Primary Care & Health Sciences
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I joined Keele in 2000 after completing my PhD at The University of Manchester. Prior to that I had completed an MSc in Medical Statistics at The University of Leicester and a BSc (Honours) in Statistics from The University of Newcastle-upon-Tyne.
My research within Keele is located in the Arthritis Research UK Primary Care Centre, Primary Care Sciences within the Research Institute for Primary Care and Health Sciences.
Selected Publications
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2013. Prognostic Indicators of Low Back Pain in Primary Care: Five-Year Prospective Study. Journal of Pain. doi>
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2013. THE LONG-TERM COURSE OF KNEE PAIN SEVERITY IN MIDDLE AND OLD AGE: DISTINCT TRAJECTORIES FROM LATENT CLASS GROWTH MODELLING IN POPULATION COHORT DATA (THE CAS-K STUDY AND THE OSTEOARTHRITIS INITIATIVE (OAI)). OSTEOARTHRITIS AND CARTILAGE (vol. 21, pp. S39-S40). link>
Full Publications List show
Journal Articles
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2013. Prognostic Indicators of Low Back Pain in Primary Care: Five-Year Prospective Study. Journal of Pain. doi>
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2011. Impairment-targeted exercises for older adults with knee pain: protocol for a proof-of-principle study. BMC Musculoskelet Disord, vol. 12, 2. link> doi> full text>
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2011. Hand assessment in older adults with musculoskeletal hand problems: a reliability study. BMC Musculoskelet Disord, vol. 12, 3. link> doi> full text>
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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. What are the important components of the clinical assessment of hand problems in older adults in primary care? Results of a Delphi study. BMC Musculoskelet Disord, vol. 11, 178. link> doi> full text>
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2010. Is "false positive" clinical diagnosis of knee osteoarthritis just the early diagnosis of pre-radiographic disease?. Arthritis Care & Research, vol. 62, 1502-1506. doi>
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2010. The relationship between patient and practitioner expectations and preferences and clinical outcomes in a trial of exercise and acupuncture for knee osteoarthritis. Eur J Pain, vol. 14(4), 402-409. link> doi> full text>
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2008. Pharmacist-led medication review for knee pain in older adults: content, process and outcomes. International Journal of Pharmacy Practice, vol. 16(6), 347-355. doi>
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2008. Predicting the course of functional limitation among older adults with knee pain: do local signs, symptoms and radiographs add anything to general indicators?. Ann Rheum Dis, vol. 67(10), 1390-1398. link> doi> full text>
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2008. Gender difference in symptomatic radiographic knee osteoarthritis in the Knee Clinical Assessment--CAS(K): a prospective study in the general population. BMC Musculoskelet Disord, vol. 9, 82. link> doi> full text>
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2008. A consensus approach toward the standardization of back pain definitions for use in prevalence studies. SPINE, vol. 33(1), 95-103. link>
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2008. Onset and persistence of person-perceived participation restriction in older adults: a 3-year follow-up study in the general population. Health Qual Life Outcomes, vol. 6, 92. link> doi> full text>
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2008. Six sessions of manual acupuncture do not seem to help when added to optimal exercise for knee osteoarthritis. Focus on Alternative and Complementary Therapies, vol. 13(1), 35-37.
