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Grassi V, Jurno ME, Fröhlich AC, Rieder CRDM, Sarmento EM, Pereira JK, Silva LL, Barea LM, Poli LEB, Queiroz LP, Ciciarelli MC, Peres MFP, Rocha Filho PAS, Vieira RVDA, Londero RG, Kowacs F. Brazilian headache registry: methods and preliminary data of the pilot study. Arq Neuropsiquiatr 2023; 81:740-747. [PMID: 37604204 PMCID: PMC10468244 DOI: 10.1055/s-0043-1771175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 04/06/2023] [Indexed: 08/23/2023]
Abstract
BACKGROUND Evaluation and treatment of primary and secondary headaches is a global public health challenge. Recognizing the epidemiological impact of headaches, a group of researchers linked to the Brazilian Headache Society proposed the Brazilian Headache Registry and drew up its initial protocol. OBJECTIVE Here we describe the methods and preliminary data obtained from the pilot study. METHODS This was a multicenter longitudinal observational study conducted between September 2020 and August 2021. Prospective data were collected in three specialist centers for headache care in states in southern and southeastern Brazil. Patients aged 18 years or older who sought care for headache in tertiary centers and who agreed to participate in the study, were considered eligible. RESULTS Sixty-six patients were included in the pilot study: 43 (65%) from Rio Grande do Sul state and 23 (35%) from Minas Gerais state. Overall, 90% were female, and the subjects' mean age was 38.2 ± 11.2 years. Primary headaches accounted for 85.3% of the diagnoses made. Among secondary headaches, medication overuse headache was the most frequent type (7.1%). CONCLUSIONS The pilot study showed the feasibility of the research protocol developed for tertiary centers. The Brazilian Headache Registry will form a source of longitudinal data with the aim of contributing to better characterization of the various phenotypes of patients with primary and secondary headaches, and to detailing the use of health resources and identifying predictors of better clinical outcomes.
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Affiliation(s)
- Vanise Grassi
- Hospital Moinhos de Vento, Porto Alegre RS, Brazil.
- Fundação Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre RS, Brazil.
- Hospital São Lucas da PUCRS, Porto Alegre RS, Brazil.
| | - Mauro Eduardo Jurno
- Fundação José Bonifácio Lafayette de Andrada, Barbacena MG, Brazil.
- Fundação Hospitalar do Estado de Minas Gerais, Barbacena MG, Brazil.
| | | | | | | | | | - Leonardo Lima Silva
- Fundação Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre RS, Brazil.
| | - Liselotte Menke Barea
- Fundação Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre RS, Brazil.
| | - Luiz Ernesto Besen Poli
- Fundação Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre RS, Brazil.
| | | | | | | | - Pedro Augusto Sampaio Rocha Filho
- Universidade Federal de Pernambuco, Recife PE, Brazil.
- Universidade de Pernambuco, Hospital Universitário Oswaldo Cruz, Recife PE, Brazil.
| | | | - Renata Gomes Londero
- Hospital Moinhos de Vento, Porto Alegre RS, Brazil.
- Hospital de Clínicas de Porto Alegre, Porto Alegre RS, Brazil.
| | - Fernando Kowacs
- Hospital Moinhos de Vento, Porto Alegre RS, Brazil.
- Fundação Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre RS, Brazil.
