Delving into the Latest Updates on Indira Gandhi Medical College & Research Institute with Synapse

Overview

Background:Complementary and alternative medicine (CAM) refers to medical practices that are not part of conventional medicine. Reports in literature suggest the prevalence of CAM use ranges from 37% to 87%. There are no data on frequency of CAM use in Indian patients with psoriasis.Materials and Methods:A descriptive study was designed to look at frequency of CAM use in psoriasis patients attending the DVL outpatient department of a tertiary care hospital in South India. The clinicoepidemiological details and details of CAM use were entered into a predesigned pro forma.Results:Ninety-six psoriasis patients were included in the study. CAM use was seen in thirty (31.58%) psoriasis patients. Siddha treatment was the most common CAM used. Statistical analysis showed significant association of gender (male > female), time since diagnosis, alcohol use, and Psoriasis Area and Severity Index (PASI) score with use of CAM. Logistic regression analysis found age, education, socioeconomic status, alcohol use, time since diagnosis, presence of concomitant disease, affordability of medication, and PASI score to be independent predictors of CAM use.Limitations:The limitations of our study were the small sample size and lack of emphasis on dietary modifications followed.Conclusion:CAM is used by approximately 30% of psoriasis patients in South India, and the most common therapy used is Siddha. Knowledge of evidence regarding CAM therapies will help the dermatologist offer a balanced view of risks and benefits of indigenous CAM practices to our patients.

01 Mar 2025·Indian Journal of Pediatrics

“Leonine Dermatitis”: A Birthday Party Peril

Article

Author: Mohanan, Saritha ; Udayashankar, C

14 Feb 2025·Cureus

Cost-Effectiveness of Telerehabilitation Compared to Traditional In-Person Rehabilitation: A Systematic Review and Meta-Analysis

Review

Author: Shambushankar, Aviraj K ; Jose, Jobinse ; Gnanasekaran, Sridevi ; Kaur, Gurveen

This systematic review and meta-analysis evaluated the cost-effectiveness of telerehabilitation compared to traditional in-person rehabilitation. A comprehensive search of PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Ovid databases identified 14 eligible studies. The analysis followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, assessing economic outcomes using incremental cost-effectiveness ratios (ICERs) and quality-adjusted life years (QALYs). Findings indicate that telerehabilitation was cost-effective in three out of 14 studies included in the cost-effectiveness analysis. The mean ICER for telerehabilitation compared to traditional rehabilitation varied, with a probability of cost-effectiveness reaching 90% at a willingness-to-pay (WTP) threshold of $30,000 per QALY. However, at a WTP threshold of $0, the probability of cost-effectiveness remained low, suggesting that telerehabilitation does not always dominate in cost-effectiveness analyses. The study highlights the potential of telerehabilitation to provide similar or improved health outcomes compared to traditional rehabilitation while reducing travel costs and enhancing patient access. Increased patient satisfaction, reduced hospital readmissions, and improved adherence to rehabilitation protocols contributed to the economic benefits observed. However, methodological heterogeneity across studies remains a limitation. Given the growing adoption of digital health technologies, telerehabilitation presents a viable and economically efficient alternative to in-person rehabilitation. Policymakers should consider integrating telerehabilitation into routine healthcare services, particularly in resource-constrained settings, to optimize cost-effectiveness and enhance accessibility. Further research should focus on standardizing cost-effectiveness evaluation methods to strengthen evidence for large-scale implementation.

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