0001-60020001-6002S0001-60022018000300127Costa RicaCosta RicaCosta Rica0009201800092018603127131American academy of family physicians, American college of chest physicians, and the American thoracic society20061184420111701427-332010156634-8201398121220102222201175182-72009154177-82200449902-6200812182-8201378210-5201137847-522012281117-23201450373-8200924323-82012131-7