Biography
Professor Mallen is currently the NIHR Research Professor in General Practice and the interim Director of the Institute for Primary Care and Health Sciences. He leads Keele's Global Health Research and is also the Director of the Wellcome Trust Doctoral Training Programme for Primary Care.
Professor Mallen trained in clinical medicine in Nottingham and North Staffordshire, completing vocational training in general practice in 2003. He worked clinically as a GP for NHS North Staffordshire.
Christian's academic training was supported by Arthritis Research UK Doctoral Training, Career Progression, and Clinician Scientist Fellowships. This allowed him to develop expertise in the early diagnosis and management of common musculoskeletal disorders in primary care.
Professor Mallen is a Fellow of the Royal College of General Practitioners, Fellow of the Faculty of Public Health and a Founding Fellow of the Faculty of Clinical Informatics. Christian has been awarded both the Yvonne Carter and John Fry Awards for primary care research.
Research and scholarship
Professor Mallen's research interests focus on improving the management of common rheumatological complaints in primary care. In particular, Christian is interested in improving the diagnosis and prognosis of musculoskeletal disorders in a general practice setting, both in the UK and in low and middle-income country settings.
Professor Mallen's NIHR Research Professorship focuses on 'missed opportunities' to improve the management of inflammatory conditions in primary care. Specific projects include using routinely collected GP consultation data to investigate the association in patients with gout, and vascular screening in patients with rheumatoid arthritis. A new large inception cohort of patients with PMR is being developed to establish the course and prognosis of this group in a primary care setting.
Christian has active research collaborations with the University of Birmingham (Dr Karim Raza - early diagnosis of rheumatoid arthritis), Univeristy of Warwick (Lilford, NIHR Global Slum Health Unit) and University of Essex (Professor Dasgupta - polymyalgia rheumatica). He also works closely with Nottingham University academic rheumatology group.
As lead for the Keele University Global Health prorgamme, Professor Mallen has developed strong academic collaboration in Sri Lanka, Bangladesh, the Philippines, Malaysia and Singapore. Our work in low and middle-income countries builds on our expertise in musculoskeletal disorders and mental health, improving outcomes for patients with these disabling and often neglected conditions.
Christian Mallen has active research funding, as a lead or co-applicant from:
- NIHR (ARC, RfPB, HTA, PGAR, SPCR, HS+DR)
- Wellcome Trust
- Versus Arthritis (previously Arthritis Research UK)
- Health Education England
- Medical Research Council
Past funding includes:
- All funders listed above
- Bristol Myers Squibb (for a non-drug study screening people for atrial fibrillation)
- Dunhill Medical Trust
- AHRC
- North Staffordshire Medical Trust
- Haywood Foundation
- RCGP Scientific Foundation Board
- Newton Fund
Other relevant declarations include:
- Membership of guideline groups for EULAR and BSR
- NHS General Practitioner, NHS North Staffordshire
- Associate R+D Director, NHS North Staffordshire
- Training Lead, NIHR School for Primary Care Research
- Academic Development Lead, Midlands Partnership NHS Foundation Trust
Teaching
- Director, Wellcome Trust PhD Programme for Primary Care
- Training Lead, NIHR SPCR
- Christian leads and co-supervises a number of doctoral and masters students
Further information
Selected Publications
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Musculoskeletal pain and its impact on prognosis following acute coronary syndrome or stroke: A linked electronic health record cohort study. Musculoskeletal Care. link> doi> full text>2023.
- 2023.
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Is Vaccination Against COVID-19 Associated With Inflammatory Bowel Disease Flare? Self-Controlled Case Series Analysis Using the UK CPRD. American Journal of Gastroenterology. link> doi> link> full text>2023.
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Trends in gabapentinoid prescribing in UK primary care using the Clinical Practice Research Datalink: an observational study. The Lancet Regional Health - Europe, Article 100579. doi> link> full text>2023.
- 2023.
Full Publications Listshow
Journal Articles
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Musculoskeletal pain and its impact on prognosis following acute coronary syndrome or stroke: A linked electronic health record cohort study. Musculoskeletal Care. link> doi> full text>2023.
- 2023.
