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Rheumatoid arthritis in Latin America: the importance of an early diagnosis

The generalization of the early rheumatoid arthritis (ERA) concept and the existence of a window of therapeutic opportunity—a time span in which the institution of a proper therapeutic method for the disease would determine clinical improvement—have set the notion that early diagnosis and treatment...

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Autores principales: da Mota, Licia Maria Henrique, Brenol, Claiton Viegas, Palominos, Penelope, da Rocha Castelar Pinheiro, Geraldo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer London 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4617839/
https://www.ncbi.nlm.nih.gov/pubmed/26208442
http://dx.doi.org/10.1007/s10067-015-3015-x
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author da Mota, Licia Maria Henrique
Brenol, Claiton Viegas
Palominos, Penelope
da Rocha Castelar Pinheiro, Geraldo
author_facet da Mota, Licia Maria Henrique
Brenol, Claiton Viegas
Palominos, Penelope
da Rocha Castelar Pinheiro, Geraldo
author_sort da Mota, Licia Maria Henrique
collection PubMed
description The generalization of the early rheumatoid arthritis (ERA) concept and the existence of a window of therapeutic opportunity—a time span in which the institution of a proper therapeutic method for the disease would determine clinical improvement—have set the notion that early diagnosis and treatment may modify the course of the disease. Although in several regions of the world, especially in North America and Europe, since the year 2000, a significant reduction in diagnostic delay was observed in cohorts of patients with rheumatoid arthritis (RA), probably reflecting a stronger awareness of the importance of early diagnosis, this is not a reality in Latin America (LA). LA is a region of great economic inequality, with disparities in access to the public healthcare system and limited access to private medicine, being widely difficult to obtain a specialized medical evaluation in both scenarios. This paper aims to briefly review the main difficulties in the management of ERA in LA, based on the review of the literature, on the evaluation of a survey conducted among 214 rheumatologists of LA, members of Pan-American League of Associations for Rheumatology (PANLAR) and the experience of the authors. The paper also aims to propose solutions to the difficulties in managing ERA in LA.
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spelling pubmed-46178392015-10-28 Rheumatoid arthritis in Latin America: the importance of an early diagnosis da Mota, Licia Maria Henrique Brenol, Claiton Viegas Palominos, Penelope da Rocha Castelar Pinheiro, Geraldo Clin Rheumatol Review Article The generalization of the early rheumatoid arthritis (ERA) concept and the existence of a window of therapeutic opportunity—a time span in which the institution of a proper therapeutic method for the disease would determine clinical improvement—have set the notion that early diagnosis and treatment may modify the course of the disease. Although in several regions of the world, especially in North America and Europe, since the year 2000, a significant reduction in diagnostic delay was observed in cohorts of patients with rheumatoid arthritis (RA), probably reflecting a stronger awareness of the importance of early diagnosis, this is not a reality in Latin America (LA). LA is a region of great economic inequality, with disparities in access to the public healthcare system and limited access to private medicine, being widely difficult to obtain a specialized medical evaluation in both scenarios. This paper aims to briefly review the main difficulties in the management of ERA in LA, based on the review of the literature, on the evaluation of a survey conducted among 214 rheumatologists of LA, members of Pan-American League of Associations for Rheumatology (PANLAR) and the experience of the authors. The paper also aims to propose solutions to the difficulties in managing ERA in LA. Springer London 2015-07-25 2015 /pmc/articles/PMC4617839/ /pubmed/26208442 http://dx.doi.org/10.1007/s10067-015-3015-x Text en © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review Article
da Mota, Licia Maria Henrique
Brenol, Claiton Viegas
Palominos, Penelope
da Rocha Castelar Pinheiro, Geraldo
Rheumatoid arthritis in Latin America: the importance of an early diagnosis
title Rheumatoid arthritis in Latin America: the importance of an early diagnosis
title_full Rheumatoid arthritis in Latin America: the importance of an early diagnosis
title_fullStr Rheumatoid arthritis in Latin America: the importance of an early diagnosis
title_full_unstemmed Rheumatoid arthritis in Latin America: the importance of an early diagnosis
title_short Rheumatoid arthritis in Latin America: the importance of an early diagnosis
title_sort rheumatoid arthritis in latin america: the importance of an early diagnosis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4617839/
https://www.ncbi.nlm.nih.gov/pubmed/26208442
http://dx.doi.org/10.1007/s10067-015-3015-x
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