Evidence map›Paper›PMID 38791861›Full record

ArticleInternational journal of environmental research and public health2024

Improving Accessibility to Patients with Interstitial Lung Disease (ILD): Barriers to Early Diagnosis and Timely Treatment in Latin America.

Ricardo G Figueiredo, Nathalia Filgueiras Vilaça Duarte, Daniela Carla Barbosa Campos, Manuel de Jesus Diaz Verduzco, Ángel Alemán Márquez, Gabriela Tannus Branco de Araujo, Adalberto Sperb Rubin

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Treating connective tissue disease-associated interstitial lung disease - think outside the box: a perspective.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ricardo G FigueiredoPrograma de Pós-Graduação em Saúde Coletiva, Universidade Estadual de Feira de Santana (UEFS), Feira de Santana 44036-900, Brazil.ORCID 0000-0003-2128-2775
Nathalia Filgueiras Vilaça DuarteBoehringer Ingelheim do Brasil Química e Farmacêutica, São Paulo 04794-000, Brazil.
Daniela Carla Barbosa CamposBoehringer Ingelheim do Brasil Química e Farmacêutica, São Paulo 04794-000, Brazil.
Manuel de Jesus Diaz VerduzcoHospital Regional "Dr. Manuel Cardenas de la Vega", Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Culiacán Rosales 80230, Mexico.ORCID 0000-0002-8033-3168
Ángel Alemán MárquezHospital Naval de Especialidades de Veracruz, Hospital Español Veracruz, Universidad del Valle de México (UVM), UNAM Campus Veracruz, Veracruz 91700, Mexico.
Gabriela Tannus Branco de AraujoAxiabio Life Sciences International, São Paulo 04038-032, Brazil.
Adalberto Sperb RubinSanta Casa Hospital Porto Alegre/UFCSPA, Porto Alegre 90035-074, Brazil.

Funding

Boehringer Ingelheim do Brasil Química e Farmacêutica NA
6 · The paper itself

Abstract

Delayed initiation of effective antifibrotic therapy in patients with interstitial lung diseases (ILD) may influence the progression and outcome of the disease. This study analyzes the differences in the journey of patients with ILD in the Brazilian and Mexican health systems. An evaluative study was conducted in reference centers for interstitial lung diseases in Brazil and Mexico with a panel of four specialists. The patient's journey in both countries begins when the patient seeks medical care after observing a chronic respiratory symptom. In both countries, due to diagnostic complexity, these patients arrive at ILD referral centers at an advanced stage of the disease. Once diagnosis is established, the treatment onset differs between Mexico and Brazil. In Brazil, access to antifibrotic drugs through the public health system has been a significant challenge, and their cost makes them unaffordable for most people. This situation forces medical specialists to provide only supportive care to patients until these drugs can be accessed. In Mexico, antifibrotics have been available in health sectors since 2018. Brazil and Mexico have several similarities regarding the initial journey of the patient due to diagnosis difficulties. Still, the outcome tends to be different due to a difference in access to treatment with antifibrotics. For this reason, advancing health policies that ensure proper treatment for patients with ILD is crucial for the sustainability and reliability of the health system.

Indexed as

Early DiagnosisHealth Services AccessibilityLung Diseases, InterstitialBrazilHumansMexicointerstitial lung diseasesLatin Americapatient journey

Identifiers

PMID38791861
PMCPMC11121643

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.