Evidence map›Paper›PMID 41687459›Full record

ArticleClinics (Sao Paulo, Brazil)2026

From diagnosis to daily life: A comparative pilot study on healthcare access and challenges for neurofibromatosis type 1 in public systems of Brazil and Portugal.

Déborah Domeneghetti de Francisco, Isabela Mayá Wayhs Silva, Jorge M Saraiva, Carlos Eduardo Steiner, Vera Lúcia Gil-da-Silva-Lopes

Abstract read
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Article in Clinics (Sao Paulo, Brazil), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Déborah Domeneghetti de FranciscoDepartment of Medical Genetics and Genomic Medicine, Faculty of Medical Sciences, State University of Campinas (Unicamp), Campinas, SP, Brazil.
Isabela Mayá Wayhs SilvaDepartment of Medical Genetics and Genomic Medicine, Faculty of Medical Sciences, State University of Campinas (Unicamp), Campinas, SP, Brazil.
Jorge M SaraivaMedical Genetics Department, Hospital Pediátrico de Coimbra, Unidade Local de Saúde de Coimbra, Coimbra, Portugal; University Clinic of Pediatrics, Faculty of Medicine, University of Coimbra, Portugal; Clinical Academic Center of Coimbra, Hospital Pediátrico de Coimbra, Unidade Local de Saúde de Coimbra, Coimbra, Portugal.
Carlos Eduardo SteinerDepartment of Medical Genetics and Genomic Medicine, Faculty of Medical Sciences, State University of Campinas (Unicamp), Campinas, SP, Brazil.
Vera Lúcia Gil-da-Silva-LopesDepartment of Medical Genetics and Genomic Medicine, Faculty of Medical Sciences, State University of Campinas (Unicamp), Campinas, SP, Brazil. Electronic address: vgslopes@unicamp.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurofibromatosis type 1 is a systemic genetic disease with manifestations that include neurocognitive alterations. The disease's characteristics influence various areas of the lives of affected individuals, regardless of their place of residence.

objectivesThis study compares the experiences of a small group of patients with type 1 neurofibromatosis in two public hospitals in Brazil and Portugal.

methodsThis is an exploratory, cross-sectional, and descriptive study. Patients of legal age or those responsible for underage patients were included in a health service in the Clinical Hospital of the State University of Campinas in Brazil and the Clinical Academic Center of Coimbra in Portugal. They answered an online form about quality of life and access to health.

results18 participants were included, 13 Brazilians and 5 Portuguese. Most were female and had a mean age at diagnosis of 8.2-years. The mean age of Brazilians was 9.1-years for the first consultation with a geneticist and 15.5-years among Portuguese. The average number of professionals accessed was 4.5 among Brazilians and 3.8 among Portuguese. LIMITATIONS: Small sample size, restricted temporal aspect, convenience bias of participants with internet access, and self-declaration of data by participants.

conclusionsBoth Brazilians and Portuguese participants with neurofibromatosis type 1 presented similar difficulties regarding access to health. The differences found between the participants from both countries focus on access to medical geneticists and their health literacy. Expanding studies would help identify care priorities related to the specificities of NF1 that could improve the quality of life of affected individuals.

Indexed as

Cross-cultural comparisonHealthcare disparitiesHealth literacyHealth services accessibilityNeurofibromatosis-1Patient reported outcome measures

Identifiers

PMID41687459
PMCPMC12915195

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