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Rheumatology in Ukraine

Abstract

Rheumatology in Ukraine is based on established research and clinical infrastructure that enable the integration with regional and global societies. This article overviews current state of Ukrainian rheumatology, important steps toward expanding clinical settings, and opportunities for strengthening cooperation of local rheumatologists and patients with rheumatic diseases with related international societies. The main achievements and some challenges encountered by the Association of Rheumatologists of Ukraine are outlined. The Association supports continuing medical education of local specialists and explores options for advancing research and publishing in rheumatology. One of the main challenges still remains the creation of registries of patients with rheumatic diseases and expansion of activities of public societies with interest in combating rheumatic diseases. The issue of inadequate access to immunobiological therapies is also highlighted.

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References

  1. 1.

    Li ZG (2015) A new look at rheumatology in China—opportunities and challenges. Nat Rev Rheumatol 11(5):313–317. https://doi.org/10.1038/nrrheum.2014.218

  2. 2.

    Gasparyan AY (2017) Reflecting on the achievements and looking to the future of an established rheumatology journal. Rheumatol Int 37(11):1771–1772. https://doi.org/10.1007/s00296-017-3822-2

  3. 3.

    Misra DP, Sharma A, Agarwal V (2018) Rheumatology science and practice in India. Rheumatol Int 38(9):1587–1600. https://doi.org/10.1007/s00296-018-4111-4

  4. 4.

    Seeberg KGV, Andersen LL, Bengtsen E, Sundstrup E (2019) Effectiveness of workplace interventions in rehabilitating musculoskeletal disorders and preventing its consequences among workers with physical and sedentary employment: systematic review protocol. Syst Rev 8(1):1–7. https://doi.org/10.1186/s13643-019-1127-0

  5. 5.

    Gutenbrunner C, Tederko P, Grabljevec K, Nugraha B (2018) Responding to the World Health Organization gobal disability action plan in Ukraine: developing a national disability, health and rehabilitation plan. J Rehabil Med 50(4):338–341. https://doi.org/10.2340/16501977-2294

  6. 6.

    Georgiev T, Stoilov R (2019) Bulgarian rheumatology: science and practice in a cost-constrained environment. Rheumatol Int 39(3):417–429. https://doi.org/10.1007/s00296-018-4202-2

  7. 7.

    Maślińska M, Dobrzyński T, Kwiatkowska B (2019) Rheumatology in Poland. Rheumatol Int 39(5):757–767. https://doi.org/10.1007/s00296-019-04287-8

  8. 8.

    Lekhan V, Rudiy V, Shevchenko M, Nitzan Kaluski D, Richardson E (2015) Ukraine: health system review. Health Syst Transit 17(2):1–154

  9. 9.

    Siniachenko OV (1993) The history of the development of rheumatology in Ukraine. Lik Sprav 10–12:118–120

  10. 10.

    Stembrowicz W (2001) Doctor’s degree thesis of Tomasz Adolf Wołkowiński [Praca doktorska Tomasz Adolfa Wołkowińskiego “Carditidis rheumaticae historia”]. Archiwum historii i filozofii medycyny/Polskii Towarzystwo Historii Medycyny i Farmacji. Carditidis Rheum Hist 64(1):3–8

  11. 11.

    Abdulganieva DI, Bombina LK, Nurullina GI, Galimullina ZI (2018) Sokolsky Grigory Ivanovich: contribution to the development of Russian and international medicine. On the occasion of the 210th anniversary of his birth. Nauchno-Prakticheskaya Revmatol 56(1):127–130

  12. 12.

    Gritsiuk AI (1976) Problems of cardiology and rheumatology in the works of N.D. Strazhesko. Vrach Delo 11:14–19

  13. 13.

    Klimenko LO (2016) Scientific achievements of the school of academician Olexandr O. Bohomolets. Acta Balt Hist Philos Sci 4(1):124–131

  14. 14.

    Mal'tsev VI, Kovalenko VM (1993) The status and means for improvement of the rheumatology service in Ukraine. Lik Sprav 5–6:3–7

  15. 15.

    Ukrainian Rheumatology Center, Department of Non-Coronary Heart Diseases and Clinical Rheumatology. http://strazhesko.org.ua/upload/2014/05/14/revmatologiya.pdf. Last updated 2014. Accessed 12 Nov 2019

  16. 16.

    Ministry of Health of Ukraine (MHU) order dated 15.12.93. “About organization and improvement of rheumatologic help to the population of Ukraine”. https://zakon.rada.gov.ua/rada/show/v0243282-93. Last updated 1993. Accessed 12 Nov 2019

  17. 17.

    Kiadaliri AA, Woolf AD, Englund M (2017) Musculoskeletal disorders as underlying cause of death in 58 countries, 1986–2011: trend analysis of WHO mortality database. BMC Musculoskelet Disord 18:62. https://doi.org/10.1186/s12891-017-1428-1

  18. 18.

