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Shashank Jadhav , Roda Dalal

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Roda Dalal

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Roda Dalal ¹

Affiliations
1 (Applied Biology), Deputy Director, Knowledge Cell, Medical Research Centre-Kasturba Health Society, Mumbai

Abstract

ILA webinar was convened by Dr. Ashwinikumar Raut, Hon. Director Clinical Research and chaired by Dr. Rama Vaidya, Hon. Director Endocrine and Metabolic Disorders, Medical Research Centre-Kasturba Health Society (MRC-KHS), Mumbai on 23^rd July 2020. Since December 2019, COVID-19 has spread globally, literally bringing the world to a halt. India too has suffered the brunt of this devastating medical emergency. This webinar conducted by MRC-KHS captures various aspects of the disease. Trans-system physicians and multidisciplinary biomedical scientists participated. India has a pluralistic system of medicine, and it was essential to discuss multi-system inputs. However, it was heartening to find that physicians from various systems, when deputed to COVID-19 centres, had uniformly followed the Government of India guidelines for the diagnosis and management of COVID-19.

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Beena Joshi ¹, Gazala Hasan ², Gulrez Tyebkhan ³, Shobha Udipi ⁴, Anushree Patil ⁵, Duru Shah ⁶, Madhuri Patil ⁷, Roda Dalal ⁸, Rama Vaidya ⁹

Affiliations
1 Scientist F, Department of Operational Research, ICMR-National Institute for Research in Reproductive Health, Mumbai, IN
2 Senior Research Fellow, Department of Operational Research, ICMR-National Institute for Research in Reproductive Health, Mumbai, IN
3 Hon Consultant Dermatologist, Medical Research Centre-Kasturba Health Society; Hon Dermatologist, Saifee Hospital, Mumbai, IN
4 Hon Director Integrative Nutrition and Ayurceuticals, Medical Research Centre-Kasturba Health Society, Mumbai, IN
5 Scientist D, Department of Clinical Research, ICMR- National Institute for Research in Reproductive Health, Mumbai, IN
6 President, PCOS Society, India. Scientific Director, Gynaecworld Assisted Fertility Center, Mumbai, IN
7 Vice-President, PCOS Society, India; Clinical Director, Dr. Patil’s Fertility and Endoscopy Clinic, Bengaluru, IN
8 Hon Editorial Consultant and Communications Associate, Medical Research Centre-Kasturba Health Society, Mumbai, IN
9 Director, Division of Endocrine and Metabolic Disorders, Medical Research Centre-Kasturba Health Society, Mumbai, IN

Abstract

Background: Polycystic Ovary Syndrome (PCOS) diagnosis is very complex and due to overlapping presentation of symptoms, women with PCOS may approach various practitioners, who might be using varied definitions to diagnose and manage PCOS.

Objectives: To assess knowledge about PCOS diagnosis and management by Dermatologists, Gynecologists, Endocrinologists and Family Physicians (FPs).

Methods: This cross-sectional study was done among 529 health care providers (HCPs) practicing in Mumbai metropolitan region using a convenient sample. A self-administered pretested questionnaire was filled by the HCPs after obtaining informed consent. Pearson’s Chi-square test and Analysis of Variance (ANOVA) was used to study the differences within each group.

Results: All HCPs reported that women with PCOS consulted them with a varied spectrum of symptoms. Among FPs, Allopaths had better knowledge about diagnosis and Homeopaths were more confident about PCOS management. Among Specialists, Endocrinologists were more stringent in diagnosing cases as per defined criteria, along with screening and comprehensive management of the metabolic syndrome. Although the need for multidisciplinary management was perceived, in practice holistic management was not common.

Conclusions: This study reveals the need for training and disseminating algorithms for comprehensive PCOS management across disciplines. It highlights women’s preferences in seeking health care for symptom complex of PCOS. These findings would help health policymakers to develop community-based awareness modules and India-specific management guidelines for early screening and a continuum of care for PCOS patients.

Keywords

Polycystic ovary syndrome, healthcare providers, knowledge assessment, practice, management

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Roda Dalal ¹, Ashwinikumar Raut ²

Affiliations
1 Deputy Director, Knowledge Cell, Kasturba Health Society’s Medical Research Centre (KHS-MRC), IN
2 Director, Clinical Research & Integrative Medicine and Joint Research Head, KHS-MRC, Mumbai, IN

Abstract

This is a report of the webinar on Good Clinical Practices (GCP) jointly organized by Kasturba Health Society’s Medical Research Centre and Inter System Biomedica Ethics Committee. The training was organized in six scientific sessions arranged over two half days. The delegates for this webinar were from the faculties of Nutrition, Ayurveda, Life Sciences, Pharmacy, Pharmacology, and Clinical Science. The program had prominent national authorities in the domain of ethics and clinical research, who delivered opening remarks. This was followed by scientific sessions on pharmaceuticals, phytopharmaceuticals, Ayurceuticals, nutraceuticals, and dietary supplements. A special session was dedicated to the informed consent form (ICF). The final session was a panel discussion on diagnostics, non-drug therapies, medical devices, quality control, clinical trials & safety monitoring. This write-up gives the gist of the presentation made by various experts.

Keywords

Ethics, Drugs, Non-drug therapies, Ayurceuticals, Phytopharmaceuticals, Nutraceuticals

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