The STS-sponsored research by the Access and Publications program, and (2) grant and institutionally funded research by the Longitudinal Follow-Up and Linked Registries Task Force. Also, the STS recently introduced the research program enabling investigative teams to apply for access to deidentified patient-level General Thoracic Surgery Database data sets and conduct related analyses at their own institution. Last year's General Thoracic Surgery Database-based research publications and the new Participant User File research program are reviewed. [Mh] Termos MeSH primário: Pesquisa Biomédica/estatística & dados numéricos Sistema de Registros Procedimentos Cirúrgicos Torácicos/estatística & dados numéricos [Mh] Termos MeSH secundário: Comitês Consultivos Pesquisa Biomédica/tendências Bases de Dados Factuais Feminino Previsões Seres Humanos Masculino Avaliação de Resultados (Cuidados de Saúde) Sociedades Médicas Procedimentos Cirúrgicos Torácicos/tendências Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171102 [Lr] Data última revisão: 171102 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 171022 [St] Status: MEDLINE

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[PMID]: 29049254 [Au] Autor: Kao FC; Tsai TT; Niu CC; Lai PL; Chen LH; Chen WJ [Ad] Endereço: Department of Orthopaedic Surgery, Spine Section, Bone and Joint Research Center, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan. [Ti] Título: One-stage posterior approaches for treatment of thoracic spinal infection: Transforaminal and costotransversectomy, compared with anterior approach with posterior instrumentation. [So] Source: Medicine (Baltimore);96(42):e8352, 2017 Oct. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Treating thoracic infective spondylodiscitis with anterior surgical approaches carry a relatively high risk of perioperative and postoperative complications. Posterior approaches have been reported to result in lower complication rates than anterior procedures, but more evidence is needed to demonstrate the safety and efficacy of 1-stage posterior approaches for treating infectious thoracic spondylodiscitis.Preoperative and postoperative clinical data, of 18 patients who underwent 2 types of 1-stage posterior procedures, costotransversectomy and transforaminal thoracic interbody debridement and fusion and 7 patients who underwent anterior debridement and reconstruction with posterior instrumentation, were retrospectively assessed.The clinical outcomes of patients treated with 1-stage posterior approaches were generally good, with good infection control, back pain relief, kyphotic angle correction, and either partial or solid union for fusion status. Furthermore, they achieved shorter surgical time, fewer postoperative complications, and shorter hospital stay than the patients underwent anterior debridement with posterior instrumentation.The results suggested that treating thoracic spondylodiscitis with a single-stage posterior approach might prevent postoperative complications and avoid respiratory problems associated with anterior approaches. Single-stage posterior approaches would be recommended for thoracic spine infection, especially for patients with medical comorbidities. [Mh] Termos MeSH primário: Infecções do Sistema Nervoso Central/cirurgia Discite/cirurgia Procedimentos Cirúrgicos Torácicos/métodos Vértebras Torácicas/cirurgia [Mh] Termos MeSH secundário: Desbridamento/métodos Feminino Seres Humanos Tempo de Internação Masculino Duração da Cirurgia Complicações Pós-Operatórias/epidemiologia Fusão Vertebral/métodos Procedimentos Cirúrgicos Torácicos/efeitos adversos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171122 [Lr] Data última revisão: 171122 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 171020 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000008352

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