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Is Vaccination Against COVID-19 Associated With Inflammatory Bowel Disease Flare? Self-Controlled Case Series Analysis Using the UK CPRD. American Journal of Gastroenterology. link> doi> link> full text>2023.
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Trends in gabapentinoid prescribing in UK primary care using the Clinical Practice Research Datalink: an observational study. The Lancet Regional Health - Europe, Article 100579. doi> link> full text>2023.
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The Organization of Outreach Work for Vulnerable Patients in General Practice during COVID-19: Results from the Cross-Sectional PRICOV-19 Study in 38 Countries. Int J Environ Res Public Health, vol. 20(4). link> doi> full text>2023.
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Symptom patterns and life with post-acute COVID-19 in children aged 8-17: a mixed methods studyprotocol. BJGP Open. link> doi> full text>2023.
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Association of Frailty Status on the Causes and Outcomes of Patients Admitted With Cardiovascular Disease. Am J Cardiol, 7-15, vol. 192. link> doi> full text>2023.
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Management and outcomes of patients admitted with type 2 myocardial infarction with and without standard modifiable risk factors. Int J Cardiol, 391-396, vol. 371. link> doi> full text>2023.
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Investigating the usefulness of Automated Check-in Data Collection in general practice (AC DC Study): a multicentre, cross-sectional study in England. BMJ Open, e062389, vol. 13(1). link> doi> full text>2023.
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Factors associated with change in health-related quality of life in people with gout: a three-year prospective cohort study in primary care. Rheumatology (Oxford). link> doi> full text>2022.
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A Critical Evaluation of Patient Pathways and Missed Opportunities in Treatment for Heart Failure. J Cardiovasc Dev Dis, vol. 9(12). link> doi> full text>2022.
- 2022.
- 2022.
- 2022.
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Has the COVID-19 Pandemic Led to Changes in the Tasks of the Primary Care Workforce? An International Survey among General Practices in 38 Countries (PRICOV-19). Int J Environ Res Public Health, vol. 19(22). link> doi> full text>2022.
- 2022.
- 2022.
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Intermediate care in caring for dementia, the point of view of general practitioners: A key informant survey across Europe. Front Med (Lausanne), 1016462, vol. 9. link> doi> full text>2022.
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Rheumatoid arthritis, psoriatic arthritis, and axial spondyloarthritis epidemiology in England from 2004 to 2020: An observational study using primary care electronic health record data. Lancet Reg Health Eur, 100519, vol. 23. link> doi> full text>2022.
- 2022.
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Influence of the Danish Co-morbidity Index Score on the Treatment and Outcomes of 2.5 Million Patients Admitted With Acute Myocardial Infarction in the United States. Am J Cardiol, 1-10, vol. 179. link> doi> full text>2022.
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Online health information seeking for mpox in endemic and non-endemic countries: A Google Trends study. (Preprint). JMIR Formative Research. doi>
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Barriers and facilitators to vaccination uptake against COVID-19, influenza, and pneumococcal pneumonia in immunosuppressed adults with immune-mediated inflammatory diseases: A qualitative interview study during the COVID-19 pandemic. PLoS One, e0267769, vol. 17(9). link> doi> full text>2022.
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Is vaccination against Covid-19 associated with autoimmune rheumatic disease flare? A self-controlled case series analysis. Rheumatology (Oxford). link> doi> full text>2022.
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Patients' and healthcare professionals' perspectives on a community-based intervention for schizophrenia in Pakistan: A focus group study. PLoS One, e0273286, vol. 17(8). link> doi> full text>2022.
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The potential role of community pharmacy staff in reducing patient delay in consulting with symptoms of rheumatoid arthritis: a qualitative study. BMC Rheumatol, 50, vol. 6(1). link> doi> full text>2022.
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The impact of polymyalgia rheumatica on intimate sexual relationships: findings from the PMR Cohort Study. Rheumatol Adv Pract, rkac070, vol. 6(3). link> doi> full text>2022.
- 2022.
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Prevalence of Occupational Stress among Secondary School Teachers in Public Schools in the District of Colombo, Sri Lanka. Research in Health Science, p12, vol. 7(3). doi> link> full text>
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Risk-based stratified primary care for common musculoskeletal pain presentations (STarT MSK): a cluster-randomised, controlled trial. Lancet Rheumatol, e591-e602, vol. 4(9). link> doi> full text>2022.
