ObjectiveThis study aimed to explore the incidence and prevalence of OA in UK 2017 their trends from 1997 using a large nationally representative primary care database.DesignThe Clinical Practice Research Datalink (CPRD) comprising data on nearly 17.5 million patients was used for study. The general practitioner diagnosed over 20 years period (1997–2017) were estimated age-sex length contribution standardized CPRD population structure. Cohort effects examined through Age-period-cohort...

Non communicable disease (NCD) multimorbidity is increasingly becoming common in high income settings but little known about its epidemiology and associated impacts on citizens health systems low middle-income countries (LMICs). We aim to examine the socio-demographic distribution of NCD (≥2 diseases) implications for care utilization out-of-pocket expenditure (OOPE) India.We analyzed cross-sectional nationally representative data from World Health Organisaion Study Global Ageing Adult...

Multimorbidity, the coexistence of two or more chronic conditions is increasingly prevalent in primary care populations. Despite reports on its adverse impact health outcomes, functioning and well-being, it's association with quality life not well known low middle income countries. We assessed health-related (HRQoL) patients multimorbidity identified influencing factors. This cross-sectional study was done across 20 public private facilities Odisha, India. Data were collected from 1649 adult...

Background Antihypertensives are effective at reducing the risk of cardiovascular disease, but limited data exist quantifying their association with serious adverse events, particularly in older people frailty. This study aimed to examine this using nationally representative electronic health record data. Methods and findings was a retrospective cohort utilising linked from 1,256 general practices across England held within Clinical Practice Research Datalink between 1998 2018. Included...

Multimorbidity is increasingly the primary concern of healthcare systems globally with substantial implications for patient outcomes and resource cost. A critical knowledge gap exists as to magnitude multimorbidity in care practice low middle income countries available information limited prevalence. In India, forms bulk health delivery being provided through both public (community center) private general setting. We undertook a study identify patterns relate these severity among attendees...

<h3>PURPOSE</h3> Little information is available on multimorbidity in primary care India. Because the first contact of health for most population and important coordinating chronic care, we wanted to examine prevalence correlates India its association with utilization. <h3>METHODS</h3> Using a structured assessment protocol, conducted cross-sectional study, collecting 22 self-reported conditions representative sample 1,649 adult patients Odisha, <h3>RESULTS</h3> The overall age- sex-adjusted...

Lymphatic filariasis is targeted for elimination in India through mass drug administration (MDA) with diethylcarbamazine (DEC) combined albendazole (ABZ). For the strategy to be effective, >65% of those living endemic areas must covered by and compliant MDA. Post MDA 2011 campaign district Odisha, we conducted a survey assess: (i) knowledge community, (ii) coverage compliance from community perspective, (iii) factors affecting compliance, as well operational issues involved carrying out...

To determine the burden of comorbidities in OA and their temporal relationships UK.The Clinical Practice Research Datalink (CPRD) GOLD was used to identify people with incident age, gender practice matched non-OA controls from UK primary care. Controls were assigned same index date as cases (date diagnosis). Associations between 49 individual multimorbidities (two or more excluding OA) both before after diagnosis estimated, adjusting for covariates, using odds ratios (aORs) hazard (aHRs),...

Multimorbidity in primary care is a challenge not only for developing countries but also low and medium income (LMIC). Health services LMIC are being provided by both public private health providers. However, critical knowledge gap exists on understanding the true extent of multimorbidity types settings.We undertook study to identify prevalence healthcare utilization among attendees Odisha state India. A total 1649 patients attending 40 facilities were interviewed using structured assessment...

Leptospirosis is one of the most under diagnosed and underreported disease in both developed developing countries including India. It established that environmental conditions occupational habit individuals put them at risk acquiring disease, which varies from community to community. Various seroprevalence studies across world have documented emerging situation this neglected tropical but limited probed identify factors, especially India.The objective study was factors associated with Udupi...

