Dr. Lancelot Mark Pinto

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Lancelot Mark Pinto
Specialities
Pulmonary Medicine
First name
Lancelot
Last name
Pinto
Designation
Consultant Pulmonologist and Epidemiologist
Qualifications
MBBS, DNB (Respiratory Medicine), MSc (Epidemiology - McGill University, Canada), Fellow (Sleep medicine and COPD Rehabilitation - McGill University, Canada), FCCP (USA), ECFMG certified (USA)
Areas of expertise
Smoking cessation therapy, Management of severe COPD with collaborative self-management, including pulmonary rehabilitation, Sleep-related disorders, including obstructive sleep apnea (OSA), Insomnia, and those associated with pregnancy, cardiac and neurological disorders, Tuberculosis (TB), including MDR, and other forms of drug-resistant TB
Professional Experience and Training

Professional Experience

Dr. Pinto is a proponent of collaborative self-management for chronic respiratory diseases, and works toward empowering patients to best manage their illnesses in collaboration with their physicians. He believes strongly in preventive medicine, and reducing the need for hospitalizations in chronic respiratory illnesses is a focus of his practice of respiratory medicine.

He specializes in helping individuals give up smoking, and in the treatment of sleep apnea, insomnia, and other sleep-related disorders, with the aim of preventing complications such as high blood pressure and heart disease, that are often a consequence of such disorders.

He also specializes in the management of chronic obstructive pulmonary disease (COPD, or emphysema), a disease that is often a late consequence of smoking, and is presently the fourth leading cause of death in the world.

He is passionate about treating tuberculosis (in all its forms, including drug-resistant TB), a disease that is highly prevalent, and often misdiagnosed and treated inappropriately in India.

He trained at McGill University, which is at the forefront of respiratory medicine, and continues to collaborate with the university for research and academic pursuits.

Qualification:

  • Fellow, COPD Rehabilitation and Sleep Medicine - McGill University, Montreal, Canada 2014
  • MSc Epidemiology and Biostatistics - McGill University, Montreal, Canada 2012
  • Diplomate National Board, Respiratory Diseases - P.D.Hinduja National Hospital and Medical Research Centre, Mumbai, India 2010
  • Bachelor of Medicine and Surgery (M.B.B.S.) - Lokmanya Tilak Municipal Medical College, Mumbai, India 2002
Professional Affiliations

Committees:

  • Member, Abstract reviewing committee, American College of Chest Physicians annual congress, USA, 2014.
  • Member, Abstract reviewing committee, European Respiratory Society annual congress, Amsterdam, 2011.

Memberships:

  • American College of Chest Physicians
  • American Academy of Sleep Medicine
  • Canadian Thoracic Society
  • European Respiratory Society
  • Indian Medical Association
Honours & Awards

Grants / Awards / Bursaries:

  • Canadian Institute of Health Research (CIHR) – Fonds Recherche Quebec Sante (FRQS) Respiratory Health Training Fellowship - CIHR-FRQS 2013
  • RI-MUHC postdoctoral fellow studentship, Research Institute, McGill University 2013
  • Graduate Travel Award, Faculty of Medicine, McGill University 2011
  • Quebec Supplemental tuition fee exemption - Shastri Indo-Canadian Institute 2010-2012
  • RI-MUHC studentship - Research Institute, McGill University 2010-2011
  • Best Letter to the editor - Lung India Journal 2010
  • ERS Travel bursary - European Respiratory Society 2010
  • Silver sponsorship for the ERS Congress, European Respiratory Society 2009
  • Sponsorship for attending the Idiopathic Pulmonary Fibrosis Master Series - University of Modena, Italy 2009
  • 2nd best essay from the SAARC countries in Evidence based medicine - South Asian Cochrane Network (SACN) 2008
  • Canadian Institute of Health Research (CIHR) – Fonds Recherche Quebec Sante (FRQS) Respiratory Health Training Fellowship - CIHR-FRQS 2013
  • RI-MUHC postdoctoral fellow studentship, Research Institute, McGill University 2013
  • Graduate Travel Award, Faculty of Medicine, McGill University 2011
  • Quebec Supplemental tuition fee exemption - Shastri Indo-Canadian Institute 2010-2012
  • RI-MUHC studentship - Research Institute, McGill University 2010-2011
  • Best Letter to the editor - Lung India Journal 2010
  • ERS Travel bursary - European Respiratory Society 2010
  • Silver sponsorship for the ERS Congress, European Respiratory Society 2009
  • Sponsorship for attending the Idiopathic Pulmonary Fibrosis Master Series - University of Modena, Italy 2009
  • 2nd best essay from the SAARC countries in Evidence based medicine - South Asian Cochrane Network (SACN) 2008