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Passos GRD, Becker J, Varela DL, Fröhlich AC, Rech BC, Mattos ACSD, Callegaro D, Lana-Peixoto MA. Prevalence of multiple sclerosis in key cities of Brazil: a study in Passo Fundo, Southern Brazil. Arq Neuropsiquiatr 2021; 79:692-696. [PMID: 34550189 DOI: 10.1590/0004-282x-anp-2020-0221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Accepted: 09/30/2020] [Indexed: 11/21/2022]
Abstract
BACKGROUND To improve the comparability of multiple sclerosis (MS) prevalence across Brazilian regions, the Brazilian Committee for Treatment and Research in MS has implemented a standardized approach to assess the prevalence of the disease in five key cities, which were deemed representative of their regions in terms of socio-geographical features and where in-person revision of each case was feasible. OBJECTIVE To report the point-prevalence of MS in Passo Fundo, one of the key cities in Southern Brazil. METHODS We sought to identify all MS patients who were living in Passo Fundo on July 1st, 2015. The primary source for case ascertainment was records from the offices of neurologists and neurosurgeons practicing in the city. Multiple secondary sources were used to maximize identification of cases. All patients underwent in-person review of the diagnosis by a panel of neurologists with experience in MS. RESULTS We identified 52 MS patients living in Passo Fundo on July 1st, 2015. The point-prevalence rate for MS was 26.4/100,000 population (95% confidence interval, 19.7 to 34.6/100,000). Among the MS cases, 42 (80.8%) were female, for a sex ratio of 4.2:1. Forty-six cases (88.5%) were categorized as relapsing-remitting MS, and the remaining 6 cases, as secondary progressive MS (11.5%). Other epidemiological and clinical features were comparable to national and international MS populations. CONCLUSIONS The prevalence of MS in Passo Fundo is one of the highest reported in Brazil so far. Studies in other key Brazilian cities, using the same methodology, are currently being carried out.
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Affiliation(s)
| | - Jefferson Becker
- Pontifícia Universidade Católica do Rio Grande do Sul, Hospital São Lucas, Porto Alegre RS, Brazil
| | - Daniel Lima Varela
- Hospital de Clínicas de Passo Fundo, Serviço de Neurologia e Neurocirurgia, Passo Fundo RS, Brazil
| | - Alan Christmann Fröhlich
- Hospital de Clínicas de Passo Fundo, Serviço de Neurologia e Neurocirurgia, Passo Fundo RS, Brazil
| | - Bruna Constantino Rech
- Hospital de Clínicas de Passo Fundo, Serviço de Neurologia e Neurocirurgia, Passo Fundo RS, Brazil
| | | | - Dagoberto Callegaro
- Universidade Federal de São Paulo, Faculdade de Medicina, Hospital das Clínicas, São Paulo SP, Brazil
| | - Marco Aurélio Lana-Peixoto
- Universidade Federal de Minas Gerais, Centro de Investigação em Esclerose Múltipla de Minas Gerais, Belo Horizonte MG, Brazil
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Fröhlich AC, Eckeli AL, Bacelar A, Poyares D, Pachito DV, Stelzer FG, Coelho FMS, Rizzo GNV, Prado GFD, Sander HH, Goulart LI, Lucchesi LM, Gitai LLG, Prado LBFD, Ataíde-Junior L, Bezerra MLDS, Lopes MC, Trentin MM, Rodrigues RND, Hasan R, Alves RSC, Schönwald SV, Moraes WADS. Brazilian consensus on guidelines for diagnosis and treatment for restless legs syndrome. Arq Neuropsiquiatr 2015; 73:260-280. [PMID: 25807136 DOI: 10.1590/0004-282x20140239] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/24/2014] [Accepted: 12/04/2014] [Indexed: 06/04/2023]
Abstract
The Consensus on restless legs syndrome is an effort of neurologists from several Brazilian states, which tirelessly reviewed the literature of recent years in search of evidence, both in regard to diagnosis and treatment, according to the Oxford Centre for Evidence-based Medicine.
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Affiliation(s)
| | - Alan Luiz Eckeli
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil
| | | | - Dalva Poyares
- Departamento de Psicobiologia, Universidade Federal de São Paulo, Sao Paulo, SP, Brazil
| | | | | | | | | | | | - Heidi Haueisen Sander
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil
| | | | | | | | | | | | | | - Maria Cecília Lopes
- Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, SP, Brazil
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Slaviero F, Annes RD, Frighetto L, Schirmer LM, Vanzin JR, Fröhlich AC, Ferraz J, Azambuja Jr ND. Köhlmeier-Degos Disease (malignant atrophic papulosis) and Neurologic Involvement. Arq Neuro-Psiquiatr 2009; 67:692-4. [DOI: 10.1590/s0004-282x2009000400022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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