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CTRI Number  CTRI/2021/09/036198 [Registered on: 03/09/2021] Trial Registered Prospectively
Last Modified On: 20/08/2021
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Burden of multiple chronic conditions at AYUSH Primary Care Settings in Delhi- National Capital Territory 
Scientific Title of Study   Magnitude and Effect of Multimorbidity at AYUSH Primary Care Settings in Delhi- National Capital Territory 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Varanasi Roja 
Designation  Research Officer,scientist 3, PhD Scholar 
Affiliation  Central Council for Research in Homoeopathy 
Address  Room no.315 61-65, Institutional Area Opp D Block , Janakpuri

South West
DELHI
110058
India 
Phone    
Fax    
Email  varanasiroja@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanghamitra Pati 
Designation  DIrector 
Affiliation  ICMR- Regional Medical Research Centre 
Address  ICMR- Regional Medical Research Centre Chandrasekharpur Bhubaneswar 3 Odisha, India

South West
DELHI
751023
India 
Phone  91-674-2301322  
Fax    
Email  drsanghamitra12@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Simran Tandon 
Designation  Professor 
Affiliation  Amity Institute Of Molecular Medicine And Stem Cell Research 
Address  Amity Institute of Molecular Medicine & Stem Cell Research, J-3 108-109 Amity University Campus Sector-125, Noida
Amity Institute of Public Health Room 214, J-1 Block Amity University Uttar Pradesh Amity University Campus Sector-125 Noida-201 303 India
Gautam Buddha Nagar
UTTAR PRADESH
201303
India 
Phone    
Fax    
Email  standon1@amity.edu  
 
Source of Monetary or Material Support  
Self funded. This study shall be undertaken at AYUSH dispensaries, GOvt. of NCT Delhi 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [nil] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr R K Manchanda  Dispensaries under Directorate of AYUSH  Directorate of AYUSH, A and U Tibbia College Campus, Karol Bagh, New Delhi
Central
DELHI 
9811014493

rkmanchanda@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E08-E13||Diabetes mellitus, (2) ICD-10 Condition: I10-I16||Hypertensive diseases, (3) ICD-10 Condition: M15-M19||Osteoarthritis, (4) ICD-10 Condition: I70-I79||Diseases of arteries, arterioles and capillaries, (5) ICD-10 Condition: N20-N23||Urolithiasis, (6) ICD-10 Condition: K21||Gastro-esophageal reflux disease, (7) ICD-10 Condition: G40||Epilepsy and recurrent seizures, (8) ICD-10 Condition: L20-L30||Dermatitis and eczema, (9) ICD-10 Condition: L80||Vitiligo, (10) ICD-10 Condition: L40||Psoriasis, (11) ICD-10 Condition: M545||Low back pain, (12) ICD-10 Condition: J40-J47||Chronic lower respiratory diseases, (13) ICD-10 Condition: I63||Cerebral infarction, (14) ICD-10 Condition: H53-H54||Visual disturbances and blindness, (15) ICD-10 Condition: H91||Other and unspecified hearing loss, (16) ICD-10 Condition: F03||Unspecified dementia, (17) ICD-10 Condition: F10||Alcohol related disorders, (18) ICD-10 Condition: C00-D49||Neoplasms, (19) ICD-10 Condition: N18||Chronic kidney disease (CKD), (20) ICD-10 Condition: E00-E07||Disorders of thyroid gland, (21) ICD-10 Condition: K58||Irritable bowel syndrome, (22) ICD-10 Condition: K590||Constipation, (23) ICD-10 Condition: F51||Sleep disorders not due to a substance or known physiological condition, (24) ICD-10 Condition: J32||Chronic sinusitis, (25) ICD-10 Condition: G44||Other headache syndromes, (26) ICD-10 Condition: F33||Major depressive disorder, recurrent, (27) ICD-10 Condition: F41||Other anxiety disorders, (28) ICD-10 Condition: M542||Cervicalgia, (29) ICD-10 Condition: D25||Leiomyoma of uterus, (30) ICD-10 Condition: E282||Polycystic ovarian syndrome, (31) ICD-10 Condition: N898||Other specified noninflammatory disorders of vagina,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patients attending to the sampled AYUSH Primary
care
Adult patients aged 18 years and above attending to outpatient department
giving informed consent 
 
ExclusionCriteria 
Details  Patients too ill to participate, those with insufficient cognitive
ability to complete the questionnaire and those with debilitating physical disabilities and
mental disabilities
not providing informed consent 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the pattern of multimorbidity at AYUSH primary level care at Delhi-NCT.
To analyse and compare patterns among different AYUSH systems
To identify the prescription patterns visiting the AYUSH care.
Measure health care utilization and cost of care among multimorbidity patients. 
one time point ,cross sectional study 
 
Secondary Outcome  
Outcome  TimePoints 
To analyse and compare patterns among different AYUSH systems
To identify the prescription patterns visiting the AYUSH care.
Measure health care utilization and cost of care among multimorbidity patients. 
one time point ,cross sectional study 
 
Target Sample Size   Total Sample Size="960"
Sample Size from India="960" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/09/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not yet published 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Multimorbidity, is defined as the coexistence of two or more chronic conditions frequently observed in individuals. It can be regarded as an “emergent” health problem and poses a major challenge to health care systems around the world. It is related to ageing but studies have now shown that it is also socially patterned, being more common and occurring at an earlier age in areas of high socioeconomic deprivation.  Multimorbidity has a huge challenge to existing institutions, professional authority, and ways of working and in terms of public health. It is the linked problem of polypharmacy, potential drug-drug and drug-disease interactions, and adverse drug reactions (ADRs) other concerning matter is complex management regimens , more frequent and complex interactions with health care services  leading to greater susceptibility to failures of care delivery an and coordination. The presence of multimorbidity is associated with increased health service utilization and poorer health outcomes.

Objectives

To assess the pattern of multimorbidity at AYUSH primary level care at Delhi-NCT

To analyse and compare patterns among different AYUSH syste

To identify the prescription patterns visiting the AYUSH care.

Measure health care utilization and cost of care among multimorbidity patients

 
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