Prof Umesh Kadam

Title: Professor in Health Services Research & Clinical Epidemiology & GP
Phone: +44 (0)1782 734710
Email: u.kadam@keele.ac.uk
Location: Health Services Research Unit, Room 12.23 Innovation Centre 1, Keele University, Staffordshire ST5 5BG
Role: ISTM Research theme: Health Services Research
Contacting me: By e-mail please.
Umesh_Kadam_170x210

Prof Kadam led the development of the first comorbidity programme focusing on musculoskeletal diseases in the UK and is now extending it to a new programme within the Health Services Research Unit with new NIHR-funded Fellowships. Prof Kadam has been establishing links between clinical morbidities, recognised and diagnosed by clinicians and health professionals, and self-reported health as a unifying feature in persons who have multiple morbidities. As well as developing a multidisciplinary research programme, he is a GP and a Fellow of the UK Faculty of Public Health.

Prof Kadam works within a group including Prof Christine Roffe, Prof Simon Davies and Prof Tony Fryer, which is tackling issues of the complexity of treatment and discharge in these patients, as well as the underlying mechanisms and causes for the concurrence of diseases.

ISTM Research theme: Health Services Research

Prof Kadam's current research programme includes:

(i) large scale general practice consultation and self-report linkage studies investigating chronic disease impacts,

(ii) using comorbidity and multimorbidity measures based on routinely collected clinical data to target healthcare interventions,

(iii) developing interventions for patients with chronic disease multimorbidity at health care transitions between general practice and hospital-based care, and

(iv) international collaborations with WHO Centres in Sweden (Evidence-Based Health Care in Musculoskeletal Diseases) to look at how comorbidity develops and the Netherlands (Primary Health Care) to compare the healthcare for multimorbidity populations. This programme has been funded previously and currently by NIHR, MRC and Health Innovation and Education Cluster (HIEC) grants (income in excess of £3 million).

Selected Publications

  • Ricci-Cabello I, Marsden KS, Avery AJ, Bell BG, Kadam UT, Reeves D, Slight SP, Perryman K, Barnett J, Litchfield I, Thomas S, Campbell SM, Doos L, Esmail A, Valderas JM. 2017. Patients' evaluations of patient safety in English general practices: a cross-sectional study. Br J Gen Pract, vol. 67(660), e474-e482. link> doi>
  • Barnett LA, Prior JA, Kadam UT, Jordan KP. 2017. Chest pain and shortness of breath in cardiovascular disease: a prospective cohort study in UK primary care. BMJ Open, vol. 7(5), e015857. link> doi>
  • Lawson C, Pati S, Green J, Messina G, Strömberg A, Nante N, Golinelli D, Verzuri A, White S, Jaarsma T, Walsh P, Lonsdale P, Kadam UT. 2017. Development of an international comorbidity education framework. Nurse Educ Today, vol. 55, 82-89. link> doi>
  • Mamas MA, Sperrin M, Watson MC, Coutts A, Wilde K, Burton C, Kadam UT, Kwok CS, Clark AB, Murchie P, Buchan I, Hannaford PC, Myint PK. 2017. Do patients have worse outcomes in heart failure than in cancer? A primary care-based cohort study with 10-year follow-up in Scotland. Eur J Heart Fail. link> doi>
  • Kadam UT, Lawson CA, Moody DK, Teece L, Uttley J, Harvey J, Iqbal Z, Jones PW. 2017. Consumer segmentation and time interval between types of hospital admission: a clinical linkage database study. J Public Health (Oxf), 1-9. link> doi>

