Systemic lupus erythematosus in Latin America: Outcomes and therapeutic challenges

Systemic lupus erythematosus (SLE) affects more severely non-White populations, which is also the case in Latin America; this is the result of a combination of genetic and non-genetic factors. Among the non-genetic factors, a limited income and a low educational level impact negatively on the course...

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Main Authors: Manuel F. Ugarte-Gil, Graciela S. Alarcón
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Clinical Immunology Communications
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772613423000264
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author Manuel F. Ugarte-Gil
Graciela S. Alarcón
author_facet Manuel F. Ugarte-Gil
Graciela S. Alarcón
author_sort Manuel F. Ugarte-Gil
collection DOAJ
description Systemic lupus erythematosus (SLE) affects more severely non-White populations, which is also the case in Latin America; this is the result of a combination of genetic and non-genetic factors. Among the non-genetic factors, a limited income and a low educational level impact negatively on the course and outcome of the disease; in addition, lack of access to healthcare services deprives patients from the opportunity of being managed by specialists, making the availability of the newest drugs practically impossible. Taking together, these factors reduce the probability of patients achieving good outcomes, like remission, less damage accrual, a better survival and a better health-related quality of life, among others. Several strategies have been proposed to reduce these disparities, including peer education, educational activities for patients and primary care physicians, improving healthcare networks and generating cost-effectiveness analyses.
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spelling doaj.art-97fc529944ce4bd699bb7a58f60271dc2023-10-23T04:08:06ZengElsevierClinical Immunology Communications2772-61342023-12-0146064Systemic lupus erythematosus in Latin America: Outcomes and therapeutic challengesManuel F. Ugarte-Gil0Graciela S. Alarcón1Rheumatology Department, Hospital Guillermo Almenara Irigoyen. EsSalud. Lima, Peru; Grupo Peruano de Estudio de Enfermedades Autoinmunes Sistémicas, Universidad Científica del Sur. Lima, Peru; Corresponding author at: Universidad Científica del Sur, Av. Panamericana Sur Km 19. Villa El Salvador 15067, Lima-Perú.Marnix E. Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL United States; School of Medicine, Universidad Peruana Cayetano Heredia, Lima, PeruSystemic lupus erythematosus (SLE) affects more severely non-White populations, which is also the case in Latin America; this is the result of a combination of genetic and non-genetic factors. Among the non-genetic factors, a limited income and a low educational level impact negatively on the course and outcome of the disease; in addition, lack of access to healthcare services deprives patients from the opportunity of being managed by specialists, making the availability of the newest drugs practically impossible. Taking together, these factors reduce the probability of patients achieving good outcomes, like remission, less damage accrual, a better survival and a better health-related quality of life, among others. Several strategies have been proposed to reduce these disparities, including peer education, educational activities for patients and primary care physicians, improving healthcare networks and generating cost-effectiveness analyses.http://www.sciencedirect.com/science/article/pii/S2772613423000264Systemic lupus erythematosusOutcomesHispanicLatin AmericaTreatment
spellingShingle Manuel F. Ugarte-Gil
Graciela S. Alarcón
Systemic lupus erythematosus in Latin America: Outcomes and therapeutic challenges
Clinical Immunology Communications
Systemic lupus erythematosus
Outcomes
Hispanic
Latin America
Treatment
title Systemic lupus erythematosus in Latin America: Outcomes and therapeutic challenges
title_full Systemic lupus erythematosus in Latin America: Outcomes and therapeutic challenges
title_fullStr Systemic lupus erythematosus in Latin America: Outcomes and therapeutic challenges
title_full_unstemmed Systemic lupus erythematosus in Latin America: Outcomes and therapeutic challenges
title_short Systemic lupus erythematosus in Latin America: Outcomes and therapeutic challenges
title_sort systemic lupus erythematosus in latin america outcomes and therapeutic challenges
topic Systemic lupus erythematosus
Outcomes
Hispanic
Latin America
Treatment
url http://www.sciencedirect.com/science/article/pii/S2772613423000264
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