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Metformin use and the risk of total knee replacement among diabetic patients: a propensity-score-matched retrospective cohort study. Sci Rep, 11571, vol. 12(1). link> doi> full text>2022.
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Treatment and Outcomes of Acute Myocardial Infarction in Patients With Polymyalgia Rheumatica With and Without Giant Cell Arteritis. Am J Cardiol, 12-19, vol. 174. link> doi> full text>2022.
- 2022.
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Incidence and pattern of mycophenolate discontinuation associated with abnormal monitoring blood-test results: cohort study using data from the Clinical Practice Research Datalink Aurum. Rheumatology Advances in Practice. link> doi> link> full text>2022.
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Development and psychometric evaluation of the PMR-Impact Scale: a new patient reported outcome measure for polymyalgia rheumatica. Rheumatology (Oxford), 758-765, vol. 62(2). link> doi> full text>2023.
- 2022.
- 2022.
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Validity & Reliability of Teacher Stress Inventory to measure Occupational Stress among Secondary School Teachers in Sri Lanka. Journal of the College of Community Physicians of Sri Lanka, 532, vol. 28(1). doi> link> full text>2022.
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Long-term use of glucocorticoids for polymyalgia rheumatica: follow-up of the PMR Cohort Study. Rheumatol Adv Pract, rkac034, vol. 6(2). link> doi> full text>2022.
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Negotiating agency and belonging during the first lockdown of the COVID-19 pandemic: an interview study among older adults in England, UK. BMJ Open, e060405, vol. 12(5). link> doi> full text>2022.
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Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis. Bull World Health Organ, 385-401A, vol. 100(6). link> doi> full text>2022.
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P145 Safety of colchicine or NSAID prophylaxis when initiating allopurinol for gout: propensity score-matched cohort studies. Rheumatology, vol. 61(Supplement_1). link> doi> link> full text>2022.
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P181 Musculoskeletal pain and prognosis of acute coronary syndrome and cerebrovascular accident: a linked electronic health record cohort study. Rheumatology, vol. 61(Supplement_1). doi> full text>2022.
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P182 Health literacy and gout characteristics in a primary care cohort. Rheumatology, vol. 61(Supplement_1). doi> link> full text>2022.
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P183 Establishing the epidemiology of rheumatoid arthritis, psoriatic arthritis, and axial spondyloarthritis in England using primary care electronic health record data. Rheumatology, vol. 61(Supplement_1). link> doi> link> full text>2022.
- 2022.
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Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anaesthetic injection in addition to advice and education for hip osteoarthritis (HIT trial): single blind, parallel group, three arm, randomised controlled trial. BMJ, e068446, vol. 377. link> doi> full text>2022.
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Comorbidities in osteoarthritis (ComOA): a combined cross-sectional, case-control and cohort study using large electronic health records in four European countries. BMJ Open, e052816, vol. 12(4). link> doi> full text>2022.
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A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature. Hearts, 45-53, vol. 3(2). doi> link> full text>2022.
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Clinician views on optimism and empathy in primary care consultations: a qualitative interview study. BJGP Open, vol. 6(3). link> doi> full text>2022.
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Identification of undiagnosed atrial fibrillation using a machine learning risk-prediction algorithm and diagnostic testing (PULsE-AI) in primary care: a multi-centre randomized controlled trial in England. Eur Heart J Digit Health, 195-204, vol. 3(2). link> doi> full text>2022.
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The Clinical Effectiveness of a Physiotherapy Delivered Physical and Psychological Group Intervention for Older Adults With Neurogenic Claudication: The BOOST Randomized Controlled Trial. J Gerontol A Biol Sci Med Sci, 1654-1664, vol. 77(8). link> doi> full text>2022.
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Academic primary care: challenges and opportunities. Br J Gen Pract, 104-105, vol. 72(716). link> doi> full text>2022.
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Diagnostic delay in axial spondyloarthritis: a systematic review. Clin Rheumatol, 1939-1950, vol. 41(7). link> doi> full text>2022.
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Development of radiographic classification criteria for hand osteoarthritis: a methodological report (Phase 2). RMD Open, vol. 8(1). link> doi> full text>2022.
- 2022.