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2007. Factors associated with restricted mobility outside the home in community-dwelling adults ages fifty years and older with knee pain: an example of use of the International Classification of Functioning to investigate participation restriction. Arthritis Rheum, vol. 57(8), 1381-1389. link> doi>
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2007. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial. BMJ, vol. 335(7617), 436. link> doi> full text>
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2007. Chest pain and subsequent consultation for coronary heart disease: a prospective cohort study. Br J Gen Pract, vol. 57(534), 40-44. link>
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2007. Knee pain and osteoarthritis in the general populations: what influences patients to consult?. Family Practice, vol. 24, 443-453. full text>
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2007. Symptoms and radiographic osteoarthritis: not as discordant as they are made out to be?. Ann Rheum Dis, vol. 66(1), 86-91. link> doi> full text>
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2007. The Clinical Assessment Study of the Hand (CAS-HA): a prospective study of musculoskeletal hand problems in the general population. BMC Musculoskelet Disord, vol. 8, 85. link> doi> full text>
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2006. The assessment of the prognosis of musculoskeletal conditions in older adults presenting to general practice: a research protocol. BMC Musculoskelet Disord, vol. 7, 84. link> doi> full text>
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2006. Is chronic pain in adulthood related to childhood factors? A population-based case-control study of young adults. J Rheumatol, vol. 33(11), 2286-2290. link>
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2007. Prognostic factors for musculoskeletal pain in primary care: a systematic review. Br J Gen Pract, vol. 57(541), 655-661. link>
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2006. The Knee Clinical Assessment Study-CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population: baseline recruitment and retention at 18 months. BMC Musculoskelet Disord, vol. 7, 30. link> doi> full text>
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2006. An introduction to medical statistics for health care professionals: Hypothesis tests and estimation. Musculoskeletal Care, vol. 3(2), 218-228. doi>
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2005. Severely disabling chronic pain in young adults: prevalence from a population-based postal survey in North Staffordshire. BMC Musculoskelet Disord, vol. 6, 42. link> doi> full text>
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2005. Is chronic widespread pain a predictor of all-cause morbidity? A 3 year prospective population based study in family practice. J Rheumatol, vol. 32(7), 1341-1348. link>
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2005. A cost consequences analysis of local corticosteroid injections and physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care. Rheumatology, vol. 44, 1447-51.
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2004. Measuring the consequences of osteoarthritis and joint pain in population-based studies: can existing health measurement instruments capture levels of participation?. Arthritis Rheum, vol. 51(5), 755-762. doi>
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2004. Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: the "acupuncture, physiotherapy and exercise" (APEX) study [ISRCTN88597683]. BMC Musculoskelet Disord, vol. 5, 31. link> doi> full text>
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2004. PREVALENCE OF HAND PROBLEMS AND HAND PAIN IN OLDER PEOPLE: A SURVEY OF THE GENERAL POPULATION IN NORTH STAFFORDSHIRE. RHEUMATOLOGY, vol. 43, 88. link>
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2004. The Knee Clinical Assessment Study--CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population. BMC Musculoskelet Disord, vol. 5(1), 4. doi>
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2004. What influences participants' treatment preference and can it influence outcome? Results from a primary care-based randomised trial for shoulder pain. Br J Gen Pract, vol. 54(499), 93-96. link>
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2004. Cross-sectional survey of medication used for headache in general population. The International Journal of Pharmacy Practice, vol. 12(2), 91-99.
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2003. Osteoporosis: what are the implications of DEXA scanning 'high risk' women in primary care?. Family Practice, vol. 20(3), 289-293. doi>
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2003. National study of cause-specific mortality in rheumatoid arthritis, juvenile chronic arthritis, and other rheumatic conditions: a 20 year followup study. J Rheumatol, vol. 30(5), 958-965. link>
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2003. LONG-TERM FOLLOW-UP OF A PRAGMATIC, PRIMARY CARE-BASED RANDOMISED TRIALS FOR SHOULDER PAIN. RHEUMATOLOGY, vol. 42, 35-36. link>
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2003. Cost minimisation analysis of local corticosteroid injection versus physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care. Rheumatology, vol. 42, 36.
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2002. "I'd rather go and know": women's understanding and experience of DEXA scanning for osteoporosis. Health Expect, vol. 5(2), 114-126. link>
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2002. The effect of diabetic control on the incidence of, and changes in, retinopathy in type 2 non-insulin dependent diabetic patients. Br J Gen Pract, vol. 52(476), 214-216. link>
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2002. A Systematic search & critical review of measures of disability for use in a population survey of hand osteoarthritis (OA). Rheumatology.
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2002. A Systematic search & critical review of measures of disability for use in a population survey of hand osteoarthritis (OA). Rheumatology.
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2001. A pragmatic randomised controlled trial (RCT) in primary care for shoulder pain: content of the physiotherapy intervention. RHEUMATOLOGY, vol. 40, 148. link>
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2001. Clinical history in older adults with knee pain: standardised interview questions from general practice and rheumatology perspectives for epidemiological research. RHEUMATOLOGY, vol. 40, 127. link>
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2001. The Grading of Hallux Valgus The Manchester Scale. Journal of the American Podiatric Medical Association, vol. 91(2), 74-78.
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2000. Development and validation of a questionnaire to assess disabling foot pain. Pain, vol. 85, 107-113.