Full Publications List show

Journal Articles

  • Ricci-Cabello I, Marsden KS, Avery AJ, Bell BG, Kadam UT, Reeves D, Slight SP, Perryman K, Barnett J, Litchfield I, Thomas S, Campbell SM, Doos L, Esmail A, Valderas JM. 2017. Patients' evaluations of patient safety in English general practices: a cross-sectional study. Br J Gen Pract, vol. 67(660), e474-e482. link> doi>
  • Barnett LA, Prior JA, Kadam UT, Jordan KP. 2017. Chest pain and shortness of breath in cardiovascular disease: a prospective cohort study in UK primary care. BMJ Open, vol. 7(5), e015857. link> doi>
  • Lawson C, Pati S, Green J, Messina G, Strömberg A, Nante N, Golinelli D, Verzuri A, White S, Jaarsma T, Walsh P, Lonsdale P, Kadam UT. 2017. Development of an international comorbidity education framework. Nurse Educ Today, vol. 55, 82-89. link> doi>
  • Mamas MA, Sperrin M, Watson MC, Coutts A, Wilde K, Burton C, Kadam UT, Kwok CS, Clark AB, Murchie P, Buchan I, Hannaford PC, Myint PK. 2017. Do patients have worse outcomes in heart failure than in cancer? A primary care-based cohort study with 10-year follow-up in Scotland. Eur J Heart Fail. link> doi>
  • Kadam UT, Lawson CA, Moody DK, Teece L, Uttley J, Harvey J, Iqbal Z, Jones PW. 2017. Consumer segmentation and time interval between types of hospital admission: a clinical linkage database study. J Public Health (Oxf), 1-9. link> doi>
  • Wu P, Haththotuwa R, Kwok CS, Babu A, Kotronias RA, Rushton C, Zaman A, Fryer AA, Kadam U, Chew-Graham CA, Mamas MA. 2017. Preeclampsia and Future Cardiovascular Health: A Systematic Review and Meta-Analysis. Circ Cardiovasc Qual Outcomes, vol. 10(2). link> doi>
  • Fry M, McLachlan S, Purdy S, Sanders T, Kadam UT, Chew-Graham CA. 2016. The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis. BMC Fam Pract, vol. 17(1), 139. link> doi>
  • Ricci-Cabello I, Avery AJ, Reeves D, Kadam UT, Valderas JM. 2016. Measuring Patient Safety in Primary Care: The Development and Validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC). Ann Fam Med, vol. 14(3), 253-261. link> doi>
  • Glogowska M, Simmonds R, McLachlan S, Cramer H, Sanders T, Johnson R, Kadam U, Lasserson D, Purdy S. 2016. "Sometimes we can't fix things": a qualitative study of health care professionals' perceptions of end of life care for patients with heart failure. BMC Palliative Care, vol. 15(3). doi>
  • Rushton CA, Satchithananda DK, Jones PW, Kadam UT. 2015. Non-cardiovascular comorbidity, severity and prognosis in non-selected heart failure populations: A systematic review and meta-analysis. Int J Cardiol, vol. 196, 98-106. link> doi>
  • Glogowska M, Simmonds R, McLachlan S, Cramer H, Sanders T, Johnson R, Kadam UT, Lasserson DS, Purdy S. 2015. Managing patients with heart failure: a qualitative study of multidisciplinary teams with specialist heart failure nurses. Ann Fam Med, vol. 13(5), 466-471. link> doi>
  • Prior JA, Jordan KP, Kadam UT. 2015. Variations in patient-reported physical health between cardiac and musculoskeletal diseases: systematic review and meta-analysis of population-based studies. Health Qual Life Outcomes, vol. 13, 71. link> doi>
  • Rushton CA, Green J, Jaarsma T, Walsh P, Strömberg A, Kadam UT. 2015. The challenge of multimorbidity in nurse education: an international perspective. Nurse Educ Today, vol. 35(1), 288-292. link> doi>
  • Doos L, Roberts EO, Corp N, Kadam UT. 2014. Multi-drug therapy in chronic condition multimorbidity: a systematic review. Fam Pract, vol. 31(6), 654-663. link> doi>
  • Strauss VY, Jones PW, Kadam UT, Jordan KP. 2014. Distinct trajectories of multimorbidity in primary care were identified using latent class growth analysis. J Clin Epidemiol, vol. 67(10), 1163-1171. link> doi>
  • Rushton CA and Kadam UT. 2014. Impact of non-cardiovascular disease comorbidity on cardiovascular disease symptom severity: a population-based study. Int J Cardiol, vol. 175(1), 154-161. link> doi>
  • Prior JA, Jordan KP, Kadam UT. 2014. Associations between cardiovascular disease severity, osteoarthritis co-morbidity and physical health: a population-based study. Rheumatology (Oxford), vol. 53(10), 1794-1802. link> doi>
