Sistema de Salut de Catalunya
Institut Català de la Salut
[Losada López I, Gonzalez-Moreno J, Buades Reinés J] Internal Medicine Department, Hospital Universitario Son Llàtzer, Palma de Mallorca, Palma, Spain. Balearic Research Group in Genetic Cardiopathies, Sudden Death and TTR Amyloidosis, Instituto de Investigación Sanitaria de las Islas Baleares (IdISBa), Palma, Spain. [Sevilla T] Neurology Department, Hospital Universitari i Politècnic La Fe & IIS La Fe Universitat de València, Valencia, Spain. Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Madrid, Spain. [Martinez Valle F] Servei de Medicina Interna, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Galán Dávila L] Neurology Department, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
Vall d'Hebron Barcelona Hospital Campus
2025-02-05T12:21:49Z
2025-02-05T12:21:49Z
2024-12-13
Mutation; Amyloidosis; Transthyretin
Mutació; Amiloïdosi; Transtiretina
Mutación; Amiloidosis; Transtiretina
Background: Hereditary transthyretin amyloidosis (ATTRv) is an autosomal-dominant systemic disease, where amyloid fibrils accumulate especially in the peripheral and autonomic nervous systems and in the heart. The aim of the present work was to outline the follow-up and type of management received by asymptomatic carriers (ACs) and Coutinho stage 1 ATTRv patients in Spain. Methods: A cross-sectional, non-interventional study was conducted throughout seven experienced hospitals in Spain. A total of 86 ACs without neurological symptoms and 19 Coutinho stage 1 ATTRv patients diagnosed 12 months before their enrollment were included. Clinical and demographic data, red flags, and neurological and cardiological evaluations were gathered. In addition, site variables were collected from four centers to describe the clinical management of ATTRv. Results: ATTRv clinical management varied depending on the center setting but was primarily overseen by neurology and internal medicine, which were responsible for the holistic follow-up of ACs and patients. Routinely, neurologists, neurophysiologists, cardiologists, and internal medicine conducted the follow-up. Specialties involved in initial AC assessment were neurophysiologists and cardiologists in 100% of cases, neurologists (75%), internists and geneticists (50%), and ophthalmologists (25%). A review of the medical tests performed proved an exhaustive management of the study population. Stable patients were followed up every 6 months, while those under evolution were monitored every 3–6 months. The frequency of monitoring of ACs was annual, and carriers classified with doubtful disease onset were visited every 3–6 months. Conclusions: The EMPATIa study provides valuable insights into the management of ATTRv in a real-world clinical setting in highly experienced hospitals in Spain. It demonstrates that multidisciplinary practice and enhanced disease awareness may lead to a reduction in diagnostic delay.
This study was sponsored by Pfizer SLU.
Article
Published version
English
Hospitals; Sistema nerviós - Malalties - Tractament; Albúmina; Amiloïdosi - Tractament; DISEASES::Nervous System Diseases::Neurodegenerative Diseases::Heredodegenerative Disorders, Nervous System::Amyloid Neuropathies, Familial; CHEMICALS AND DRUGS::Amino Acids, Peptides, and Proteins::Proteins::Albumins::Serum Albumin::Prealbumin; HEALTH CARE::Health Services Administration::Patient Care Management::Disease Management; HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospitals; ENFERMEDADES::enfermedades del sistema nervioso::enfermedades neurodegenerativas::trastornos heredodegenerativos del sistema nervioso::neuropatías amiloideas familiares; COMPUESTOS QUÍMICOS Y DROGAS::aminoácidos, péptidos y proteínas::proteínas::albúminas::albúmina sérica::prealbúmina; ATENCIÓN DE SALUD::administración de los servicios de salud::gestión de la atención al paciente::tratamiento de las enfermedades; ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::hospitales
MDPI
Journal of Clinical Medicine;13(24)
https://doi.org/10.3390/jcm13247587
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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