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Patient and practitioner priorities and concerns about primary healthcare interactions for osteoarthritis: A meta-ethnography. Patient Educ Couns, 1865-1877, vol. 105(7). link> doi> full text>2022.
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Patient Pathways in Cardiology: Should Pharmaceutical and Medical Device Companies Care?. Crit Pathw Cardiol, 57-60, vol. 21(1). link> doi> full text>2022.
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The impact of COVID-19 on primary care: Insights from the National Health Service (NHS) and future recommendations. J Family Med Prim Care, 4345, vol. 10(12). link> doi> full text>2021.
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An evaluation of the use of investigations in a nurse-led rapid access chest pain clinic. British Journal of Cardiac Nursing, 1-14, vol. 16(12). link> doi> link> full text>2021.
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Misdiagnosis of aortic dissection: A systematic review of the literature. The American Journal of Emergency Medicine. link> doi> link> full text>2021.
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Predictors of interest in predictive testing for rheumatoid arthritis among first degree relatives of rheumatoid arthritis patients. Rheumatology (Oxford), 3223-3233, vol. 61(8). link> doi> full text>2022.
- 2021.
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Analgesic prescribing in patients with inflammatory arthritis in England: an observational study using electronic healthcare record data. Rheumatology (Oxford), 3201-3211, vol. 61(8). link> doi> full text>2022.
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Development and validation of a prognostic model for leflunomide discontinuation with abnormal blood-tests during long-term treatment: cohort study using data from Clinical Practice Research Datalink Gold and Aurum. Rheumatology. link> doi> link> full text>2021.
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Readmission after index hospital discharge among patients with COVID-19: Protocol for a systematic review and meta-analysis. Health Sci Rep, e417, vol. 4(4). link> doi> full text>2021.
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What non-pharmacological treatments do people with polymyalgia rheumatica try: results from the PMR Cohort Study. Rheumatol Int, 285-290, vol. 42(2). link> doi> full text>2022.
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Smoking cessation after acute coronary syndrome: A systematic review and meta-analysis. Int J Clin Pract, e14894, vol. 75(12). link> doi> full text>2021.
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Integrating case-finding and initial management for osteoarthritis, anxiety, and depression into primary care long-term condition reviews: results from the ENHANCE pilot trial. Fam Pract, 592-602, vol. 39(4). link> doi> full text>2022.
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Predicting pain and function outcomes in people consulting with shoulder pain: the PANDA-S clinical cohort and qualitative study protocol. BMJ Open, e052758, vol. 11(9). link> doi> full text>2021.
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The Patient Pathway Review: A New Method of Evaluating Clinical Practices to Understand the Complexities of Real-world Care. Crit Pathw Cardiol, 213-219, vol. 20(4). link> doi> full text>2021.
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Vertebral fracture as a risk factor for self-harm: a retrospective cohort study. BMC Musculoskelet Disord, 757, vol. 22(1). link> doi> full text>2021.
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Vertebral fracture as a risk factor for self-harm: A retrospective cohort study. BMC Musculoskeletal Disorders, 1-7, vol. 22. link> doi> link> full text>2021.
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Reply to Dr. Lai regarding Allopurinol Hypersensitivity Syndrome in patients of Asian ancestry. Arthritis Care & Research, Article acr.24777. doi> link> full text>2021.
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Social Work and Social Care: Mapping Workforce Engagement, Relevance, Experience and Interest in Research. BRITISH JOURNAL OF SOCIAL WORK, 2291-2311, vol. 52(4). link> doi> full text>2022.
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Harnessing Placebo Effects in Primary Care: Using the Person-Based Approach to Develop an Online Intervention to Enhance Practitioners' Communication of Clinical Empathy and Realistic Optimism During Consultations. Front Pain Res (Lausanne), 721222, vol. 2. link> doi> full text>2021.
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Improving uptake of Fracture Prevention drug treatments: a protocol for Development of a consultation intervention (iFraP-D). BMJ Open, e048811, vol. 11(8). link> doi> full text>2021.
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Exploring the Impact of the First Wave of COVID-19 on Social Work Practice: A Qualitative Study in England, UK. BRITISH JOURNAL OF SOCIAL WORK, 2043-2062, vol. 52(4). link> doi> full text>2022.