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2000. Mortality amongst United Kingdom Gulf Ware Veterans. The Lancet, vol. 356, 17-21.
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2000. Occupational risk factors for shoulder pain: A systematic review. Occupational and Environmental Medicine, vol. 57, 433-442.
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2000. The risk of malignancy amongst patients with rheumatic conditions. International Journal of Cancer, vol. 88, 497-502.
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1999. Predicting who develops chronic low back pain in primary care: a prospective study. BRITISH MEDICAL JOURNAL, vol. 318(7199), 1662-1667. link>
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1998. Outcome of low back pain in general practice - reply. BRITISH MEDICAL JOURNAL, vol. 317(7165), 1083-1084. link>
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1998. Sjogren's syndrome: A community-based study of prevalence and impact. BRITISH JOURNAL OF RHEUMATOLOGY, vol. 37(10), 1069-1076. link>
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1998. Outcome of low back pain in general practice: a prospective study. BMJ, vol. 316(7141), 1356-1359. link>
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1998. Association between amputation, arthritis and osteopenia in British male war veterans with major lower limb amputations. Clinical Rehabilitation, vol. 12, 348-353.
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1998. Case-control study of breast cancer in south-east England: nutrional factors. Journal of Epidemiology and Community Health, vol. 52, 105-110.
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1997. Employment and physical work activities as predictors of future low back pain. Spine, vol. 22, 1143-1149.
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1997. Psychosocial factors in the work place - Do they predict new episode of low back pain?: Evidence from the South Manchester Back Pain Study. Spine, vol. 22, 1137-1142.
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1996. The natural history of chronic pain in the community: A better prognosis than in the clinic?. JOURNAL OF RHEUMATOLOGY, vol. 23(9), 1617-1620. link>
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1996. Risk factor analysis of data from assessment clinics in the UK Breast Screening programme: A case-control study in Portsmouth and Southampton. Journal of Epidemiology and Community Health, vol. 50, 144-148.
Chapters
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2010. Pain in Older People. In Chronic Pain Epidemiology. Croft P, Blyth FM, Windt DVD (Eds.). Oxford University Press, USA.
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2007. The epidemiology of pain. In Pain in Older People. Crome P, Lally F, Main C (Eds.). Oxford University Press.
Other
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2013. THE LONG-TERM COURSE OF KNEE PAIN SEVERITY IN MIDDLE AND OLD AGE: DISTINCT TRAJECTORIES FROM LATENT CLASS GROWTH MODELLING IN POPULATION COHORT DATA (THE CAS-K STUDY AND THE OSTEOARTHRITIS INITIATIVE (OAI)). OSTEOARTHRITIS AND CARTILAGE (vol. 21, pp. S39-S40). link>
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2011. LOCOMOTOR DISABILITY IN MIDDLE AND OLD AGE: A POPULATION PERSPECTIVE ON MEASUREMENT AND THE IMPACT OF MUSCULOSKELETAL DISORDERS. RHEUMATOLOGY (vol. 50). link>
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2010. INCIDENCE AND PROGRESSION OF RADIOGRAPHIC KNEE OSTEOARTHRITIS IN A SYMPTOMATIC POPULATION. RHEUMATOLOGY (vol. 49, p. I33). link>
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2010. PAIN LOCATION MATTERS: THE INFLUENCE OF LEG PAIN ON SOCIETAL VALUATION OF HEALTH STATES FOR PATIENTS WITH LOW BACK PAIN. RHEUMATOLOGY (vol. 49, p. I76). link>
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2009. Do perceptions about Hand osteoarthritis change over an 18-month period?. Rheumatology (vol. 48 (suppl. 1), p. I160). Oxford Univ Press.
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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. PATTERNS OF SELECTED PERIPHERAL JOINT PAINS IN COMMUNITY-DWELLING ADULTS AGED 50 YEARS AND OVER. RHEUMATOLOGY (vol. 48, p. I127). OXFORD UNIV PRESS.
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2009. THE COST-UTILITY OF ACUPUNCTURE AS AN ADJUNCT TO EXERCISE-BASED PHYSIOTHERAPY FOR OSTEOARTHRITIS OF THE KNEE. RHEUMATOLOGY (vol. 48, p. I106). link>
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2009. Hand osteoarthritis has a poor prognosis over three years: findings from the clinical assessment study of the hand (CAS-HA). Osteoarthritis and Cartilage (vol. 17 (Suppl 1), pp. S161-S162). Elsevier.
