1578-2549 1578-2549 S1578-25492024000300318 10.12961/aprl.2024.27.03.09 España España 00 10 2024 00 10 2024 27 3 318 321 1 2 3 4 The Council for European Specialists Medical Assessment 5 CESMA 6 2016 68 3 3 176-9