{"title":"拉丁美洲西班牙语地区抽搐症护理缺口。","authors":"Alex Medina Escobar, Daniela Munoz, Sylvia Gautreau, Malco Rossi, Tamara Pringsheim","doi":"10.1002/mdc3.70020","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Primary tic disorders (TD) are common movement disorders in childhood. However, it is unclear if international guidelines are applied in Latin America.</p><p><strong>Objectives: </strong>To investigate the applicability of TD guidelines in Latin America.</p><p><strong>Methods: </strong>An online survey was developed and distributed to healthcare professionals treating TD across Latin America.</p><p><strong>Results: </strong>Healthcare providers from 15 countries participated. TD are mainly diagnosed by general neurologists (85%). There is limited access to public clinics for movement disorders or TD, and 80% do not utilize a protocol. Rating scales are rarely used. More than half reported being unaware of resources for psychoeducation. Non-pharmacological interventions for TD and alpha agonists are unavailable in several countries. Consequently, antipsychotics are the first line treatment.</p><p><strong>Conclusions: </strong>The ubiquity of TD diagnosis throughout Latin America is a positive aspect, however barriers like limited referral pathways, lack of awareness about tics and treatment options do exist. This highlights the need for more effective pathways for TD in Latin America.</p>","PeriodicalId":19029,"journal":{"name":"Movement Disorders Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Tic Disorders Care Gaps in Spanish-Speaking Latin America.\",\"authors\":\"Alex Medina Escobar, Daniela Munoz, Sylvia Gautreau, Malco Rossi, Tamara Pringsheim\",\"doi\":\"10.1002/mdc3.70020\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Primary tic disorders (TD) are common movement disorders in childhood. However, it is unclear if international guidelines are applied in Latin America.</p><p><strong>Objectives: </strong>To investigate the applicability of TD guidelines in Latin America.</p><p><strong>Methods: </strong>An online survey was developed and distributed to healthcare professionals treating TD across Latin America.</p><p><strong>Results: </strong>Healthcare providers from 15 countries participated. TD are mainly diagnosed by general neurologists (85%). There is limited access to public clinics for movement disorders or TD, and 80% do not utilize a protocol. Rating scales are rarely used. More than half reported being unaware of resources for psychoeducation. Non-pharmacological interventions for TD and alpha agonists are unavailable in several countries. Consequently, antipsychotics are the first line treatment.</p><p><strong>Conclusions: </strong>The ubiquity of TD diagnosis throughout Latin America is a positive aspect, however barriers like limited referral pathways, lack of awareness about tics and treatment options do exist. This highlights the need for more effective pathways for TD in Latin America.</p>\",\"PeriodicalId\":19029,\"journal\":{\"name\":\"Movement Disorders Clinical Practice\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-02-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Movement Disorders Clinical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/mdc3.70020\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Movement Disorders Clinical Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/mdc3.70020","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Tic Disorders Care Gaps in Spanish-Speaking Latin America.
Background: Primary tic disorders (TD) are common movement disorders in childhood. However, it is unclear if international guidelines are applied in Latin America.
Objectives: To investigate the applicability of TD guidelines in Latin America.
Methods: An online survey was developed and distributed to healthcare professionals treating TD across Latin America.
Results: Healthcare providers from 15 countries participated. TD are mainly diagnosed by general neurologists (85%). There is limited access to public clinics for movement disorders or TD, and 80% do not utilize a protocol. Rating scales are rarely used. More than half reported being unaware of resources for psychoeducation. Non-pharmacological interventions for TD and alpha agonists are unavailable in several countries. Consequently, antipsychotics are the first line treatment.
Conclusions: The ubiquity of TD diagnosis throughout Latin America is a positive aspect, however barriers like limited referral pathways, lack of awareness about tics and treatment options do exist. This highlights the need for more effective pathways for TD in Latin America.
期刊介绍：
Movement Disorders Clinical Practice- is an online-only journal committed to publishing high quality peer reviewed articles related to clinical aspects of movement disorders which broadly include phenomenology (interesting case/case series/rarities), investigative (for e.g- genetics, imaging), translational (phenotype-genotype or other) and treatment aspects (clinical guidelines, diagnostic and treatment algorithms)
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