Rheumatology Unit, Department of Medicine and Therapeutics, Korlebu Teaching Hospital, University of Ghana Medical School, College of Health Sciences, PO Box 4236, Korle-Bu, Accra, Ghana.
Center of Research of Immunopathology and Rare Diseases- Coordinating Center of Piemonte and Valle d'Aosta Network for Rare Diseases, and SCDU Nephrology and Dialysis, Department of Clinical and Biological Sciences, S. Giovanni Bosco Hospital and University of Turin, Piazza del Donatore di Sangue 3, Turin 10154, Italy.
Rheum Dis Clin North Am. 2021 Feb;47(1):119-132. doi: 10.1016/j.rdc.2020.09.009.
Rheumatic diseases reach across continents with some similarities as well as unique challenges. The intersection between genetic factors, environmental exposures and socioeconomic factors, as well as challenges, with delays in access to subspecialty care and medications, manifest in different ways. By understanding both the challenges and successes in different countries, while also recognizing the significant diversity both within and across continents, unified strategies to improve rheumatic disease outcomes and decrease disparities among the most vulnerable groups can be developed and disseminated.
风湿性疾病跨越各大洲,既有相似之处,也有独特的挑战。遗传因素、环境暴露和社会经济因素的交叉,以及在获得专科护理和药物方面的延迟等挑战,表现方式各不相同。通过了解不同国家的挑战和成功,同时认识到各大洲内部和之间存在的巨大差异,可以制定和传播统一的策略,以改善风湿性疾病的结果,并减少最弱势群体之间的差距。