  • Davies S, Lally F, Satchithananda D, Kadam U, Roffe C. 2014. Extending the role of peritoneal dialysis: can we win hearts and minds?. Nephrol Dial Transplant, vol. 29(9), 1648-1654. link> doi>
  • Roberts ER, Green D, Kadam UT. 2014. Chronic condition comorbidity and multidrug therapy in general practice populations: a cross-sectional linkage study. BMJ Open, vol. 4(7), e005429. link> doi>
  • Lawson CA, Jones PW, Kadam UT. 2014. Comorbidity and prognosis in heart failure populations: A systematic review. European Journal of Heart Failure, vol. 16 (Suppl. 2), 5-365.
  • Lawson CA and Kadam UT. 2014. Impact of non-cardiovascular disease comorbidity on symptom severity in heart failure and other cardiovascular diseases: a population-based study. European Journal of Heart Failure, vol. 16 (Suppl. 2), 5-365..
  • Rushton CA, Strömberg A, Jaarsma T, Kadam UT. 2014. Multidrug and optimal heart failure therapy prescribing in older general practice populations: a clinical data linkage study. BMJ Open, vol. 4(1), e003698. link> doi>
  • Jordan KP, Hayward R, Roberts E, Edwards JJ, Kadam UT. 2014. The relationship of individual and neighbourhood deprivation with morbidity in older adults: an observational study. Eur J Public Health, vol. 24(3), 396-398. link> doi>
  • Doos L, Uttley J, Onyia I, Iqbal Z, Jones PW, Kadam UT. 2014. Mosaic segmentation, COPD and CHF multimorbidity and hospital admission costs: a clinical linkage study. J Public Health (Oxf), vol. 36(2), 317-324. link> doi>
  • Kadam UT, Blagojevic M, Belcher J. 2013. Statin use and osteoarthritis. The authors’ reply. J Gen Intern Med, vol. 28(9), 1135. link> doi>
  • Kadam UT, Blagojevic M, Belcher J. 2013. Statin use and clinical osteoarthritis in the general population: a longitudinal study. J Gen Intern Med, vol. 28(7), 943-949. link> doi>
  • Kadam UT, Uttley J, Jones PW, Iqbal Z. 2013. Chronic disease multimorbidity transitions across healthcare interfaces and associated costs: a clinical-linkage database study. BMJ Open, vol. 3(7). link> doi>
  • Prior JA, Rushton CA, Jordan KP, Kadam UT. 2012. Comorbidity Cohort (2C) study: cardiovascular disease severity and comorbid osteoarthritis in primary care. BMC Health Serv Res, vol. 12, 295. link> doi>
  • Kadam U. 2012. Redesigning the general practice consultation to improve care for patients with multimorbidity. BMJ, vol. 345, e6202. link> doi>
  • Kadam UT, Holmberg A, Blagojevic M, Nilsson PM, Akesson K. 2011. Risk factors for cardiovascular disease and future osteoarthritis-related arthroplasty: a population-based cohort study in men and women from Malmö, Sweden. Scand J Rheumatol, vol. 40(6), 478-485. link> doi>
  • Prior JA, Jordan KP, Kadam UT. 2012. Influence of chronic diseases on long-term change in physical health: a consultation-survey linkage cohort study in general practice. Qual Life Res, vol. 21(4), 581-591. link> doi>
  • Bedson J, Kadam U, Muller S, Peat G. 2011. Does comorbid disease influence consultation for knee problems in primary care?. Prim Health Care Res Dev, vol. 12(4), 322-328. link> doi>
  • Rushton CA, Satchithananda DK, Kadam UT. 2011. Comorbidity in modern nursing: a closer look at heart failure. Br J Nurs, vol. 20(5), 280-285. link> doi>
  • Kadam UT. 2011. Potential health impacts of multiple drug prescribing for older people: a case-control study. Br J Gen Pract, vol. 61(583), 128-130. link> doi>
  • Rushton CA and Kadam UT. 2011. Polypharmacy in heart failure: a growing challenge. British Journal of Cardiac Nursing, vol. 6(5), 214-220.
  • Prior JA and Kadam UT. 2011. Cardiovascular disease and musculoskeletal disorder labels in family practice acted as markers of physical health severity. J Clin Epidemiol, vol. 64(5), 547-555. link> doi>
  • Jordan KP, Kadam UT, Hayward R, Porcheret M, Young C, Croft P. 2010. Annual consultation prevalence of regional musculoskeletal problems in primary care: an observational study. BMC Musculoskeletal Disorders, vol. 11, 144. doi>