Academic Awards / Distinctions:

  • Fellow of the College of Chest Physicians (FCCP), American College of Chest Physicians (ACCP) 2010
  • Gold medal for the best performance at the National Board of Examinations in Respiratory diseases, National Board of Examinations, New Delhi, India 2009
  • Distinction in Obstetrics and Gynecology, University of Mumbai, India 2001
  • Distinction in Biochemistry, University of Mumbai, India 1997
Publications

Publications:

Accepted for publication / Published, refereed papers:

  • Bourbeau J, Pinto LM, Benedetti A. Phenotyping of chronic obstructive pulmonary disease (COPD): Challenges and next steps? Lancet Respir Med. 2014 Mar;2(3):172-4
  • Pamidi S, Pinto LM, Marc I, Benedetti A, Schwartzman S, Kimoff RJ. Maternal sleep-disordered breathing and adverse pregnancy outcomes: a systematic review and metaanalysis. Am J Obstet Gynecol. 2014 Jan;210(1):52.e1-52.e14.
  • Pinto LM, Udwadia ZF. Xpert MTB/RIF and pulmonary tuberculosis: time to delve deeper? Thorax. 2013 Nov;68(11):987-8
  • Pinto LM, Dheda K, Theron G, Allwood B, Calligaro G, van Zyl-Smit R, Peter J, Schwartzman K, Menzies D, Bateman E, Pai M, Dawson R. Development of a simple reliable radiographic scoring system to aid the diagnosis of pulmonary tuberculosis. PLoS One. 2013;8(1):e54235
  • Pinto LM, Pai M, Dheda K, Schwartzman K, Menzies D, Steingart KR. Scoring systems using chest radiographic features for the diagnosis of pulmonary tuberculosis in adults: A systematic review. Eur Respir J. 2013 Aug;42(2):480-94.
  • Horne DJ, Pinto LM, Arentz M, Lin SY, Desmond E, Flores LL, Steingart KR, Minion J. Diagnostic accuracy and reproducibility of WHO-endorsed phenotypic drug susceptibility testing methods for first-line and second-line anti-tuberculosis drugs: a systematic review and meta-analysis. J Clin Microbiol. 2013 Feb;51(2):393-401.
  • Smith BM, Pinto L, Ezer N, Sverzellati N, Muroc S, Schwartzman K. Emphysema detected on computed tomography and risk of lung cancer: A systematic review and meta-analysis. Lung Cancer. 2012 Jul;77(1):58-63
  • Grenier J, Pinto L, Nair D, Steingart K, Dowdy D, Ramsay A, Pai M. Widespread use of serological tests for tuberculosis: data from 22 high-burden countries. Eur Respir J. 2012 Feb;39(2):502-5
  • Theron G, Pinto L, Peter J, Mishra HK, Mishra HK, van Zyl-Smit R, Sharma SK, Dheda K. The use of an automated quantitative polymerase chain reaction (Xpert Mycobacterium tuberculosis/RIF) to predict the sputum smear status of tuberculosis patients. Clin Infect Dis. 2012 Feb 1;54 (3):384-8
  • Pinto LM, Grenier J, Schumacher SG, Denkinger CM, Steingart KR, Pai M. Immunodiagnosis of tuberculosis: state of the art. Med Princ Pract. 2012;21(1):4-13
  • Pinto L and Menzies D. Treatment of drug-resistant tuberculosis. Infection and Drug Resistance 2011:4 129-135
  • Bhargava A, Pinto LM and Pai M. Mismanagement of tuberculosis in India: causes, consequences and the way forward. Hypothesis 2011, 9(1): e7
  • Udwadia ZF, Sen T, Pinto LM. Safety and Efficacy of Thioridazine as Salvage Therapy in Indian Patients with XDR-TB. Recent Pat Antiinfect Drug Discov. 2011; 6(2): 88-91
  • Pinto L and Udwadia Z. 'Universal' access for MDR-TB limited without the involvement of the private sector. Int J Tuberc Lung Dis. 2011; 15(6): 851
