Rheumatology science and practice in India

Rheumatology International
Durga Prasanna MisraVikas Agarwal

Abstract

The practice of rheumatology in a country like India presents its own unique challenges, including the need to manage patients in a cost-constrained setting, where the lack of uniform government funding for healthcare merits the need to optimize the use of cheaper medicines, as well as devise innovative strategies to minimize the use of costlier drugs such as biologic disease-modifying agents. Use of immunosuppressive agents is also associated with increased risks of infectious complications, such as the reactivation of tuberculosis. In this narrative review, we provide a flavor of such challenges unique to Rheumatology practice in India, and review the published literature on the management of common rheumatic diseases from India. In addition, we critically review existing guidelines for the management of rheumatic diseases from this part of the world. We also discuss infectious etiologies of rheumatic complaints, such as leprosy, tuberculosis, and Chikungunya arthritis, which are often encountered here, and pose a diagnostic as well as therapeutic challenge for clinicians. There remains a need to identify and test more cost-effective strategies for Indian patients with rheumatic diseases, as well as the requirement for more g...Continue Reading

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Citations

Jan 4, 2020·Rheumatology International·Bohdana DoskaliukVolodymyr Kovalenko
Apr 15, 2020·Rheumatology International·Swan Sim YeapKiran Veerapen
Nov 15, 2018·Rheumatology International·Dantis EmmanuelVir Singh Negi
Jul 12, 2019·Journal of Korean Medical Science·Durga Prasanna Misra, Vikas Agarwal
Nov 9, 2018·Rheumatology International·Tamer A Gheita, Nahla N Eesa
Dec 7, 2018·Rheumatology International·Francisco Airton Castro RochaLeila Nascimento da Rocha
Aug 7, 2021·Rheumatology International·Latika GuptaVikas Agarwal

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