Meenal B. Patwardhan, MD, MBBS

Adjunct Associate Professor in the Department of Medicine
Campus mail Duke Box 2720, Durham, NC 27705
Phone (919) 668-0300
Email address meenal.p@duke.edu

My interest lies in the real-life application of clinical evidence. A major component of my research relates to clinical practice improvement - from the development of clinical guidelines to their implementation in real world clinical settings. My major content focus has been chronic kidney disease. I have served as a methodological consultant for the development of a chronic kidney disease guideline, and performance measures for the guideline. Subsequent to this I have been working on a modified TQM technique for process improvement – Facilitated Process Improvement. We have developed implementation tools based on this process for implementing the chronic kidney disease guideline. A pilot project that will evaluate the impact of this activity will be initiated in the fall of 2004. I also serve as consultant in the area of quality improvement in India.
Other areas in which I am interested are the evaluation of outcomes. I am currently evaluating the impact of a headache CME program on the knowledge, attitudes, and behavior of physicians using questionnaires, vignettes, and simulated patients.
In addition to this, I have also been working on technology assessments for the CMS in the areas of the utility of PET in cognitive disorders, and several cancers. I have also been working on the epidemiology and costs of multiple sclerosis, and plan to continue with that work.
Key Words: chronic kidney disease, colorectal cancer, decision analysis, clinical guidelines, implementation, practice improvement, quality improvement, outcomes, performance measurement, simulated patients

Education and Training

  • M.D., Nagpur University (India), 1984
  • M.B.B.S., Nagpur University (India), 1979

Publications

Patwardhan, M, Fisher, DA, Mantyh, CR, McCrory, DC, Morse, MA, Prosnitz, RG, Cline, K, and Samsa, GP. "Assessing the quality of colorectal cancer care: do we have appropriate quality measures? (A systematic review of literature)." J Eval Clin Pract 13, no. 6 (December 2007): 831-845. (Review)

PMID
18070253
Full Text

Patwardhan, M, Coeytaux, RR, Deshmukh, R, and Samsa, G. "What is the impact of physician communication and patient understanding in the management of headache?." Neuropsychiatr Dis Treat 3, no. 6 (December 2007): 893-897.

PMID
19300624
Scholars@Duke

Patwardhan, MB, Samsa, GP, Matchar, DB, and Haley, WE. "Advanced chronic kidney disease practice patterns among nephrologists and non-nephrologists: a database analysis." Clin J Am Soc Nephrol 2, no. 2 (March 2007): 277-283.

PMID
17699425
Full Text

Prosnitz, RG, Patwardhan, MB, Samsa, GP, Mantyh, CR, Fisher, DA, McCrory, DC, Cline, KE, Gray, RN, and Morse, MA. "Quality measures for the use of adjuvant chemotherapy and radiation therapy in patients with colorectal cancer: a systematic review." Cancer 107, no. 10 (November 15, 2006): 2352-2360. (Review)

PMID
17039499
Full Text

Patwardhan, MB, Samsa, GP, Lipton, RB, and Matchar, DB. "Changing physician knowledge, attitudes, and beliefs about migraine: evaluation of a new educational intervention." Headache 46, no. 5 (May 2006): 732-741.

PMID
16643575
Full Text

Matchar, DB, Patwardhan, MB, Samsa, GP, and Haley, WE. "Facilitated process improvement: an approach to the seamless linkage between evidence and practice in CKD." Am J Kidney Dis 47, no. 3 (March 2006): 528-538.

PMID
16490633
Full Text

Sarría-Santamera, A, Matchar, DB, Westermann-Clark, EV, and Patwardhan, MB. "Evidence-based practice center network and health technology assessment in the United States: bridging the cultural gap." Int J Technol Assess Health Care 22, no. 1 (2006): 33-38.

PMID
16673678
Scholars@Duke

Patwardhan, MB, Sarría-Santamera, A, and Matchar, DB. "Improving the process of developing technical reports for health care decision makers: using the theory of constraints in the evidence-based practice centers." Int J Technol Assess Health Care 22, no. 1 (2006): 26-32.

PMID
16673677
Scholars@Duke

Patwardhan, MB, Matchar, DB, Samsa, GP, McCrory, DC, Williams, RG, and Li, TT. "Cost of multiple sclerosis by level of disability: a review of literature." Mult Scler 11, no. 2 (April 2005): 232-239. (Review)

PMID
15794399
Full Text

Patwardhan, MB, McCrory, DC, Matchar, DB, Samsa, GP, and Rutschmann, OT. "Alzheimer disease: operating characteristics of PET--a meta-analysis." Radiology 231, no. 1 (April 2004): 73-80. (Review)

PMID
15068942
Full Text

Pages