  • Pinto LM, Shah AC, Shah KD, Udwadia ZF. Pulmonary tuberculosis masquerading as community acquired pneumonia. Respiratory Medicine. 2011; 4(3) 138–140
  • Pinto LM and Udwadia ZF. Prescriptions for tuberculosis treatment: get it right the first time. Int J Tuberc Lung Dis 15(4): 567–568
  • Udwadia ZF and Pinto LM. Why “STOP TB” is incomplete without “QUIT SMOKING”. Indian J Chest Dis Allied Sci 2011; 53:9-10
  • Pinto LM and Udwadia ZF. Why “covering all” in the DOTS program is not necessarily “all being covered” by the DOTS program. Lung India 2010; 27:260
  • Udwadia ZF and Pinto LM. LABAs and Asthma: from the SMART study to the SMART Approach. Indian J Chest Dis Allied Sci 2010; 52:191-194
  • Udwadia ZF, Pinto LM, and Uplekar M. Tuberculosis management by private practitioners in Mumbai, India: has anything changed in two decades? PLoS One 5(8): e12023
  • Pinto LM and Udwadia ZF. Private perceptions about a public programme; what do private Indian TB patients really feel about directly observed treatment? BMC Public Health 2010, 10:357
  • Pinto LM and Udwadia ZF. A 12-year old girl with Hodgkin disease presenting as a non-resolving pneumonia and an endobronchial nodule. Indian J Chest Dis Allied Sci 2009; 51:241-245
  • Pinto LM, Morekar S and Mahashur AA. Central Retinal Vein Occlusion in a patient after being commenced on Sildenafil Citrate for Pulmonary Arterial Hypertension. Indian J Chest Dis Allied Sci 2009; 51:249-253
  • Pinto L, Ashok PP, Deshpande RB and Mahashur AA. A patient with hypercoagulable state due to tuberculosis. Indian J Chest Dis Allied Sci 2009; 51:49-51
  • Pinto LM and Udwadia ZF. A 24-year-old man with giddiness, hemoptysis and skin lesions. Chest 2008; 134:1084-87
  • Pinto LM and Samant R. Systemic lupus erythematosus with sickle cell/β0-thalassemia. International Journal of Rheumatic Diseases 2008; 11: 73–76
  • Pinto L, Kagalwala F, Singh S, Balakrishnan C, Prabhu SV, Khodaiji S. Macrophage Activation Syndrome: Experience from a tertiary referral centre. J Assoc Physicians India 2007; 55:185-7
  • Udwadia ZF and Pinto LM. The politics, economics and impact of directly observed treatment (DOT) in India. Chronic Respiratory Disease 2007; 4:101-106
  • Ruteshouser EC, Hendrickson BW, Colella S, Krahe R, Pinto L, Huff V. Genome-wide loss of heterozygosity analysis of WT1-wild-type and WT1-mutant Wilms tumors. Genes Chromosomes Cancer 2005; 43(2):172-80

 

Contributions to commissioned projects:

  • Pinto LM, Lee R, Oxlade O, Menzies D. Developing an impact analysis framework to evaluate impact of donor investments in TB: A Systematic Review. Project commissioned by the United States Agency for International Development (USAID)
  • Horne D, Pinto LM, Minion J, Arentz M, Lin G, Desmond E, Flores LL, Steingart KR. Diagnostic accuracy and reproducibility of WHO-endorsed phenotypic drug susceptibility testing methods for first-line and second-line anti-tuberculosis drugs: A systematic review and meta-analysis. Project commissioned by the World Health Organization
  • Pinto LM, Kothekar A and Kapadia FN. Intensive insulin therapy in medically-ill ICU patients: A critical appraisal. Book Chapter 54, Medicine Update 2009 Editor Dr.A.K.Agarwal, published by the Association of Physicians of India.

