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Rheumatology science and practice in India
Durga Prasanna Misra1, Aman Sharma2, Vikas Agarwal3
1Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, 226014, India. durgapmisra@gmail.com.
Rheumatology International
|July 20, 2018
Summary
Rheumatology in India faces cost constraints and infectious disease challenges. Optimizing cheaper medicines and innovative strategies are crucial for managing rheumatic diseases effectively.
Area of Science:
- Rheumatology
- Public Health
- Infectious Diseases
Background:
- Rheumatology practice in India is characterized by significant cost constraints.
- Limited government funding necessitates optimizing the use of affordable medicines.
- Immunosuppressive agents increase the risk of infectious complications, including tuberculosis reactivation.
Purpose of the Study:
- To review the unique challenges of rheumatology practice in India.
- To analyze the management of common rheumatic diseases based on Indian literature.
- To critically evaluate existing management guidelines for rheumatic diseases in the region.
Main Methods:
- Narrative review of published literature.
- Critical appraisal of regional and international guidelines.
- Discussion of infectious etiologies relevant to Indian rheumatology.
Main Results:
- Identified unique challenges in Indian rheumatology practice.
- Reviewed management strategies for common rheumatic diseases in India.
- Highlighted diagnostic and therapeutic challenges posed by infectious diseases like leprosy, tuberculosis, and Chikungunya arthritis.
Conclusions:
- There is a pressing need for cost-effective management strategies for rheumatic diseases in India.
- Increased government participation is required to improve healthcare facilities and services.
- Development of allied healthcare professionals is essential for comprehensive patient management.
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