EHA Library - The official digital education library of European Hematology Association (EHA)

THE IMPACT OF THE REORGANIZATION OF THE PATIENT CARE PROCESS FOR GAUCHER DISEASE IN HEALTH SYSTEM.
Author(s): ,
Francisco Blanco-Favela
Affiliations:
Unidad de Investigación Médica en Inmunología, UMAE Hospital de Pediatría, CMN-SXXI,Instituto Mexicano del Seguro Social,Ciudad de México,Mexico
,
Raul Silva-Garcia
Affiliations:
Unidad de Investigación Médica en Inmunología,Instituto Mexicano del Seguro Social,Ciudad de México,Mexico
,
Elsa Avila-Arreguin
Affiliations:
Servicio de Hematología, UMAE, Hospital de Especialidades, CMN “La Raza”,Instituto Mexicano del Seguro Social,Ciudad de México,Mexico
,
Maria Rabago-Rodriguez
Affiliations:
3Servicio de Excelencia Clínica, CUMAE,Instituto Mexicano del Seguro Social,Ciudad de México,Mexico
,
Cecilia Correa-Gonzalez
Affiliations:
HGZ/MF No. 1 SLP,Instituto Mexicano del Seguro Social,San Luis Potosi,Mexico
,
Jose Garcia-Ortiz
Affiliations:
5División Genética, Centro de Investigación Biomédica de Occidente,Instituto Mexicano del Seguro Social,Guadalajara,Mexico
,
Sergio Franco-Ornelas
Affiliations:
Jefe de Medicina Interna Pediátrica, UMAE, Hospital General, CMN “La Raza”,Instituto Mexicano del Seguro Social,Ciudad de México,Mexico
,
Eduardo Terrero-Muñoz
Affiliations:
7Servicio de Hematología, UMAE, Hospital de Especialidades, “Dr. Bernardo Sepúlveda” CMN-SXXI,Instituto Mexicano del Seguro Social,Ciudad de México,Mexico
Jose Gonzalez-Izquierdo
Affiliations:
8Jefe de Servicio de Prestaciones Médicas delegación Jalisco,Instituto Mexicano del Seguro Social,Guadalajara,Mexico
(Abstract release date: 05/18/17) EHA Library. Blanco-Favela F. 05/18/17; 182561; PB1847
Francisco Blanco-Favela
Francisco Blanco-Favela
Contributions
Abstract

Abstract: PB1847

Type: Publication Only

Background
Gaucher disease (GD) is a multisystemic disease of lysosomal storage that is caused by deficient activity of the glucocerebrosidase enzyme resulting from a recessive autosomal hereditary mutation in the β-glucocerebrosidase gene. The accumulation of glucocerebrosidase in the lysomes damages the hematological, skeletal, and nervous systems and leads to three varieties of the disease: type 1, which is non-neuropathic, and types 2 and 3, which are neuropathic. In Mexico, the process by which patients with lysosomal disease are cared for was reorganized by the Clínicas de Referencia Nacional y Grupos de Expertos en Enfermedades Lisosomales (National Reference Clinics and Expert Groups on Lysosomal Diseases [EGLDs]), who created the Guías de Práctica Clínica (Clinical Practice Guidelines) for GD

Aims
This study aimed to evaluate the results obtained for 39 patients diagnosed with type 1GD (25 women and 14 men) through the National Reference Clinics and EGLDs

Methods
The clinical case of 39 patients was analyzed and punctual mutation of the β-glucocerebrosidase gene was determined. The patients were treated with imiglucerase enzyme at 60 UI/Kg every 14 days. The enzymatic activity of the β-glucocerebrosidase and the chitotriosidase was determined. We determinate concentration of hemoglobin and platelets. The degree of hepato-, splenomegaly, bone density and skeletal pain was evaluated.

Results

Four of the 39 patients were found to have been incorrectly diagnosed with GD, the remaining 35 patients completed the treatment goals, which included remission from hepatomegaly, splenomegaly, and skeletal pain. Additionally, increases in the hemoglobin and platelet concentration and bone mineralization were achieved, thereby attaining the patients’ therapeutic goals, reducing the therapeutic dose required, and achieving the expected impacts on their health.

Conclusion
this reorganization of patient care successfully reduced complications, improved care, and optimized the use of resources and costs of GD treatment.

Session topic: 27. Enzymopathies, membranopathies and other anemias

Keyword(s): Gaucher disease

Abstract: PB1847

Type: Publication Only

Background
Gaucher disease (GD) is a multisystemic disease of lysosomal storage that is caused by deficient activity of the glucocerebrosidase enzyme resulting from a recessive autosomal hereditary mutation in the β-glucocerebrosidase gene. The accumulation of glucocerebrosidase in the lysomes damages the hematological, skeletal, and nervous systems and leads to three varieties of the disease: type 1, which is non-neuropathic, and types 2 and 3, which are neuropathic. In Mexico, the process by which patients with lysosomal disease are cared for was reorganized by the Clínicas de Referencia Nacional y Grupos de Expertos en Enfermedades Lisosomales (National Reference Clinics and Expert Groups on Lysosomal Diseases [EGLDs]), who created the Guías de Práctica Clínica (Clinical Practice Guidelines) for GD

Aims
This study aimed to evaluate the results obtained for 39 patients diagnosed with type 1GD (25 women and 14 men) through the National Reference Clinics and EGLDs

Methods
The clinical case of 39 patients was analyzed and punctual mutation of the β-glucocerebrosidase gene was determined. The patients were treated with imiglucerase enzyme at 60 UI/Kg every 14 days. The enzymatic activity of the β-glucocerebrosidase and the chitotriosidase was determined. We determinate concentration of hemoglobin and platelets. The degree of hepato-, splenomegaly, bone density and skeletal pain was evaluated.

Results

Four of the 39 patients were found to have been incorrectly diagnosed with GD, the remaining 35 patients completed the treatment goals, which included remission from hepatomegaly, splenomegaly, and skeletal pain. Additionally, increases in the hemoglobin and platelet concentration and bone mineralization were achieved, thereby attaining the patients’ therapeutic goals, reducing the therapeutic dose required, and achieving the expected impacts on their health.

Conclusion
this reorganization of patient care successfully reduced complications, improved care, and optimized the use of resources and costs of GD treatment.

Session topic: 27. Enzymopathies, membranopathies and other anemias

Keyword(s): Gaucher disease

By clicking “Accept Terms & all Cookies” or by continuing to browse, you agree to the storing of third-party cookies on your device to enhance your user experience and agree to the user terms and conditions of this learning management system (LMS).

Cookie Settings
Accept Terms & all Cookies