Primary Care & Health Sciences
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I graduated from the University of Nottingham in 1997 and subsequently undertook training in general medicine in Nottingham and Western Australia. On my return to the UK in 2001, I embarked upon specialist training in rheumatology in the East Midlands. During this period, I undertook my doctoral thesis under the supervision of Professor Michael Doherty at the University of Nottingham, researching the epidemiology and treatment of gout in primary care. I came to Keele in 2007 as a Clinical Lecturer in Rheumatology at the Arthritis Research UK Primary Care Centre and Honorary Consultant Rheumatologist at the Haywood Hospital. I am a Fellow of the Royal College of Physicians.
My research interests embrace epidemiological studies and trials across three main areas: (1) the prognosis and optimal treatment of patients referred with musculoskeletal disease from primary to secondary care (“interface studies”), (2) foot pain and osteoarthritis, and (3) gout. This work has been funded by Arthritis Research UK, and the NIHR Research for Patient Benefit Programme and the National School for Primary Care Research. I supervise medical students, Academic Foundation trainee, Academic Clinical Fellows, and Masters and PhD students across these areas. Current active research collaborators include researchers in Australia, New Zealand, The Netherlands, and the USA.
Selected Publications
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2013. GOUT IS AN INDEPENDENT RISK FACTOR FOR ALL TYPES OF VASCULAR DISEASE: A RETROSPECTIVE COHORT STUDY IN THE UK GENERAL PRACTICE RESEARCH DATABASE. RHEUMATOLOGY (vol. 52, pp. 38-39). link>
Full Publications List show
Journal Articles
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2012. Patient related factors are also important in treating gout. BMJ, vol. 344, e191. link>
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2011. Onset and persistence of disabling foot pain in community-dwelling older adults over a 3-year period: a prospective cohort study. J Gerontol A Biol Sci Med Sci, vol. 66(4), 474-480. link> doi> full text>
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2010. Crystal deposition disease: Epidemiological trends. SCANDINAVIAN JOURNAL OF RHEUMATOLOGY, vol. 39, 14. link>
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2010. The attitudes, beliefs and behaviours of GPs regarding exercise for chronic knee pain: a systematic review. BMC Fam Pract, vol. 11, 4. link> doi> full text>
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2008. Hyperuricemia, gout, and lifestyle factors. JOURNAL OF RHEUMATOLOGY, vol. 35(9), 1689-1691. link>
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2008. Tophaceous pseudogout: an unusual cause of nodulosis in rheumatoid arthritis. Rheumatology, vol. 47, 608.
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2006. Changing lifestyles and osteoarthritis: weight reduction, activity, physical therapy and footwear: what is the evidence?. Best Pract Clin Res Rheumatol, vol. 20, 81-97.
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2006. EULAR evidence based recommendations for gout. Part II: Management. Report of a task force of the EULAR Standing for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis, vol. 65, 1312-24.
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2005. Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Ann Rheum Dis, vol. 64, 544-548.
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2005. Home based exercise for osteoarthritis. Ann Rheum Dis, vol. 64, 170-1.
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2003. Guidelines for the management of osteoarthritis published by the American College of Rheumatology and European League Against Rheumatism. Why are they so different?. Rheum Dis Clin N Am, vol. 29, 717-31.
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2003. Ruptured "Baker's-type cyst" of the arm - case study. Rheumatol, vol. 42, 704-5.
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2002. Hippocratic ideals are alive and well in the 21st century. BMJ, vol. 325, 496.
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2002. Non-Hodgkin's lymphoma in a patient with refractory dermatomyositis which had been treated with infliximab. Rheumatol, vol. 41, 1194-5.
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2002. Reactive arthritis associated with genital tract group A streptococcal infection. J Infect, vol. 45, 208-9.
