Evidence map›Paper›PMID 34113545›Full record

ArticleMolecular genetics and metabolism reports2021

Disease burden, management patterns and multidisciplinary clinical approaches for patients with MPS IVA and VI in selected Latin American Countries.

Villarreal M Solano, Claudia Yazmín Cossío Mandujano, Carmen Amor Avila-Rejon, Victor Hugo Espin, Hector Paul Quintero Montaño

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Article in Molecular genetics and metabolism reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Villarreal M SolanoFundación Cardioinfantil, Bogota, Colombia.
Claudia Yazmín Cossío MandujanoHospital Para El Niño Poblano, Puebla, Mexico.
Carmen Amor Avila-RejonDepartamento de Genética Humana y Biología Molecular, Facultad de Medicina de la, Universidad Veracruzana, Veracruz, Mexico.
Victor Hugo EspinHospital Carlos Andrade Marín Quito, Ecuador.
Hector Paul Quintero MontañoHospital Dr. Verdi Cevallos Balda, Portoviejo, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a paucity of real-world epidemiological data on patients with mucopolysaccharidoses (MPS) in Latin America. This real-world study assessed the disease burden, management patterns and multidisciplinary clinical approaches for MPS-IVA and MPS-VI patients in Latin America (Colombia, Ecuador, Mexico, Peru).

methodsData were collected from physicians/specialists experienced in treating MPS patients between April-June 2020, via an online patient-diary survey.

resultsOverall, 29 physicians/specialists participated in this study. Data from 98 patients were analyzed (MPS-IVA, 71 patients and MPS-VI, 27 patients). Mean age for MPS-IVA patients was 17.5 years and for MPS-VI patients was 11.6 years, and the majority were females (52% and 78%, respectively). MPS-IVA and VI patients presented a high absenteeism from school (55% and 37%, respectively; <18 years age) and workplace (78% and 100%, respectively; >18 years age), indicating an impact of the disease on some aspects of the patients' quality of life. The onset of the first symptom occurred at the age of 3.1 years for MPS-IVA patients and at 1 year for MPS-VI, with delay in diagnosis (3.5-3.9 years from symptom onset) and enzyme replacement therapy (ERT) initiation (1.1-3.6 years from diagnosis). ERT interruptions were observed for MPS-IVA (48%) and MPS-VI patients (44%), with non-availability of medication recorded as the main reason for non-adherence (46% and 60% patients, respectively). ERT showed noticeable treatment benefits in MPS-IVA/VI patients, with stabilization/reduction in complications or the number of surgeries. A multidisciplinary clinical team approach was used for patient management.

conclusionThe disease burden for MPS-IVA/VI was high in Latin America, with consistent management, treatment and socio-demographic trends throughout the region.

Indexed as

ERT, Enzyme replacement therapyGAGs, glycosaminoglycansLatin AmericaMPS-IVAMPS-IVA, Mucopolysaccharidosis type IVA or Morquio syndrome AMPS managementMPS, MucopolysaccharidosesMPS-VIMPS-VI, mucopolysaccharidosis type VI or Maroteaux–Lamy syndromeMulti-disciplinary approachesOnline PRO dairy surveyQoL, quality of life

Identifiers

PMID34113545
PMCPMC8170147

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