Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/82093
Type: Artigo de periódico
Title: Musculoskeletal evaluation in severe haemophilia A patients from Latin America
Author: Ozelo, MC
Villaca, PR
Perez-Bianco, R
Candela, M
Garcia-Chavez, J
Moreno-Rodriguez, B
Rodrigues, MB
Rodriguez-Grecco, I
Solano, MH
Chumpitaz, G
Morales-Gana, MM
Ruiz-Saez, A
Abstract: There is a paucity of literature on haemophilia treatment in Latin American countries, a region characterized by rapidly improving systems of care, but with substantial disparities in treatment between countries. The aim of this study was to evaluate the musculoskeletal status of haemophilia patients from Latin America and to examine the relationship between musculoskeletal status and treatment practices across countries. The Committee of Latin America on the Therapeutics of Inhibitor Groups conducted a survey of its member country representatives on key aspects of haemophilia treatment in 10 countries. Musculoskeletal status of patients was obtained during routine comprehensive evaluations between March 2009 and March 2011. Eligible patients had severe haemophilia A (factor VIII <1%) without inhibitors (<0.6BUmL(-1)) and were 5years of age. Musculoskeletal status was compared between three groups of countries, based primarily on differences in the availability of long-term prophylaxis. Overall, 143 patients (5-66years of age) were enrolled from nine countries. In countries where long-term prophylaxis had been available for at least 10years (Group A), patients aged 5-10years had significantly better mean World Federation of Hemophilia clinical scores, fewer target joints and fewer affected joints than patients from countries where long-term prophylaxis has been available for about 5years (Group B) or was not available (Group C). In Latin America, the musculoskeletal status of patients with severe haemophilia without inhibitors has improved significantly in association with the provision of long-term prophylaxis. As more countries in Latin America institute this practice, further improvements are anticipated.
Subject: haemophilia
haemophilia treatment
haemophilic arthropathy
Latin America
musculoskeletal evaluation
Country: EUA
Editor: Wiley-blackwell
Rights: fechado
Identifier DOI: 10.1111/hae.12316
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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