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2008. Is slug slime the answer to 'discogenic' back pain?. INTERNATIONAL JOURNAL OF EXPERIMENTAL PATHOLOGY (vol. 89, pp. A16-A17). link>
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2008. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: Randomised controlled trial. RHEUMATOLOGY (vol. 47, p. II2). link>
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2008. Defining clinical sub-groups of hand osteoarthritis in older adults: The clinical assessment study of the hand (CAS-HA). Rheumatology (vol. 47 (suppl. 2), p. I1). Oxford Univ Press.
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2008. Does laxity influence the relationship between strength and physical function in knee osteoarthritis (OA)?. RHEUMATOLOGY (vol. 47, p. II25). link>
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2008. Defining 18-month outcome in clinical sub-groups of hand osteoarthritis in older adults: the Clinical Assessment Study of the Hand (CAS-HA). Osteoarthritis and Cartilage (vol. 16 (Suppl. 4), pp. S121-S122). Elsevier.
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2007. Illness perceptions of low back pain patients in primary care: Are they associated with outcome?. RHEUMATOLOGY (vol. 46, p. I10). link>
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2007. Occupation and patterns of radiographic knee osteoarthritis. RHEUMATOLOGY (vol. 46, p. I14). link>
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2007. The contribution of selected non-articular conditions to knee pain severity in older adults. RHEUMATOLOGY (vol. 46, p. I10). link>
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2007. The impact of non-inflammatory musculoskeletal hand conditions in a community dwelling population of older adults. Rheumatology (vol. 46 (suppl. 1), pp. I20-I21). Oxford Univ Press.
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2006. Performance of the ACR clinical classification criteria for knee osteoarthritis in the general population. RHEUMATOLOGY (vol. 45, p. I69). link>
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2006. Pragmatic randomized clinical trial of the effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in older people presenting to primary care. RHEUMATOLOGY (vol. 45, p. I73). link>
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2006. Radiographic knee osteoarthritis: Do compartmental patterns influence pain?. RHEUMATOLOGY (vol. 45, pp. I72-I73). link>
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2006. Self-selection: An issue in multi-phase epidemiological studies?. RHEUMATOLOGY (vol. 45, p. I121). link>
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2006. Symptoms and radiographic osteoarthritis: Not as discordant as they are made out to be?. RHEUMATOLOGY (vol. 45, p. I73). link>
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2006. The association between physical examination tests of the knee and self-reported disability is not explained by psychological distress. RHEUMATOLOGY (vol. 45, pp. I70-I71). link>
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2006. The potential determinants of restricted mobility outside the home in community-dwelling older adults with knee pain. RHEUMATOLOGY (vol. 45, p. I13). link>
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2005. Pragmatic randomized clinical trial of active physical therapy and enhanced pharmacy review for knee pain in older people presenting to primary care. ARTHRITIS AND RHEUMATISM (vol. 52, pp. S504-S505). link>
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2005. Predicting the presence of radiographic osteoarthritis in the older patient with knee pain. ARTHRITIS AND RHEUMATISM (vol. 52, p. S509). link>
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2005. Symptoms and radiographic osteoarthritis: Not as discordant as they are made out to be?. ARTHRITIS AND RHEUMATISM (vol. 52, pp. S509-S510). link>
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2005. The physical examination as a predictor of self-reported physical function in older community-dwelling adults with knee pain. ARTHRITIS AND RHEUMATISM (vol. 52, pp. S466-S467). link>
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2005. Classifying hand OA in a population of older people: A reliability study. RHEUMATOLOGY (vol. 44, p. I14). link>
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2005. Pragmatic randomised clinical trial of active physical therapy and enhanced pharmacy review for knee pain in older people presenting to primary care. Arthritis Rheum (vol. 52, p. s504).
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2004. Inter and intraobserver variability of a non0instrumented, standardised physical examination in a primary care population of older adults with knee problems. Rheumatology.
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2004. Inter and intraobserver variability of a non-instrumented, standardised physical examination in a primary care population of older adults with knee problems. Rheumatology (vol. 43, p. ii83).
