Skromne-Eisenberg Eli, Ordoñez-Boschetti Laura, Treviño-Frenk Irene
Instituto Mexicano de Neurociencias, Hospital Ángeles Lomas, Mexico.
Mexican Committee for Treatment and Research in Multiple Sclerosis (MEXCTRIMS), Mexico.
Mult Scler J Exp Transl Clin. 2017 Sep 25;3(3):2055217317723369. doi: 10.1177/2055217317723369. eCollection 2017 Jul-Sep.
The treatment of multiple sclerosis (MS) has become increasingly complex during the last 10 years, mainly because of the advent of new and more potent disease-modifying therapies (DMTs). In Latin America, the therapeutic repertoire available for MS treatment is similar to the one in the rest of the world, but the high costs of these drugs, in conjunction with the limited resources of the social security health systems, makes the treatment of MS more difficult. For neurologists in Latin America, providing personalized MS treatment has become a challenge. We present a review of the status of the DMT in Central and South America, benefits as well as limitations for providing full access to these medications in Latin America.
在过去十年中,多发性硬化症(MS)的治疗变得越来越复杂,主要是因为出现了更新且更有效的疾病修正疗法(DMTs)。在拉丁美洲,可用于MS治疗的疗法与世界其他地区相似,但这些药物的高昂成本,再加上社会保障卫生系统资源有限,使得MS的治疗更加困难。对于拉丁美洲的神经科医生来说,提供个性化的MS治疗已成为一项挑战。我们对中南美洲DMT的现状、在拉丁美洲全面获取这些药物的益处及局限性进行了综述。