 

Published / Accepted Abstracts:

  • Gupta N, Pinto LM, Morogan A, and Bourbeau J. The reliability, validity, responsiveness and minimum clinically important difference of the COPD Assessment Test: A systematic review. Accepted to ATS 2014.
  • Morogan A, Pinto LM, et al. Asthma COPD Overlap Syndrome (ACOS): What Can We Learn From The CanCOLD Population? Accepted to ATS 2014.
  • Pinto LM, Alghamdi M, Benedetti A, Zahira T, Landry T, Bourbeau J. Derivation and validation of clinical phenotypes for COPD: A systematic review. Accepted to ATS 2014.
  • Bourbeau J, Pinto LM, et al. Derivation of clinical phenotypes of COPD subjects in the CanCOLD cohort at baseline. Accepted to ATS 2014.
  • Mery VP, Lafontaine AL, Robinson A, Pinto L, Benedetti A, Kimoff RJ, Kaminska M. Improvement of REM sleep behaviour disorder symptoms with treatment of obstructive sleep apnea in patients with Parkinson’s Disease. Accepted for the Sleep conference, 2013.
  • Pamidi S, Pinto L, Marc I, Benedetti A, Schwartzman K, Kimoff JR. Maternal Sleep-Disordered Breathing and Adverse Pregnancy Outcomes - A Systematic Review and Meta-analysis. Accepted for the American Thoracic Society Conference 2013
  • Mery V, Robinson A, Lafontaine AL, Pinto L, Benedetti A, Kaminska M. Impact of sleep disordered breathing on non-motor symptoms of patients with Parkinson’s disease (updated analysis). Accepted for the American Thoracic Society Conference 2013
  • Horne DJ, Pinto LM, Arentz M, Lin SY, Desmond E, Flores LL, Steingart KR, Minion J. Diagnostic accuracy and reproducibility of WHO-endorsed phenotypic drug susceptibility testing methods for first-line and second-line anti-tuberculosis drugs: a systematic review and meta-analysis. Abstract presented at the 17th Annual Union-North America Region TB Conference, Vancouver, February 2013. Abstract no. A-33.
  • Mery V, Robinson A, Lafontaine AL, Pinto L, Benedetti A, Kaminska M. Impact of sleep disordered breathing on non-motor symptoms of patients with Parkinson’s disease. Abstract presented at the Congres Quebecois de Recherche en Sante Respiratoire 2012. Abstract no. 12
  • Smith BM, Pinto L, Sverzellati NE, Muro S, Schwartzman K. Emphysema Detected On Computed Tomography And Risk Of Lung Cancer: A Systematic Review And Meta-Analysis. Abstract presented at the American Thoracic Society 2012 Conference p.A5068
  • Grenier J, Pinto L and Pai M. Widespread abuse of inaccurate and suboptimal diagnostic tests for tuberculosis: A survey of 22 high-burden countries. Abstract presented at the 42nd Union World Conference on Lung Health. Abstract No. PC-796-29
  • Pinto LM and Mahashur AA. The prevalence of hypovitaminosis D among newly diagnosed TB patients in Mumbai. European Respiratory Annual Congress (ERS), Barcelona ,2010. Abstract No.P3039
  • Pinto LM and Udwadia ZF. Empyema thoracis at a tertiary care hospital in India: A retrospective audit of admitted cases. European Respiratory Society Congress (ERS), Vienna, 2009 Abstract No.P2442.
  • Pinto LM and Udwadia ZF. A cost-benefit analysis of the value of third sputum smear for the diagnosis of tuberculosis in India. European Respiratory Society (ERS) Congress,Vienna, 2009.Abstract No. P2514.
  • Pinto LM and Udwadia ZF. An audit of empyema cases admitted to a tertiary care hospital. 8th joint conference of the National College of Chest Physicians and Indian Chest Society, 2006.
  • Pinto LM and Samant R.Systemic lupus erythematosus with sickle cell/β0-thalassemia. Conference of the Indian Rheumatology Association (IRACON) 2006.
  • Pinto L, Kagalwala F, Singh S, Balakrishnan C, Prabhu SV, Khodaiji S. Macrophage activation syndrome: experience from a tertiary referral centre. Conference of the Indian Rheumatology Association (IRACON) 2006.