  • Kadam UT, Schellevis FG, Lewis M, van der Windt DA, de Vet HC, Bouter LM, Croft PR. 2009. Does age modify the relationship between morbidity severity and physical health in English and Dutch family practice populations?. Qual Life Res, vol. 18(2), 209-220. link> doi> link>
  • Kadam UT. 2009. Transient ischaemic attack in a patient with known temporal arteritis: a case report. Cases J, vol. 2, 8542. link> doi>
  • Kadam UT, Schellevis FG, van der Windt DAWM, de Vet HCW, Bouter LM, Croft PR. 2008. Morbidity severity classifying routine consultations from English and Dutch general practice indicated physical health status. J Clin Epidemiol, vol. 61(4), 386-393. link> doi>
  • Furler J, Cleland J, Del Mar C, Hanratty B, Kadam U, Lasserson D, McCowan C, Magin P, Mitchell C, Qureshi N, Rait G, Steel N, van Driel M, Ward A. 2008. Leaders, leadership and future primary care clinical research. BMC Fam Pract, vol. 9, 52. link> doi>
  • Kadam UT, Croft PR, North Staffordshire GP Consortium Group. 2007. Clinical multimorbidity and physical function in older adults: a record and health status linkage study in general practice. Fam Pract, vol. 24(5), 412-419. link> doi>
  • Kadam UT and Croft PR. 2007. Clinical comorbidity in osteoarthritis: associations with physical function in older patients in family practice. J Rheumatol, vol. 34(9), 1899-1904. link>
  • Jordan K, Clarke AM, Symmons DPM, Fleming D, Porcheret M, Kadam UT, Croft P. 2007. Measuring disease prevalence: a comparison of musculoskeletal disease using four general practice consultation databases. Br J Gen Pract, vol. 57(534), 7-14. link>
  • Kadam UT, Jordan K, Croft PR. 2006. A comparison of two consensus methods for classifying morbidities in a single professional group showed the same outcomes. J Clin Epidemiol, vol. 59(11), 1169-1173. link> doi>
  • Jordan K, Porcheret M, Kadam UT, Croft P. 2006. The use of general practice consultation databases in rheumatology research. Rheumatology (Oxford), vol. 45(2), 126-128. link> doi>
  • Kadam U, Schellevis FG, van der Windt DAWM, De Vet HC, Bouter LM, Croft PR. 2006. Validation of new measures of morbidity severity using routine consultations in English and Dutch general practice. EUR J EPIDEMIOL, vol. 21, 113.
  • Kadam UT, Jordan K, Croft PR. 2005. Clinical comorbidity was specific to disease pathology, psychologic distress, and somatic symptom amplification. J Clin Epidemiol, vol. 58(9), 909-917. link> doi>
  • Kadam UT, Thomas E, Croft PR. 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>
  • Kadam UT, Jordan K, Croft PR. 2004. Clinical comorbidity in patients with osteoarthritis: a case-control study of general practice consulters in England and Wales. Ann Rheum Dis, vol. 63(4), 408-414. link> doi>
  • KADAM U, K Jordan, PR Croft. 2004. Clinical comorbidity in patients with osteoarthritis: a case-control study of general practice consulters in England and Wales    . Annals of the Rheumatic Diseases, vol. 63(4), 408-414. doi>
  • Kadam U, Jordan K, Croft PR. 2002. A Primary care population-based case-control study of clinical comorbidity in older patients with osteoarthritis. Rheumatology.
  • Kadam UT, Jordan K, Croft PR. 2002. A Primary care population-based case-control study of clinical comorbidity in older patients with osteoarthritis. Rheumatology, vol. 41(2), 119.
  • Kadam UT, Croft P, Lewis M. 2001. Use of a cross-sectional survey to estimate outcome of health care: the example of anxiety and depression. J Clin Epidemiol, vol. 54(11), 1112-1119. link> doi>
  • Kadam UT, Croft P, McLeod J, Hutchinson M. 2001. A qualitative study of patients' views on anxiety and depression. Br J Gen Pract, vol. 51(466), 375-380. link>
  • Doos L, Bradley E, Rushton CA, Satchithananda D, Davies SJ, Kadam UT. 2015. Heart failure and chronic obstructive pulmonary disease multimorbidity at hospital discharge transition: a study of patient and carer experience. Health Expect, vol. 18(6), 2401-2412. link> doi>
  • Simmonds R, Glogowska M, McLachlan S, Cramer H, Sanders T, Johnson R, Kadam U, Lasserson D, Purdy S. 2015. Unplanned admissions and the organisational management of heart failure: a multicentre ethnographic, qualitative study. BMJ Open, vol. 5(10), e007522. link> doi>