    Kovalenko VN, Kaminsky AG (2000) Rheumatology as one of the most important medical problems. Ukr Rheumatol J 1(1):3–8

  19. 19.

    Center of Medical Statistics of the MHU. Health institutions and diseases of the population of Ukraine in 2017. Statistical collection. http://www.ukrstat.gov.ua/druk/publicat/kat_u/2018/zb/06/zb_zoz_17.pdf. Last updated 2018. Accessed 12 Nov 2019

  20. 20.

    Smiyan S, Galaychuk I, Zhulkevych I, Nykolyuk V, Komorovsky R, Gusak S, Bilozetsky I (2019) Sjögren’s syndrome and lymphadenopathy unraveling the diagnosis of Lyme disease. Reumatologia 57(1):59–62. https://doi.org/10.5114/reum.2019.83242

  21. 21.

    Tang TT, ZhangL BA et al (2017) The Lyme disease pathogen Borrelia burgdorferi infects murine bone and induces trabecular bone loss. Infect Immun 85(2):e00781–e816. https://doi.org/10.1128/IAI.00781-16

  22. 22.

    Zinchuk AN, Kalyuzhna LD, Pasichna IA (2016) Is localized Scleroderma caused by Borrelia burgdorferi? Vector Borne Zoonotic Dis 16(9):577–580

  23. 23.

    Andreychyn M, Pańczuk A, Shkilna M, Tokarska-Rodak M, Korda M, Kozioł-Montewka M, Klishch M (2017) Epidemiological situation of Lyme borreliosis and diagnosis standards in Poland and Ukraine. Health Prob Civil 11(3):190–194. https://doi.org/10.5114/hpc.2017.69020

  24. 24.

    Public Health Center. https://phc.org.ua/kontrol-zakhvoryuvan/inshi-infekciyni-zakhvoryuvannya/monitoring-i-ocinka/infekciyna-zakhvoryuvanist-naselennya-ukraini. Last updated 2019. Accessed 12 Nov 2019

  25. 25.

    Public Health Center. Analytical and statistical handbook “Tuberculosis in Ukraine” for 2018. https://phc.org.ua/kontrol-zakhvoryuvan/tuberkuloz/statistika-z-tb/analitichno-statistichnimateriali-z-tb. Last updated 2018. Accessed 12 Nov 2019

  26. 26.

    Register of medical and technological documents. The unified clinical protocol for the treatment of tuberculosis. http://mtd.dec.gov.ua/images/dodatki/2014_620_TB/2014_620_YKPMD_TB.pdf. Last updated 2014. Accessed 12 Nov 2019

  27. 27.

    Ponochevna E, Okhotnykova E (2014) Evaluation of the JIA treatment with adalimumab in ukraine. Pediatr Rheumatol 12:P341. https://doi.org/10.1186/1546-0096-12-S1-P341

  28. 28.

    Biliavska V, Kovalenko V, Bortkevych O et al (2017) THU0510 Ukrainian registry of JIA patients receiving biologics: implementation into clinical practice and recent data. Ann Rheum Dis 76:399. https://doi.org/10.1136/annrheumdis-2017-eular.4681

  29. 29.

    Melanchuk N, Oshlianska O (2019) OAB1021 current course of juvenile arthritis and assessment of physical development of children. Ann Rheum Dis 78:1976. https://doi.org/10.1136/annrheumdis-2019-eular.2410

  30. 30.

    Kostik M, Dubko M, Isupova E, Chikova I, Gaidar E, Masalova V et al (2016) AB0876 achievement remission in different juvenile idiopathic arthritis categories during adalimumab therapy: data of retrospective analysis. Ann Rheum Dis 75:1201–1202. https://doi.org/10.1136/annrheumdis-2016-eular.5654

  31. 31.

    Paediatric Rheumatology International Trials Organisation (PRINTO) (2018) The Ukrainian version of the Juvenile Arthritis Multidimensional Assessment Report (JAMAR). Rheumatol Int 38(Suppl 1):403–409. https://doi.org/10.1007/s00296-018-3983-7

  32. 32.

    Register of medical and technological documents. https://dec.gov.ua/cat_mtd/galuzevi-standarti-ta-klinichni-nastanovi/. Last updated 2019. Accessed 12 Nov 2019

  33. 33.

    EULAR's Abstract Archive. http://scientific.sparx-ip.net/archiveeular/. Last updated 2019. Accessed 12 Nov 2019

  34. 34.

    American College of Rheumatology Meetings Archive. https://acrabstracts.org/meetings-archive/. Last updated 2019. Accessed 12 Nov 2019

  35. 35.