 

Thesis / Dissertations:

  • Chest radiograph scoring systems for the diagnosis of active pulmonary tuberculosis. Thesis accepted by McGill University for the MSc program in Epidemiology, 2012.
  • The prevalence of hypovitaminosis D among newly diagnosed TB patients in Mumbai: A case-control study of 75 patients with TB to measure the association of hypovitaminosis with the disease. Postgraduate dissertation in Respiratory Medicine accepted by the National Board of Examinations, New Delhi, India, 2009.

 

Manuscripts in process:

  • Pinto LM, Alghamdi M, Benedetti A, Zaihra T, Landry T, Bourbeau J. Derivation and validation of clinical phenotypes for COPD: A systematic review. Submitted to Thorax, under review
  • Pinto LM, Gupta N, Tan W, Li PZ, Benedetti A, Jones PW, Bourbeau J. Derivation of Canadian normative data for the COPD assessment test (CAT) in the CanCOLD cohort. Submitted to Respiratory Research, under review
  • Pinto LM, Pai M. Treatment of Pulmonary Tuberculosis: What every GP should know. Invited review for GP Clinics. In press.
  • Pinto LM, Lee R, Oxlade O, Menzies D. Developing an impact analysis framework to evaluate the impact of donor investments in TB: A Systematic Submitted to Lancet Respiratory Medicine, under review.

 

Presentations as guest speaker:

  • “A systematic review of COPD phenotypes”: Invited presentation at the Canadian Cohort Obstructive Lung Disease (CanCOLD) annual retreat, June 2013
  • “A systematic review of maternal sleep-disordered breathing (SDB) and adverse pregnancy outcomes (APO)”: Invited presentation at the Department of Clinical Epidemiology Divisional Seminar, April 2013
  • “Chest radiograph scoring systems for pulmonary tuberculosis”: Invited presentation at the Respiratory Epidemiology and Clinical Research Unit seminar, April 2013
  • Invited presentation at the Department of Endocrinology Journal Club on the day of the MUHC-RI Research axis seminar with Dr. Vsevolod Polotsky, January 2013
  • “TB: A year in review”, and “A new look at traditional diagnostics for TB”: Invited presentations at the 5th National Update on Respiratory Diseases, Mumbai 2011
  • “A case of CAP masquerading as acute community-acquired pneumonia”: Invited presentation at the Montreal TB course, November 2010
  • “Management of TB by private practitioners in Mumbai, India”: Invited presentation at the Respiratory Epidemiology and Clinical Research Unit seminar, November 2010
  • “Priorities for TB research in India”: Invited presentation at the “Tuberculosis at times of emerging drug resistance” school course at Borstel, Germany held on May 27-29, 2010
  • “Chronic granulomatous disease” – presented at the 1st National Update on Respiratory Diseases, Mumbai 2007

 

Journal Reviewer for:

  • Lancet ID
  • Thorax
  • PLoS One
  • International Journal of TB and Lung diseases (IJTLD)
  • Annals of Tropical Medicine and Public Health
  • Journal of Infection
  • Biomed Central (BMC) International Health and Human Rights
  • The National Medical Journal of India
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Asthma,  COPD, Lung infection, Pneumonia, Fluid in lunds,  Lung Diseases,  Pulmonary Fibrosis, Chronic Bronchitis, Emphysema, Acute Respiratory Tract Infection, Lung Cancer, Pleural effusion,bronchiectasis, Sleep Problem, Sleep Disorder, MDR TB, XDR TB, TB,  TDR TB, bronchoscopy