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‘It’s just a great muddle when it comes to food’: a qualitative exploration of patient decision-making around diet and gout. Rheumatology Advances in Practice, vol. 5(3). link> doi> link> full text>2021.
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The potential role of community pharmacy staff in reducing patient delay in consulting with symptoms of rheumatoid arthritis: a qualitative study. doi> full text>2021.
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Propranolol Reduces Risk of Knee or Hip Replacement Due to Osteoarthritis: a Propensity Score Matched Cohort Study-using Data From the Clinical Practice Research Datalink. doi> full text>2021.
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The impact of COVID-19 on primary care in Europe. Lancet Reg Health Eur, 100152, vol. 6. link> doi> full text>2021.
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Refinement and validation of a tool for subgrouping patients with musculoskeletal pain in primary care. European Journal of Pain. doi> link> full text>2021.
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Missed opportunities in coronary artery disease: reflection on practice to improve patient outcomes. Coronary Artery Disease. doi> link> full text>2021.
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Predicting pain and function outcomes in people consulting with shoulder pain: The PANDA-S clinical cohort and qualitative study protocol (ISRCTN 46948079). doi> full text>2021.
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Experience of implementing and delivering group consultations in UK general practice: a qualitative study. British Journal of General Practice, 413-422, vol. 71(707). link> doi> link> full text>2021.
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Misdiagnosis of heart failure: A systematic review of the literature. Journal of Cardiac Failure, 925-933, vol. 27(9). link> doi> link> full text>2021.
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Prevalence of osteoarthritis in lower middle- and low-income countries: a systematic review and meta-analysis. Rheumatology International, 1221-1231, vol. 41. link> doi> link> full text>2021.
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The patient, clinician and healthcare perspectives in evaluating care pathways for stable chest pain. Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine. link> doi> link> full text>2021.
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Assessing the severity of cardiovascular disease in 213 088 patients with coronary heart disease: a retrospective cohort study. Open Heart, 1-52, vol. 8(1). link> doi> link> full text>2021.
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Self-management advice, exercise and foot orthoses for plantar heel pain: the TREADON pilot and feasibility randomised trial. Pilot and Feasibility Studies, Article 92, vol. 7(1). doi> link> full text>2021.
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Clinical and cost-effectiveness of bracing in symptomatic knee osteoarthritis management: protocol for a multicentre, primary care, randomised, parallel-group, superiority trial. BMJ Open, 1-14, vol. 11(3). link> doi> link> full text>2021.
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Developing a model Fracture Liaison Service consultation with patients, carers and clinicians: a Delphi survey to inform content of the iFraP complex consultation intervention. Arch Osteoporos, 58, vol. 16(1). link> doi> full text>2021.
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Onset of comorbidities and flare patterns within pre-existing morbidity clusters in people with gout: 5-year primary care cohort study. Rheumatology (Oxford), 407-412, vol. 61(1). link> doi> full text>2021.
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Methods to disinfect and decontaminate SARS-CoV-2: a systematic review of in vitro studies. Ther Adv Infect Dis, 2049936121998548, vol. 8. link> doi> full text>2021.
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What is the incidence of methotrexate or leflunomide discontinuation related to cytopenia, liver enzyme elevation or kidney function decline?. Rheumatology (Oxford), 5785-5794, vol. 60(12). link> doi> full text>2021.
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Exploring patient views of empathic optimistic communication for osteoarthritis in primary care: a qualitative interview study using vignettes. BJGP Open, vol. 5(3). link> doi> full text>2021.
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β-blocker prescription is associated with lower cumulative risk of knee osteoarthritis and knee pain consultations in primary care: a propensity score-matched cohort study. Rheumatology (Oxford), 5686-5696, vol. 60(12). link> doi> full text>2021.
- 2022.
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Temporal relationship between osteoarthritis and comorbidities: a combined case control and cohort study in the UK primary care setting. Rheumatology (Oxford), 4327-4339, vol. 60(9). link> doi> full text>2021.
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Misdiagnosis of Acute Myocardial Infarction: A Systematic Review of the Literature. Crit Pathw Cardiol, 155-162, vol. 20(3). link> doi> full text>2021.