Multimorbidity remains an underexplored domain in Indian primary care. We undertook a study to assess the prevalence, correlates, and outcomes of multimorbidity care settings India. This paper describes process development validation our data collection tool “Multimorbidity Assessment Questionnaire for Primary Care (MAQ-PC).” An iterative comprising desk review, chart expert consultations was undertaken generate questionnaire. The MAQ-PC contained items on chronic conditions, health...

Neonatal care practices have been shown to vary across tribal communities. This cross-sectional study was conducted in block Nabarangpur district of Odisha, India, measure perinatal and antenatal by qualitative inquiries 55 mothers who had babies aged <60 days from 11 traditional birth attendants. Reasons for home deliveries were cited as easy availability attendants family preferences. Application indigenously made substances on umbilical stump skin the baby, bathing baby immediately after...

The aim of this study was to assess the prevalence alcohol consumption, tobacco use and risky sexual behaviour among adolescents, evaluate socioeconomic factors potentially influencing these behaviours.This cross-sectional conducted from January April 2011 376 adolescents (15-19 years old) studying in different schools colleges Udupi, India. Youth Risk Behavior Survey questionnaire guidelines were followed for data collection. Participants' smoking habits patterns explored. Univariate...

The burden of cancer is growing globally and one the top leading causes death. Information on patterns are essential for effective planning control interventions. There limited published information available pattern state Odisha, India. present study was an attempt to explore trend in Odisha. To fulfill objectives retrospective data from 2001-2011 at Acharya Harihar Regional Cancer Center (AHRCC), Cuttack, were analyzed. Medical records patients reviewed relevant diagnosis, primary site...

Environmental and climatic risk factors of dengue outbreak has been studied in detail. However, the socio-epidemiological association with disease is least explored. The study aims to identify social ecological associated emerging Odisha, India.A population-based case-control (age sex matched at ratio 1:1) was conducted six districts state 2017. A structured validated questionnaire used collect information for each consenting participant. An household survey done using a checklist during...

To explore clustering of comorbidities among patients with a new diagnosis OA and estimate the 10-year mortality risk for each identified cluster.This is population-based cohort study individuals first incident hip, knee, ankle/foot, wrist/hand or 'unspecified' site between 2006 2020, using SIDIAP (a primary care database representative Catalonia, Spain). At time diagnosis, conditions associated in literature that were found ≥1% (n = 35) fitted into two cluster algorithms, k-means latent...

Inadequate, inequitable distribution of the medical workforce remains a challenge across globe, and India is no exception. Odisha, state in faces major shortage doctors particularly rural remote areas. In order to address this challenge, it essential understand students' career plans, specialization preferences, choices job location sector, views on working This study explored immediate long-term plans final year students, their intended practice locations underlying reasons for choices.A...

Introduction:The association between Diabetes Mellitus (DM) and Tuberculosis (TB) poses a strong public health challenge.Tribal ethnics possess different propensity towards infectious haematological diseases which may influence the interrelationship of DM TB thus merit separate attention.

Abstract Objectives To examine trends in the initial prescription of commonly-prescribed analgesics and patient- as well practice-level factors related to their selection incident OA. Methods Patients consulting with clinical OA between 2000–2016 were identified within The Health Improvement Network United Kingdom (UK) general practice. Excluded patients who had history cancer or prescribed interest 6 months before diagnosis Initial analgesic included oral non-selective NSAID, selective...

Background The burden of osteoarthritis (OA) in UK primary care has not been investigated thoroughly. Aim To estimate healthcare use and mortality people with OA (overall joint specific). Design setting A matched cohort study adults an incident diagnosis were selected for the using national Clinical Practice Research Datalink (CPRD) electronic records. Method Healthcare utilisation was measured as annual average number consultations admissions to hospital after index date any cause all-cause...

Abstract Our aim was to investigate relative contributions of central and peripheral mechanisms knee osteoarthritis (OA) diagnosis their independent causal association with OA. We performed longitudinal analysis using data from UK-Biobank participants. Knee OA defined International Classification Diseases manual 10 codes participants' hospital records. Central were proxied multisite chronic pain (MCP) body mass index (BMI). Odds ratios (ORs) 95% confidence intervals (CIs) estimated,...