- Musculoskeletal pain and rehabilitation
- Clinical practice guidelines implementation
- Osteoarthritis Treatment and Mechanisms
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Chronic Disease Management Strategies
- Rheumatoid Arthritis Research and Therapies
- Musculoskeletal Disorders and Rehabilitation
- Spondyloarthritis Studies and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Inflammatory mediators and NSAID effects
- Spine and Intervertebral Disc Pathology
- Health, psychology, and well-being
- Total Knee Arthroplasty Outcomes
- Autoimmune and Inflammatory Disorders Research
- Health disparities and outcomes
- Healthcare Systems and Technology
- Patient Satisfaction in Healthcare
- Hip disorders and treatments
- Acute Myocardial Infarction Research
- Dementia and Cognitive Impairment Research
- Opioid Use Disorder Treatment
- Workplace Health and Well-being
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Sleep and related disorders
Keele University
2016-2025
Versus Arthritis
2014-2025
Primary Health Care
2017
Mansfield University
2015
University of Warwick
2010-2014
Royal College of Nursing
2010-2013
Royal Stoke University Hospital
2013
University of Birmingham
2013
University of Leeds
2010-2012
NIHR Leeds Musculoskeletal Biomedical Research Unit
2010-2012
Regional musculoskeletal pain such as back or shoulder are commonly reported symptoms in the community. The extent of consultation to primary care with problems is unknown a variety labels may be used record consultations. objective was classify morbidity codes routine by body region, and determine annual prevalence regional problems. Musculoskeletal within Read Code system were identified grouped relevant region four GPs. Consultations these then extracted from recorded consultations at...
Understanding the course of back pain is important for clinicians and researchers, but analyses longitudinal data from multiple time points are lacking. A prospective cohort study consecutive consulters five general practices in United Kingdom was carried out between 2001 2003 to identify groups defined by their pathways. Patients were sent monthly questionnaires a year. Longitudinal latent class analysis performed using intensity scores 342 consulters. Analysis yielded four clusters...
This study has used the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in an unsolicited postal questionnaire to investigate impact of knee pain disability general older population. The provides WOMAC population data for those aged over 50 demographic psychosocial associations with severity scores. A pilot survey (n=240) repeatability (n=80) were undertaken test completion this new setting. main was mailed 8995 men women registered three practices North Staffordshire,...
Objectives. To determine the effect of newly developed knee pain on general health and physical function people ≥50 yrs living in community. Methods. Prospective cohort study 3907 aged 50+ registered with three practices North Staffordshire, UK. The main outcome measures were self-reported pain; as measured by Short Form 36 (SF-36). Results. Of those no at baseline, 24% ( n = 501) reported it follow-up. There was a steep decline this group (mean fall SF-36 score follow-up 10.3 points)...
Identification of different patterns change in pain over time - trajectories has the potential to provide new information on course pain. Describing among adolescents would improve understanding how conditions can develop. This prospective cohort study identified distinct (11-14 years) general population (n=1336). Latent class growth analysis was carried out self-reported frequency back pain, headache, stomach and facial which collected every 3 months for years. Forty four percent had a...
Pain is common in adult life, and the extent to which pain interferes with daily activities rises age. Little known about social factors associated disabling pain. The objective was determine individual neighbourhood that predict activities. This a prospective cohort study set within North Staffordshire Osteoarthritis Project (NorStOP). People aged 50 over registered six general practices were sent baseline 3-year questionnaires. Individual predictors of onset interference determined through...
<h3>Objectives</h3> To assess the consultation prevalence of musculoskeletal (MSK) conditions as presented in different healthcare systems, and to determine feasibility comparing figures between nations. <h3>Methods</h3> The settings were an English regional database (Consultations Primary Care Archive (CiPCA)) Swedish Skåne County Health Register. Case definitions, data extraction analysis procedures harmonised. number people consulting per 10 000 registered population primary care, or...
Objective To describe long-term trajectories of back pain. Design Monthly data collection for 6 months at 7-year follow-up participants in a prospective cohort study. Setting Primary care practices Staffordshire, UK. Participants 228 people consulting their general practitioners with pain, on whom information 6-month pain had been collected during 2001–2003, and who valid consent contact details 2009–2010, were contacted. 155 (68% those contacted) responded provided sufficient primary...
Low back pain (LBP) is a major health challenge globally. Research has identified common trajectories of over time. We aimed to investigate whether described in 1 primary care cohort can be confirmed another, and determine the prognostic value factors collected 5 years prior identification trajectory. The study was conducted on 281 patients who had consulted for LBP, at that point completed baseline questionnaire, then returned questionnaire 5-year follow-up plus least 3 (of 6) subsequent...
Opioid prescription at baseline was significantly associated with greater self-reported disability in back pain patients 6 months after adjusting for confounders. prescribing chronic noncancer is increasing, but there limited knowledge about longer-term outcomes of people receiving opioids conditions such as pain. This study aimed to explore the relationship between prescribed and among consulting primary care A total 715 participants from a prospective cohort study, who gave consent review...
The aim of this study was to investigate the impact a program repeated assessments, feedback, and training on quality coded clinical data in general practice.A prospective uncontrolled intervention conducted practice research network.Percentage recorded consultations with problem title percentage patients receiving specific drug (e.g., tamoxifen) who had relevant morbidity code breast cancer) were calculated. Annual period prevalence 12 selected morbidities compared parallel derived from...
Objective. Foot and ankle problems are highly prevalent in the general population; however, little is known about characteristics of those seeking medical assessment for these problems. The objective this study was to explore extent types musculoskeletal foot primary care.
To describe the treatment of knee pain in older adults primary care and to compare reported practice with published evidence.A semi-structured interview about their use 26 interventions for pain.201 were interviewed. A median six had been advised each participant, heat ice (84%) most frequently advised, followed by paracetamol (71%), compound opioid analgesics (59%) non-selective non-steroidal anti-inflammatory drugs (59%). Three core treatments (written information, exercise weight loss)...