    Center of Medical Statistics of the MHU. Medical staff and network of healthcare institutions of the MHU for 2017–2018. http://medstat.gov.ua/ukr/MMXVIII.html. Last updated 2018. Accessed 12 Nov 2019

  36. 36.

    Volosovets OP (2015) State of assisting children with cardiorheumatological pathology. Childs Health 5.65:125–135

  37. 37.

    Foster HE, Vojinovic J, Constantin T, Martini A, Dolezalova P, Uziel Y et al (2018) Educational initiatives and training for paediatric rheumatology in Europe. Pediatr Rheumatol 16(1):77. https://doi.org/10.1186/s12969-018-0289-y

  38. 38.

    Tkachenko V (2017) Review of Ukrainian health care reformation on principles of family medicine. Fam Med Prim Care Rev 4:425–429. https://doi.org/10.5114/fmpcr.2017.70820

  39. 39.

    Sivera F, Ramiro S, Cikes N, Dougados M, Gossec L, Kvien TK et al (2015) Differences and similarities in rheumatology specialty training programmes across European countries. Ann Rheum Dis 74(6):1183–1187. https://doi.org/10.1186/s13075-016-1199-3

  40. 40.

    Government portal. Official website. Health Care System Reform. https://www.kmu.gov.ua/en/reformi/rozvitok-lyudskogo-kapitalu/reforma-sistemi-ohoroni-zdorovya. Last updated 2018. Accessed 12 Nov 2019

  41. 41.

    Kolesnyk P, Švab I (2013) Development of family medicine in Ukraine. Eur J Gen Pract 19(4):261–265. https://doi.org/10.3109/13814788.2013.807791

  42. 42.

    Beyer C, Ramiro S, Sivera F, Mandl P, Machado PM, Ospelt C et al (2016) Educational needs and preferences of young European clinicians and physician researchers working in the field of rheumatology. RMD Open 2(2):e000240. https://doi.org/10.1136/rmdopen-2015-000240

  43. 43.

    Emeunews. Special edition: Country liaisons. https://emeunet.eular.org/myUploadData/files/cl_nl_2019_final_version_full_issue.pdf. Last updated 2019. Accessed 12 Nov 2019

  44. 44.

    Patients of Ukraine. http://patients.org.ua/en/. Last updated 2019. Accessed 12 Nov 2019

  45. 45.

    Akhmetov I, Farista R, Thimmaraju PK (2015) A study to assess the awareness of the biosimilars among Ukrainian physicians. J Bioanal Biomed 7:75–80. https://doi.org/10.4172/1948-593X.1000125

  46. 46.

    Ukrainian Ministry of Social Policy. https://www.msp.gov.ua/. Last updated 2019. Accessed 12 Nov 2019

  47. 47.

    Gozhenko O (2018) Balneological clusters of Ukraine: scientific substantiation, treatment and resort development strategies. Bol Soc Esp Hidrol Med 33(Suppl 1):289–290. https://doi.org/10.23853/bsehm.2018.0720

  48. 48.

    Winklmayr M, Kluge C, Winklmayr W, Küchenhoff H, Steiner M, Ritter M et al (2015) Radon balneotherapy and physical activity for osteoporosis prevention: a randomized, placebo-controlled intervention study. Radiat Environ Bioph 54(1):123–136. https://doi.org/10.1007/s00411-014-0568-z

  49. 49.

    Franke A, Reiner L, Resch KL (2007) Long-term benefit of radon spa therapy in the rehabilitation of rheumatoid arthritis: a randomised, double-blinded trial. Rheumatol Int 27(8):703–713. https://doi.org/10.1007/s00296-006-0293-2

  50. 50.

    Gungen GO, Ardic F, Findikoglu G, Rota S (2016) Effect of mud compress therapy on cartilage destruction detected by CTX-II in patients with knee osteoarthritis. J Back Musculoskelet Rehabil 29(3):429–438. https://doi.org/10.3233/BMR-150629

  51. 51.

    Fastivetz AV, Khomenko PV, Onipko VV, Emetc AV, Skrinnik YO (2019) Medical aspects of specialist training in physical therapy and ergotherapy in the system of higher education of Ukraine. Wiad Lek 72(5):1098–1102

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Author information

BD collected data and wrote the initial version of the manuscript. OZ took part in manuscript writing and data collection. RY took part in the manuscript writing, edited manuscript. VK took part in the manuscript writing and edited manuscript. All authors approved the final manuscript for publication.

Correspondence to Bohdana Doskaliuk.

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Doskaliuk, B., Zimba, O., Yatsyshyn, R. et al. Rheumatology in Ukraine. Rheumatol Int 40, 175–182 (2020). https://doi.org/10.1007/s00296-019-04504-4

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Keywords

  • Rheumatology
  • Ukraine
  • Professional societies
  • Europe
  • Healthcare
  • Education