IBD barriers across the continents: a continent-specific analysis: Latin America

Author:

Queiroz Natália Sousa Freitas1ORCID,Martins Camilla de Almeida2ORCID,Quaresma Abel Botelho34,Olivera Sendra Pablo A.56,Ernest-Suarez Kenneth789,Kotze Paulo Gustavo310ORCID

Affiliation:

1. Health Sciences Graduate Program, School of Medicine, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Brazil

2. Department of Gastroenterology, University of São Paulo School of Medicine, São Paulo, Brazil

3. Health Sciences Graduate Program, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Brazil

4. Universidade do Oeste de Santa Catarina (UNOESC), Joaçaba, Brazil

5. IBD Unit, Gastroenterology Section, Department of Internal Medicine, Centro de Educación Médica e Investigación Clínica (CEMIC), Buenos Aires, Argentina

6. Zane Cohen Centre for Digestive Diseases, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada

7. Inflammatory Bowel Disease Unit, Division of Gastroenterology and Hepatology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada

8. Hospital México, Caja Costarricense de Seguro Social, San José, Costa Rica

9. Gastroenterology Postgraduate Program, School of Medicine, Universidad de Costa Rica, San José, Costa Rica

10. IBD Outpatient Clinics, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Brazil

Abstract

Latin America (LATAM) is a large region comprising 47 countries and territories. Each one carries a different cultural and historical background, diverse political systems, and a particular approach to healthcare management. There is a lack of high-quality data on the epidemiology of inflammatory bowel diseases (IBD) in this region, including broad and detailed information about the penetration of biological and advanced therapies as treatment strategies. From an IBD perspective, patients experience, in general, fragmentations and inequities in the healthcare systems, with different and usually delayed access to qualified health services. This review explores the barriers to accessing IBD care throughout LATAM. The authors compiled data from multiple sources, such as studies focusing on epidemiology, biological penetration, and surgical rates. In addition, overall access to IBD treatments was assessed through a questionnaire distributed to physicians in LATAM via email and direct messaging to capture local perspectives.

Publisher

SAGE Publications

Subject

Gastroenterology

Reference85 articles.

1. Encyclopedia of Latin American History and Culture

2. Cecchini S, Bárcena A. Protección Social inclusiva en América Latina: una mirada integral un enfoque de derechos, http://www19.iadb.org/intal/intalcdi/PE/2011/07973.pdf (2011, accessed 5 August, 2022).

3. De Ferranti D, Perry G, Ferreira FHG, et al. Inequality in Latin America: breaking with History? http://nrs.harvard.edu/urn-3:hul.ebookbatch.EBR_batch:ebr10058809 (2004, accessed 5 August, 2022).

4. Epidemiology and Natural History of Inflammatory Bowel Diseases

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