Princípios gerais do tratamento da artrite reumatoide inicial

Mota, Lícia Maria Henrique da; Laurindo, Iêda Maria Magalhães; Neto, Leopoldo Luiz dos Santos

doi:10.1590/s0104-42302010000300024

Cited by 5 publications

(6 citation statements)

References 26 publications

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“…A artrite reumatoide (AR) é uma doença inflamatória sistêmica, autoimune, que pode levar à destruição cartilaginosa e óssea 1,2 . É uma condição crônica e progressiva que afeta cerca de 0,5% a 1% da população mundial adulta, preferencialmente mulheres e indivíduos na faixa etária de 40 a 60 anos [1][2][3] . A prevalência na população brasileira foi estimada entre 0,2 e 1% 4,5 .…”

Section: Introductionunclassified

“…Os primeiros doze meses da doença são considerados uma "janela de oportunidade" e pacientes tratados neste período têm melhores prognósticos [1][2][3]7 . No Brasil, os medicamentos são fornecidos pelo Sistema Único de Saúde (SUS) por meio do Componente Especializado da Assistência Farmacêutica (CEAF), anteriormente denominado Programa Nacional de Medicamentos de Dispensação Excepcional/Alto Custo (PMAC).…”

Section: Introductionunclassified

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Perfil de gastos com o tratamento da Artrite Reumatoide para pacientes do Sistema Único de Saúde em Minas Gerais, Brasil, de 2008 a 2013

Silva

Andrade

Cherchiglia

et al. 2018

Ciênc. saúde coletiva

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Rheumatoid arthritis (RA) is a chronic condition that affects about 1% of the adult population. In a historical cohort of Minas Gerais State, 11,573 RA patients registered in the Outpatient Information System (SIA) between 2008 and 2013 were identified. For this study we adopted the public funding body's perspective and the values were adjusted by the national inflation index (IPCA) of December 2015. Etanercept was the most expensive treatment. The mean cohort age was 52 years old and most of the patients were women. Multiple regression analysis indicated a negative association between higher expenditure and age, female sex, and diagnosis at entry in the cohort and positive association between high expenditure and the Human Development Index (HDI) of the municipality and use of tumor necrosis factor agents. This study identified the factors that have an impact on RA drug treatment expenditure. Also, we showed that methods that enable extracting demographic and expenditure data of administrative information systems may represent important tools in the construction of economic studies to subsidize economic health evaluations, especially from the standpoint of the managers.

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Section: Introductionunclassified

Perfil de gastos com o tratamento da Artrite Reumatoide para pacientes do Sistema Único de Saúde em Minas Gerais, Brasil, de 2008 a 2013

Silva

Andrade

Cherchiglia

et al. 2018

Ciênc. saúde coletiva

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“…This has a significant social impact, as, when affecting people of productive age, RA results in limitations that lead to the abandonment from work activities. Such symptoms can affect more than 60% of patients after 15 years of the disease 17 .…”

Section: Discussionmentioning

confidence: 99%

Rheumatoid arthritis: profile of patients and burden of caregivers

Nagayoshi

Lourenção

Kobayase

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective: to describe the profile of patients with Rheumatoid Arthritis (RA) and their caregivers receiving care at the Rheumatology Outpatient Clinic of a teaching hospital, and evaluate the burden of the caregivers. Method: a cross-sectional study was performed with 41 patients with RA and their caregivers using a questionnaire to identify sociodemographic variables; the Burden Interview Scale and the Stanford Health Assessment Questionnaire. Descriptive analyzes and comparison between clinical-demographic variables and the functional status of patients were performed and the correlation between sociodemographic variables and levels of burden of caregivers was tested. Results: there was a prevalence of female patients (87.8%); a mean age of 64.4 years (±12.9); a mean time for the diagnosis of RA of 13.5 years (±8.5), a prevalence of moderate disability (39.0%); lower disability in the Hygiene domain (1.6; ±0.5) and greater disability in the Other Activities of Daily Life (2.1; ±0.6), Reach (2.0; ±0.7) and Grip (2.0; ±0.7) domains. The caregivers were women (73.2%); aged between 17 and 81 years (mean: 46.8; ±15.1); with a high school education (41.4%). The degree of kinship was 56.2% offspring and 36.6% spouses. Eighteen (44.0%) caregivers suffered burden, nine (22.0%) of whom had mild burden and nine (22.0%) of whom suffered intense burden. There was a higher incidence of intense burden among spouses (12.2%) and mild burden among children (12.2%). Conclusion: the low occurrence of burden among caregivers may be related to the profile of the patients, who presented good levels of independence for self-care. The profile of caregivers and the prevalence of overburdened spouses and offspring shows the need and importance of the implementation of caregiver training by health service professionals to improve care for RA patients.

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“…A a r t r i t e r e u m a t o i d e ( A R ) é u m a d o e n ç a i n f l a m a t ó r i a s i s t ê m i c a , crônica e progressiva que acomete preferencialmente, a membrana sinovial, podendo levar à destruição óssea e cartilaginosa 1,2 . Tem prevalência de aproximadamente, 1% na população brasileira, similar à literatura mundial 3 .…”

Section: Introductionunclassified

“…A maioria dos pacientes terá sua independência afetada em graus variáveis, sendo que o índice de afastamento do trabalho pode chegar a mais de 60% após quinze anos da doença 1,2 . Devido à sua elevada morbimortalidade, a AR possui significativo impacto social.…”

Section: Introductionunclassified

Efeitos Do Programa De Educação Em Pacientes Com Artrite Reumatoide Do Serviço De Reumatologia Do Hospital Universitário Cassiano Antônio De Moraes (Hucam) - Projeto Piloto

Gomes¹,

Coutinho

Miyamoto³

2014

Rev. Ter. Ocup. Univ. São Paulo (Online)

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ABSTRACT:The goal behind patient's education about rheumatoid arthritis (RA) is to stimulate the person to achieve maximum functional independence e a healthy life-style. The point of this work was to verify the extension program "Education to rheumatic patient" effects, on a Rheumatologic Service, in Vitória/ES. The applied methodology was a non-controlled clinical trial of the quantitative type. Patients were evaluated in the beginning of the program and after four weeks, through the Health Assessment Questionnaire, from Patient Knowledge Questionnaire and from the School of auto effi ciency for chronical pain. It was used the t-paired test on the data, for the parametrical variables, and the Wilcoxon test for the non-parametrical ones, been considered p<0.05. The results were: fi fty patients with RA started the program, being that fi fteen attended to all meetings and nineteen had the 1 st and 2 nd evaluations completed; 18.2% fi nished High School and 63.6% had a minimum wage income. We conclude that there was no signifi cant statistical difference between the initial and fi nal evaluations. The used sample showed that the patients did not acquired more knowledge about the disease through the short-term education program, probably due their low level of education, the low income and lack of family support.

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Princípios gerais do tratamento da artrite reumatoide inicial

Cited by 5 publications

References 26 publications

Perfil de gastos com o tratamento da Artrite Reumatoide para pacientes do Sistema Único de Saúde em Minas Gerais, Brasil, de 2008 a 2013

Perfil de gastos com o tratamento da Artrite Reumatoide para pacientes do Sistema Único de Saúde em Minas Gerais, Brasil, de 2008 a 2013

Rheumatoid arthritis: profile of patients and burden of caregivers

Efeitos Do Programa De Educação Em Pacientes Com Artrite Reumatoide Do Serviço De Reumatologia Do Hospital Universitário Cassiano Antônio De Moraes (Hucam) - Projeto Piloto

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