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Rheumatology in India--quo vadis?
1Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi 110076, India.
Nature Reviews. Rheumatology
|November 5, 2014
Summary
Rheumatology care in India faces significant challenges, including specialist shortages and limited use of advanced treatments, leading to poorer patient outcomes compared to developed nations. Addressing these issues requires educational reform, increased capacity, and political support for better rheumatology services.
Area of Science:
- Rheumatology
- Public Health
- Infectious Diseases
Background:
- Rheumatology is a neglected subspecialty in India.
- Challenges include high patient load, specialist scarcity, and limited advocacy.
- This leads to reliance on alternative medicines and suboptimal patient outcomes.
Purpose of the Study:
- To highlight the critical challenges in rheumatology care in India.
- To compare disease spectrum and treatment patterns with global standards.
- To identify areas for improvement in rheumatology services.
Main Methods:
- This is a review and analysis of the current state of rheumatology in India.
- It examines patient load, specialist availability, treatment modalities, and disease prevalence.
- Comparative analysis with developed countries and infectious disease impact are discussed.
Main Results:
- Disease spectrum is similar to other countries, but biologic agent use is limited.
- Outcomes in India lag behind developed nations.
- Infectious diseases like chikungunya and dengue significantly impact mortality in rheumatic disorders.
Conclusions:
- Curricular reforms are needed to train more rheumatology specialists.
- Capacity building and patient education are essential.
- Political support is crucial to improve rheumatology care and patient outcomes in India.
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