Other
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2013. GOUT IS AN INDEPENDENT RISK FACTOR FOR ALL TYPES OF VASCULAR DISEASE: A RETROSPECTIVE COHORT STUDY IN THE UK GENERAL PRACTICE RESEARCH DATABASE. RHEUMATOLOGY (vol. 52, pp. 38-39). link>
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2012. THE ASSOCIATION OF GOUT WITH SLEEP DISORDERS AND SLEEP APNOEA: A CROSS-SECTIONAL EPIDEMIOLOGICAL STUDY IN PRIMARY CARE. RHEUMATOLOGY (vol. 51, p. 111). link>
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2010. A COMPARISON OF CLINICAL CHRONIC WIDESPREAD PAIN (CWP) WITH PAIN MANIKIN DEFINED CWP IN PATIENTS REFERRED TO A CLINICAL ASSESSMENT AND TREATMENT SERVICE (CATS). RHEUMATOLOGY (vol. 49, p. I150). link>
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2010. CHARACTERISTICS OF PRIMARY CARE CONSULTATIONS FOR MUSCULOSKELETAL FOOT AND ANKLE PROBLEMS. RHEUMATOLOGY (vol. 49, p. I148). link>
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2010. CLINICIANS IN CLINICAL ASSESSMEMNT AND TREATMENT SERVICES (CATS): IS THERE CONSISTENCY ACROSS PROFESSIONS IN ASSESSMENT, DIAGNOSIS AND MANAGEMENT?. RHEUMATOLOGY (vol. 49, p. I142). link>
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2010. Radiographic definitions of foot osteoarthritis in population-based studies – a systemic search and narrative review. Rheumatology (vol. 49 (suppl. 1), p. I80). Oxford Univ Press.
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2010. The population prevalence of foot and ankle pain over the age of 45 years: A systematic review. Rheumatology (vol. 49, p. I147). Oxford Univ Press. doi>
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2010. WHO IS REFERRED TO MUSCULOSKELETAL CLINICAL ASSESSMENT AND TREATMENT SERVICES AT THE PRIMARY-SECONDARY CARE INTERFACE? THE SAMBA STUDY. RHEUMATOLOGY (vol. 49, p. I24). link>
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2009. HOW IS ACUTE GOUT MANAGED IN PRIMARY CARE?. RHEUMATOLOGY (vol. 48, pp. I101-I102). link>
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2009. ONSET AND PERSISTENCE OF DISABLING FOOT PAIN IN COMMUNITY-DWELLING OLDER ADULTS OVER A THREE-YEAR PERIOD. RHEUMATOLOGY (vol. 48, p. I127). link>
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2009. PHYSICAL DISABILITY AND PAIN IN A PRIMARY CARE BASED COHORT OF OLDER PEOPLE WITH INFLAMMATORY AND NON-INFLAMMATORY MUSCULOSKELETAL CONDITIONS. RHEUMATOLOGY (vol. 48, p. I128). link>
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2008. A systematic review of the attitudes, beliefs and behaviours of GPs regarding exercise for chronic knee pain. Oral presentation.
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2006. A survey of the management of gout in a primary care population. Oral presentation (Poster discussion) (vol. 45, p. i76). Oxford: Rheumatology.
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2006. Follicular bronchiolitis, an unusual cause of haemoptysis in giant cell arteros.
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2006. Is nodal osteoarthritis more prevalent in subjects with gout than controls. Poster presented (vol. 65, p. 437). Ann Rheum Dis.
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2006. Prevalence and associations of hallux valgus in a primary care population. Poster presented (vol. 65, p. 403). Ann Rheum Dis.
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2006. Validation of a self-report instrument for assessment of hallux valgus. Poster presented (vol. 45, p. i119). Oxford: Rheumatology.
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2004. Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Oral presentation (vol. 63, p. 62). Ann Rheum Dis.
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2004. Evidence-based recommendations for the role of exercise in the management of osteorarthritis (OA) of the hip or knee. Rheumatology.
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2004. Evidence-based recommendations for the role of exercise in the management of osteoarthrits of the hip or knee--the MOVE consensus. Poster presented (vol. 43, p. ii64). Oxford: Rheumatology.
I lead a 4-week “Quantitative Research Methods” Student Selected Component for Module III undergraduate medical students, and teach and examine throughout the five years of the undergraduate medical curriculum. I teach on the MSc Rheumatology Nursing, M level module “Musculoskeletal Management at the Interface”, and the Centre’s external course “Practical introduction to running randomised clinical trials”. I undertake clinical teaching for GPs, hospital physicians, podiatrists, physiotherapists, and Rheumatology specialist trainees. I also provide clinical educational supervision for Specialist Registrars in Rheumatology, and Core Medical and Foundation trainees.
I currently serve on the British Society for Rheumatology’s Heberden Committee and the Development Committee for the Arthritis and Musculoskeletal Alliance (ARMA) Standards of Care for Gout.

