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Riva E, Schütz N, Peña C, Ruiz-Argüelles G, Hopkins CR, Bove V, Villano F, Andino L, Suárez L, Martínez H, Navarro J, López-Vidal H, Da Costa O, Pineda MR, Rubio Y, Ramirez J, Choque J, Fantl D. Significant differences in access to tests and treatments for multiple myeloma between public and private systems in Latin America. Results of a Latin American survey. GELAMM (Grupo de Estudio Latino Americano de Mieloma Múltiple). Ann Hematol 2020; 99:1025-1030. [PMID: 32157420 DOI: 10.1007/s00277-020-03983-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Accepted: 03/01/2020] [Indexed: 12/14/2022]
Abstract
The incidence of multiple myeloma (MM) has increased in the last 20 years, particularly in middle and low-middle income countries. Access to diagnostic and prognostic tests and the availability of effective care is highly variable globally. Latin America represents 10% of the world population, distributed in countries of varied size, population, and socio-economic development. In the last decade, great improvements have been made in the diagnosis and treatment of MM. Applying these advances in real life is a challenge in our region. Local data regarding MM standards of care and outcomes are limited. A survey was carried out among hematologists from 15 Latin American countries to describe access to MM diagnostic and prognostic tests and the availability of effective care options. This study provides real-world data for MM in our region, highlighting striking differences between public and private access to essential analyses and therapeutic options.
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Affiliation(s)
- Eloísa Riva
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay.
| | - N Schütz
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - C Peña
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | | | - C Rojas Hopkins
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - V Bove
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - F Villano
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - L Andino
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - L Suárez
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - H Martínez
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - J Navarro
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - H López-Vidal
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - O Da Costa
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | | | - Y Rubio
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - J Ramirez
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - J Choque
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
| | - D Fantl
- Hospital de Clínicas, A Italia sn, 11700, Montevideo, Uruguay
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Crisp R, Vidal-Senmache G, Navarro Cabrera J, Huaman-Garaicoa F, Maldonado B, Undurraga Sutton M, Valladares X, Guillermo C, Grillé S, Choque J, Salinas Viedma V, Royg M, Iastrebner M, Belli C. Access to Diagnostic and Therapeutic Tools for Myelodysplastic Syndromes in General Practice: Survey Among South-American Hematologists. Leuk Res 2017. [DOI: 10.1016/s0145-2126(17)30251-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Muñoz V, Sauvain M, Bourdy G, Arrázola S, Callapa J, Ruiz G, Choque J, Deharo E. A search for natural bioactive compounds in Bolivia through a multidisciplinary approach. Part III. Evaluation Of the antimalarial activity of plants used by Alteños Indians. J Ethnopharmacol 2000; 71:123-131. [PMID: 10904155 DOI: 10.1016/s0378-8741(99)00191-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
A total of 40 plant extracts traditionally used by the Alteños Indians, a native community living between the Andean block and the tropical valleys of Bolivia, were screened for antimalarial activity in vitro on Plasmodium falciparum chloroquine resistant (Indo) strain, and in vivo on rodent malaria Plasmodium vinckei petteri. Eleven extracts displayed good or moderate activity in vivo, and ten extracts good or very good antimalarial activity in vitro. Results of the screening are discussed here, in relation with the traditional use of plants.
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Affiliation(s)
- V Muñoz
- Instituto Boliviano de Biologia de Altura (IBBA) CP641, La Paz, Bolivia
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