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2004. MRC Hand programme - prevalence of hand problems and hand pain in older people: a survey of the general population in North Staffordshire. Rheumatology.
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2004. Prognostic indicators of outcome in shoulder pain: results from an analysis of two pragmatic, primary care-based randomised trials. Rheumatology (vol. 43, p. 72).
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2004. Prognostic indicators of outcome in shoulder pain: results from and analysis of two pragmatic, primary care-based randomised trials. Rheumatology.
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2004. The contribution of peripheral joint pain to participation restriction in community dwelling adults aged 50 years and over. Arthritis and Rheumatism.
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2004. The contribution of peripheral joint pain to participation restriction in community dwelling adults aged 50 years and over. Arthritis and Rheumatism.
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2004. The Development of a Hand Assessment for Clinical Research: A Consensus Study using a Modified Delphi Approach. Rheumatology.
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2004. The Development of a Hand Assessment for Clinical Research: A Consensus Study using a Modified Delphi Approach. Rheumatology.
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2003. Classifying knee osteoarthritis in primary care: lack of commonality between general practitioner diagnosis. Patient diagnostic attribution and independent clinical assessment. Rheumatology.
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2003. Comparing person-perceived and society-perceived measures of participation in older adults. Rheumatology.
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2003. Cost of minimisation analysis of local conticosteroid injection versus physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care. Rheumatology.
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2003. How reliable is structured clinical history-taking in older adults with knee problems? Inter- and intra- deserves reliability of the kne-sci. Rheumatology.
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2003. How reliable is structured clinical history-taking in older adults with knee problems? Inter- and intra- deserves reliability of the kne-sci. Rheumatology.
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2003. Long-term follow-up of a pragmatic, primary care based randomised trials for shoulder pain shoulder trials data. Rheumatology.
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2003. Population-based prevalence of participation restriction in older adults and its association with joint pain. Rheumatology.
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2003. Population-based prevalence of participation restriction in older adults and its association with joint pain. Rheumatology.
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2003. Reliability of two instruments for use in a pilot survey of hand pain in older people. Rheumatology.
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2003. Reliability of two instruments for use in a pilot survey of hand pain in older people. Rheumatology.
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2002. Integrated high-resolution geophysical explorations as potential tools for water resource investigations in karst terrain. EEGS Proceedings, 7th Meeting.. doi>
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2002. A Systematic search & critical review of measures of disability for use in a population survey of hand osteoarthritis (OA). Rheumatology (vol. 41, p. 85). doi>
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2002. Medication use and health care consultation for headache in older adults. The International Journal of Pharmacy Practice.
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2002. Pragmatic primary care based randomised trials for shoulder pain: the issue of external validity.
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2002. Pragmatic, primary case-based randomised trials for shoulder pain: the issue of external vaildity. Rheumatology.
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2001. Osteoporosis: what are the implications of scanning "high risk" women in primary care?. Rheumatology (vol. 40, p. 55).
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2001. Pragmatic randomised controlled trial of local steroid injection and physiotherapy for the treatment of new episodes of shoulder pain in primary care. Rheumatology (vol. 40, p. 77).
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2001. Pragmatic primary care based randomised controlled trial for shoulder pain: do patients' treatment preferences affect outcome?. Rheumatology (vol. 40, p. 136).
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1997. Predictors of short term improvement amongst consulters with low back pain. ARTHRITIS AND RHEUMATISM (vol. 40, p. 639). link>
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1996. Work activities and psychosocial factors as predictors of future back pain. ARTHRITIS AND RHEUMATISM (vol. 39, p. 1694). link>
I currently teach the statistics component of the MSc in Rheumatology Nursing, University of Keele. I am also a course tutor for a 3-day course entitled “Practical Introduction to Running Randomised Clinical Trials” ran annually by Primary Care Sciences.
I am an external examiner for MSc Primary Care at Queen Mary, University of London (2007-present), a member of Arthritis Research UK’s Orthotics Advisory Group: Research into the development of new aids and appliances for patients with musculoskeletal disease (2007-present), the statistical member of Operational Group for NIHR Research Design Service for the West Midlands, the Keele University Hub (2008-present) and an editorial board member and lead statistical advisor for Rheumatology (2007-present) and Musculoskeletal Care (2003-present) journals.

