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Advances in rheumatology practice in Brazil

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Abstract

Despite resilient inequities, Brazil has seen progressive improvement in health care in the last 25 years. Infectious diseases rendered place to chronic non-communicable diseases as a major cause of death. Existence of traditional schools of medicine and training services in rheumatology helped form a reasonable number of specialists, though irregular distribution due to the economic issues favoring their clustering in major cities. The Brazilian Society of Rheumatology provides continued medical education, helps training rheumatologists, family physicians and other health professionals and has worked to publish national recommendations for the diagnosis and treatment of major rheumatic diseases. Access to medications and health care facilities is provided for most patients, free of direct charge, including biologics. Specialized services for autoimmune and rare diseases, including pediatric rheumatology and autoinflammatory diseases, have improved, particularly in developed centers of the southern best developed parts of the country. A major unmet need is the lack of access to non-pharmacological treatment modalities. In this article, we will summarize some of the strengths and points that need improvement to enhance access to the rheumatological health care in Brazil.

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Funding

This study was partially funded by: Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ), Brasil—Grant 459334/2014-0.

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  1. Laboratório de Investigação em Osteoartropatias, Department of Internal Medicine, Liga de Reumatologia e Doenças Autoimunes, Instituto de Biomedicina, Faculdade de Medicina, Federal University of Ceará, Rua Cel. Nunes de Melo, 1315, 1°. Andar, Rodolfo Teófilo, Fortaleza, CE, 60430-270, Brazil

    Francisco Airton Castro Rocha, Joaquim Ivo Vasques Dantas Landim & Leila Nascimento da Rocha

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  2. Joaquim Ivo Vasques Dantas Landim
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  3. Leila Nascimento da Rocha
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Contributions

FACR conceived the article, wrote and approved the final manuscript. JIVDL, LNR—data collection (review and search for references). All authors participated in the preparation and revision of the manuscript, read and approved the final version to be submitted.

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Correspondence to Francisco Airton Castro Rocha.

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Author Rocha FAC declares that he has no conflict of interest; author Landim JIVD declares that he has no conflict of interest; author da Rocha LN declares that she has no conflict of interest.

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This article does not contain any studies with human participants of animals performed by any of the authors.

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Rocha, F.A.C., Landim, J.I.V.D. & da Rocha, L.N. Advances in rheumatology practice in Brazil. Rheumatol Int 39, 1125–1134 (2019). https://doi.org/10.1007/s00296-018-4211-1

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  • DOI: https://doi.org/10.1007/s00296-018-4211-1

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