A5050296839- Musculoskeletal pain and rehabilitation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Workplace Health and Well-being
- Osteoarthritis Treatment and Mechanisms
- Musculoskeletal Disorders and Rehabilitation
- Employment and Welfare Studies
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Cerebral Palsy and Movement Disorders
- Retirement, Disability, and Employment
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Health, psychology, and well-being
- Rheumatoid Arthritis Research and Therapies
- Primary Care and Health Outcomes
- Stroke Rehabilitation and Recovery
- Autoimmune and Inflammatory Disorders Research
- Sleep and Work-Related Fatigue
- Spine and Intervertebral Disc Pathology
- Global Health Care Issues
- Sleep and related disorders
- Health Promotion and Cardiovascular Prevention
- Occupational health in dentistry
- Global Health Workforce Issues
- Healthcare Systems and Public Health
Keele University
2016-2025
Versus Arthritis
2012-2025
University of Southampton
2020-2024
Medical Research Council
2022-2024
University Hospitals of North Midlands NHS Trust
2013-2021
Primary Health Care
2017
University of Florida
2015
University of Warwick
2014
Queen Mary University of London
2013
King's College London
2009-2012
Although pain is experienced at all ages, there uncertainty about the pattern of its occurrence in older people. We have investigated prevalence three aspects self-reported pain-occurrence any recent pain, number and location sites, interference with daily life-to determine their association age A cross-sectional postal survey adults aged 50 years over registered general practices (n = 11230) North Staffordshire using self-complete questionnaires was conducted. Respondents' gender, age,...
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...
The clinical syndrome of joint pain and stiffness in older people is the commonest cause disability health care consultation this age group. Yet there have been few prospective studies its course over time impact on personal social life. We plan a cohort study general population aged 50 years to determine prognosis hand, hip, knee foot pain, these syndromes participation levels use.
Objective In older adults, widespread pain (WP) is common, although its etiology unclear. This study sought to identify factors associated with an increased risk of developing WP in adults age ≥50 years. Methods A population‐based prospective was conducted. baseline questionnaire administered subjects collect data on pain, psychological status, lifestyle and health behaviors, sociodemographic clinical factors. Participants free (as defined by the American College Rheumatology 1990 criteria...
Objective. Pain, the most common manifestation of rheumatological conditions, is highly prevalent among older adults, with worse health outcomes found in those co-morbid insomnia. Proactive prevention insomnia may reduce overall disease burden pain and conditions. To inform such development, this study examined role pain, physical limitation reduced social participation predicting mediating onset.
Objectives. Number of pain sites (NPS) is a potentially important marker health-related quality life (HRQoL) but remains unexplored in older people. This cross-sectional study investigated whether, people including the oldest old, NPS was independently associated with poorer mental and physical HRQoL if association moderated by age.
Retirement ages are rising in many countries to offset the challenges of population ageing, but people's capacity work for more years their later working life (>50 years) is unclear. We aimed estimate healthy expectancy England.This analysis included adults aged 50 and older from six waves (2002-13) English Longitudinal Study Ageing (ELSA), with linked mortality data. Healthy was defined as average number expected be spent (no limiting long-standing illness) paid (employment or...
Abstract Moderate to severe chronic pain affects 1 in 5 adults and its impact increases with age. People that interferes their lives have an increased risk of mortality. Identifying how interfering can lead mortality may highlight potential intervention strategies. This study uses a novel approach test whether lifestyle, health, social, psychological factors mediate the relationship between Survival analyses (Cox's proportional hazard modelling technique assess mediation within survival...
Pain that interferes with daily life appears to be strongly age-related in cross-sectional studies, although the nature of this relationship over time has not been established. We have investigated onset and persistence pain interference a 3-year period determine their association age older people. A follow-up postal survey was conducted adults aged 50 years (n=5366) who had previously recruited as part North Staffordshire Osteoarthritis Project. Four thousand two-hundred thirty-four...
Abstract Objective To investigate the links between knee pain characteristics and restricted mobility outside home, how these are influenced by mobility‐specific activity limitation, age, sex, socioeconomic status, environmental factors, comorbidity. Methods We conducted a cross‐sectional survey of community‐dwelling adults age ≥50 years. A total 2,252 responders reporting in around last year were eligible. The primary outcome was self‐reported home previous 4 weeks (dichotomized as present...
Hand problems are common in older people, but their impact on everyday life is not clear. The aim of this study was to investigate the hand community-dwelling adults and how varies with age gender.Analysis performed 7878 subjects who responded a baseline questionnaire. Participants defined as having were sent second questionnaire, which included questions about pain disability. Severe disability score 4 or more points validated finger function scale. Estimates 1-month period prevalence...
AbstractPurpose. To determine whether the extent of multiple-site lower extremity joint pain contributes to disability in middle and old age describe patterns severity site-specific measures amongst those with pain.Method. Population-based, cross-sectional postal survey. Adults aged 50 years over registered three general practices reporting lasting one month or longer previous year at least hip, knee, foot were included. Respondents completed a generic measure physical function for each...
To examine arthritis impact among US adults with self-reported doctor-diagnosed using the International Classification of Functioning, Disability and Health (ICF) framework (including impairments, activity limitations, environmental, personal factors domains social participation restriction [SPR] as outcome) overall those without SPR, to identify correlates SPR.Cross-sectional 2009 National Interview Survey data were analyzed distribution ICF domain components. Unadjusted...
Moderate to severe chronic pain affects 1 in 5 adults. Pain may increase the risk of mortality, but relationship is unclear. This study investigated whether mortality was influenced by phenotype, characterized extent or impact on daily life.The population drawn from 2 large cohorts adults ages ≥50 years, English Longitudinal Study Ageing (n = 6,324) and North Staffordshire Osteoarthritis Project 10,985). Survival analyses (Cox's proportional hazard models) estimated participants reporting...
Aim As part of its strategic objectives for 2023, EULAR aims to improve the work participation people with rheumatic and musculoskeletal diseases (RMDs). One initiative focused on development overarching points consider (PtC) support RMDs in healthy sustainable paid participation. Methods EULAR’s standardised operating procedures were followed. A steering group identified six research areas Three systematic literature reviews, several non-systematic reviews two surveys conducted....
Knee pain affects an estimated 25% of the adult population aged 50 years and over. Osteoarthritis is most common diagnosis made in older adults consulting with knee primary care. However, relationship between this both current disease-based definition osteoarthritis regional syndrome disability unclear. Expert consensus, based on evidence, views disease as distinct entities but clinical usefulness these two approaches to classifying has not been established. We plan conduct a prospective,...
Comorbidity is common in patients consulting primary care. Musculoskeletal pain and insomnia each increase the risk of other. Co-occurrence may pose an increased burden on well-being. However, prevalence impact co-existing adults living community who present to care unclear. The aim this study was report registered with care, examine co-occurrence social activities. This population-based prospective cohort aged ≥18 years (n = 1181) used health survey data collected via baseline 12 month...
Abstract Background Selective non-participation at baseline (due to non-response and non-consent) loss follow-up are important concerns for longitudinal observational research. We investigated these matters in the context of recruitment retention 18 months participants a prospective cohort study knee pain osteoarthritis general population. Methods Participants were recruited Knee Clinical Assessment Study – CAS(K) by multi-stage process involving response two postal questionnaires, consent...