New YORK (Reuters gezondheid) – een studie in
Californië onthult dat minder Afro-Amerikanen dan met witte
reumatoïde artritis gebruikt krachtige drugs om te beschermen aan
gewrichten van het voorschot van de ziekte.
zelfs na bestudering van de ernst van de artritis, de auteurs
constateert dat zwarte patiënten 50 procent minder
waarschijnlijk te nemen de antirheumatic drugs
parameters van ziekte (DMARDS) biologische, eerder dan
niet zo potent traditionele geneesmiddelen.
“biologische geneesmiddelen (voor reumatoïde artritis)
zijn meestal zeer krachtig en effectief om te voorkomen dat therapieën
progressie van de ziekte, maar zijn vrij duur”, aldus
door Aniket Kawatkar, permanente medische groep van Californië
South, in Pasadena.
de Rheumatoid arthritis causes inflammation articulate, that
produces pain, stiffness and loss of function. the foundation of
arthritis estimates that 1.3 million suffer from it of
Americans. No is as common as osteoarthritis, the way
common disease by “wear and tear” to articulate.
Although there is no cure, the antirheumatic can avoid the
progress of damage articulate and its symptoms.
Kawatkar, who is the co-author of the study, expressed the view that there are
few reasons for this ethnic gap in treatment with
these more powerful drugs, even if the disease is not so
serious.
some drugs have a “window of opportunity”, is
When are more effective. “if cultural beliefs prevent
requesting care a patient (with rheumatoid arthritis)
immediately, the window of opportunity for treatment is
would lose””, dijo Kawatkar.
Los 5.385 pacientes con artritis reumatoidea incluidos en el
estudio eran beneficiarios de Medicaid, de modo que niet habÃa
gran permitteert entre los niveles de ingreso de los grupos. Los
pacientes, de entre 50 y 60 años, habÃan tomado por lo menos un
antirreumático entre 1998 y el 2005.
El 16 por ciento de los participantes blancos habÃa used
boerderij biológicos, como etanercept (Enbrel) y adalimumab
(Humira). El resto habÃa utilizado los boerderij convencionales,
como metotrexato (Rheumatrex) y leflunomida (Arava).
nl cambio, sólo el 9 por ciento de los pacientes negros
habÃa utilizado los biológicos, comparado con el 20 por ciento
de los hispanos, que fueron el grupo volkenkundig que más terapias
biológicas usó durante el estudio. Eso se Außerdem een que solÃan
tener dolor articulaire y limitaciones fÃsicas más graven que los
< p> whites.
Dr. Kenneth Saag, immunologist from the University of
Alabama in Birmingham, found “disturbing” these
results. said it is possible that African-Americans with
rheumatoid arthritis to meet a few members of his
community who are under treatment with the biological DMARDS
so choose not to use them.
or that doctors have prejudices about the gravity of the
arthritis in certain groups of patients.
in the journal Arthritis Care & Research, the team writes
that there is no consensus about which drugs are the best
for different patients with rheumatoid arthritis
“this decision always the rheumatologist, should be performed according to
evaluation of each patient’s condition”, ended Kawatkar.
source: Arthritis Care & Research, online July 17 of the
< p> 2012