Other

  • Rushton CA, Riley L, Satchithananda D, Jones P, Kadam U. 2015. Time-dependent markers of comorbidity severity and change are associated with increased risk of mortality in heart failure: A national study of the English General Population. Annals of Epidemiology (vol. 25, p. 702). Elsevier Masson. doi>
  • Rushton CA, Jones PW, Kadam UT. 2014. Comorbidity and prognosis in heart failure populations: a systematic review. EUROPEAN JOURNAL OF HEART FAILURE (vol. 16, p. 149). link>
  • Rushton CA and Kadam UT. 2014. Impact of non-cardiovascular disease comorbidity on symptom severity in heart failure and other cardiovascular diseases: a population-based study. EUROPEAN JOURNAL OF HEART FAILURE (vol. 16, pp. 252-253). link>
  • KADAM U, North Staffordshire GP Consortium Group, PR Croft. 2007. Clinical multimorbidity and physical function in older adults: a record and health status linkage study in general practice    . link> doi>
  • Jordan K, Clarke AM, Symmons DPM, Fleming D, Porcheret M, Kadam UT, Croft P. 2006. Measuring the prevalence of musculoskeletal disease: A comparison using four general practice databases. RHEUMATOLOGY (vol. 45, p. I117). link>
  • Kadam U, Croft J, Croft P. 2005. Clinical comorbidity in older patients with osteoarthritis and associations with physical function: A population-based cohort study in primary care, United Kingdom. AMERICAN JOURNAL OF EPIDEMIOLOGY (vol. 161, p. S63). link>
  • Kadam VI and Croft PR. 2003. Is chronic widespread pain a prediction of future illness? A 3-year prospective population-based study in general practice. Rheumatology.
  • Nderitu P, Doos L, Jones PW, Davies SJ, Kadam UT. 2013. Non-steroidal anti-inflammatory drugs and chronic kidney disease progression: a systematic review. Fam Pract (vol. 30, pp. 247-255). link> doi>