Difficulties in establishing parameters for rheumatoid arthritis in Brazil

da Silva Brito, Josué; Kilesse, Christiano Tadeu Sanches Mattos; de Faria, José Luiz; Antunes Dias Costa, Gabriel; da Silva Brito, Josué; Kilesse, Christiano Tadeu Sanches Mattos; de Faria, José Luiz; Antunes Dias Costa, Gabriel

doi:10.1016/j.rcreu.2019.10.007

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Revista Colombiana de Reumatología

versión impresa ISSN 0121-8123

Rev.Colomb.Reumatol. vol.27 no.4 Bogotá oct./dic. 2020 Epub 16-Ago-2021

https://doi.org/10.1016/j.rcreu.2019.10.007

Letters to the editor

Difficulties in establishing parameters for rheumatoid arthritis in Brazil

Dificultad para establecer parámetros de la artritis reumatoide en Brasil

Josué da Silva Brito^a^*

Christiano Tadeu Sanches Mattos Kilesse^b^a

José Luiz de Faria^a

Gabriel Antunes Dias Costa^a

^{^a}Centro Universitário Atenas (UniAtenas), Brazil,

^{^b}A Specialist in Emergency Department, Brazil

Dear Editor,

We read the article "Prevalencia de la artritis reumatoide en Colombia según información del Sistema Integral de Información de la Protección Social" which includes an important survey of this disease in Colombia.¹

Rheumatoid arthritis (RA) is an autoimmune disease of unknown etiology, characterized by symmetrical peripheral polyarthritis, which fundamentally compromises the synovial membrane of the diarthrodial joints, and evolves with deformity and destruction of the joints by erosion of bone and cartilage.²

In the elderly, RA had an increased prevalence reaching about 2% of the population.³^,⁴ There are studies estimating a prevalence of 4.5% in the age group of 55-75 years. In addition, due to the growth of the population over 60 years the impact of RA becomes increasingly important.³^-⁶

In Brazil as well as in Colombia, there is the DATASUSTABNET, a database similar to the Sistema Integral de Información de la Protección Social. The available information allows decision making in the implementation of Health Policies. Databases and Health Information Systems are important tools for planning and evaluation of health policies, health services, networks and systems.⁷

The Sistema Integral de Información de la Protección Social records data from RA at individual sections on a database. However, the DATASUS records those data in a group of rheumatoid arthritis and other inflammatory poly arthropathies. Brazilian conduct does not provide detailed static studies on morbidity, which makes it impossible to establish a broader public policy regarding the pathology, its diagnosis, treatment and the highest operational cost.⁸

Similar to the Colombian study, a survey carried out in a rheumatology service in Brazil shows that the highest percentage of patients were women, generally Caucasian. However, in the Brazilian case, the majority of patients were between the fourth and sixth decades of life.²^,³

On the other hand, the Sistema Integral de Información de la Protección Social from Colombia with the Fondo Colombiano de Enfermedades de Alto Costo presented a report which details the whole situation of the disease, cost and treatment. In consequence, it provides the correct public management in applications of the funds.⁸ In conclusion, the Brazilian government must improve the health database and healthcare of RA patients.

REFERENCES

1. Fernández-Ávila DG, Rincón-Riaño, Bernal-Macías S, Gutiérrez Dávila JM, Rosselli D. Prevalencia de la artritis reumatoide en Colombia según información del Sistema Integral de Información de la Protección Social. Rev Colomb Reumatol. 2019, http://dx.doi.org/10.1016/j.rcreu.2019.01.003 [ Links ]

2. Louzada-Junior P, Souza BDB, Toledo RA, Ciconelli Rozan RM. Análise descritiva das características demográficas e clínicas de pacientes com artrite reumatóide no estado de São Paulo, Brasil. Rev Bras Reumatol. 2007;47:84-90. [ Links ]

3. Alamanos Y, Drosos AA. Epidemiology of adult rheumatoid arthritis. Autoimmun Rev. 2005;4:130-6, http://dx.doi.org/10.1016/j.autrev.2004.09.002. [ Links ]

4. Horiuchi AC, Pereira LHC, Kahlow BS, Silva MB, Skare TL. Rheumatoid arthritis in elderly and young patients. Rev Bras Reumatol. 2017;57:491-4, 10.16/j.rbre.2015.06.002. [ Links ]

5. Rudan I, Sidhu S, Papana A, Meng SJ, Xin-Wei Y, Wang W, et al. Prevalence of rheumatoid arthritis in low- and middle-income countries: a systematic review and analysis. J Glob Health. 2015;5, http://dx.doi.org/10.7189/jogh.05.010409, 010409. [ Links ]

6. Laurindo IMM. Artrite reumatóide no idoso. Einstein. 2008;6 Suppl. 1. S33-S9. [ Links ]

7. Ministério da Saúde (BR). Política de Informacão e Informática em Saúde. Brasília (DF): Comitê de Informacão e Informática em Saúde; 2012. [ Links ]

8. Cuenta de Alto Costo. Situacion de la artritis reumatoide en Colombia 2016. Colombia: Cuenta de Alto Costo; 2016. ISSN: 2590-9037. Available from https://cuentadealtocosto.org/site/images/Publicaciones/boletines/2017/SITUACI%C3%93N_DE_LAJARTRITIS_REUMATOIDE_EN_COLOMBIA_2016.pdf.pdf. [ Links ]

^{*

Corresponding author.} E-mail address: josuedasilvabrito1998@gmail.com, (J. da Silva Brito).

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