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Using Google Trends to assess the impact of Global Public Health Days on online health information-seeking behaviour in Arabian Peninsula. J Egypt Public Health Assoc, 4, vol. 96(1). link> doi> full text>2021.
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Survey of young people in one region of the UK on accessing COVID-19 information (SOCIAL). BMJ Paediatr Open, e000942, vol. 5(1). link> doi> full text>2021.
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Acute Myocardial Infarction in Autoimmune Rheumatologic Disease: A Nationwide Analysis of Clinical Outcomes and Predictors of Management Strategy. Mayo Clin Proc, 388-399, vol. 96(2). link> doi> full text>2021.
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General practitioners' deprescribing decisions in older adults with polypharmacy: a case vignette study in 31 countries. BMC Geriatr, 19, vol. 21(1). link> doi> full text>2021.
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A pilot study of a nurse-led integrated care review (the INCLUDE review) for people with inflammatory rheumatological conditions in primary care: feasibility study findings. Pilot Feasibility Stud, 9, vol. 7(1). link> doi> full text>2021.
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Impact of changes to national guidelines on hypertension-related workload: an interrupted time series analysis in English primary care. British Journal of General Practice, e296-e302, vol. 71(705). link> doi> link> full text>2021.
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Comparing the use of direct observation, standardized patients and exit interviews in low- and middle-income countries: a systematic review of methods of assessing quality of primary care. Health Policy Plan, 341-356, vol. 36(3). link> doi> full text>2021.
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Corrigendum to: comparing the use of direct observation, standardized patients and exit interviews in low- and middle-income countries: a systematic review of methods of assessing quality of primary care. Health Policy Plan, 998, vol. 36(6). link> doi> full text>2021.
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Identification of undiagnosed atrial fibrillation patients using a machine learning risk prediction algorithm and diagnostic testing (PULsE-AI): Study protocol for a randomised controlled trial. Contemp Clin Trials, 106191, vol. 99. link> doi> full text>2020.
- 2020.
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Vertebral fracture as risk factors for self-harm: A retrospective cohort study. doi>2020.
- 2021.
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Understanding the uptake of a clinical innovation for osteoarthritis in primary care: a qualitative study of knowledge mobilisation using the i-PARIHS framework. Implement Sci, 95, vol. 15(1). link> doi> full text>2020.
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Latent Class Growth Analysis of Gout Flare Trajectories: A Three-Year Prospective Cohort Study in Primary Care. Arthritis Rheumatol, 1928-1935, vol. 72(11). link> doi> full text>2020.
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Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT. Health Technol Assess, 1-130, vol. 24(49). link> doi> full text>2020.
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Clinical features and outcomes of adults with coronavirus disease 2019: A systematic review and pooled analysis of the literature. Int J Clin Pract, e13725, vol. 75(3). link> doi> full text>2021.
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Cohort profile: Oxford Pain, Activity and Lifestyle (OPAL) Study, a prospective cohort study of older adults in England. BMJ Open, e037516, vol. 10(9). link> doi> full text>2020.
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Mortality Among Patients With Polymyalgia Rheumatica: A Retrospective Cohort Study. Arthritis Care Res (Hoboken), 1853-1857, vol. 73(12). link> doi> full text>2021.
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Outcomes Measured in Polymyalgia Rheumatica and Measurement Properties of Instruments Considered for the OMERACT Core Outcome Set: A Systematic Review. J Rheumatol, 883-893, vol. 48(6). link> doi> full text>2021.
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Improving Empathy in Healthcare Consultations-a Secondary Analysis of Interventions. Journal of General Internal Medicine. link> doi> link> full text>2020.
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Managing hypertension in frail oldest-old-The role of guideline use by general practitioners from 29 countries. PLoS ONE, e0236064, vol. 15(7). link> doi> link> full text>2020.
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Supervised treatment in outpatients for schizophrenia plus (STOPS+): protocol for a cluster randomised trial of a community-based intervention to improve treatment adherence and reduce the treatment gap for schizophrenia in Pakistan. BMJ Open, e034709, vol. 10(6). link> doi> full text>2020.
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Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial. Lancet Rheumatol, e401-e411, vol. 2(7). link> doi> full text>2020.
- 2020.
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Rheumatic Conditions as Risk Factors for Self-Harm: A Retrospective Cohort Study. Arthritis Care Res (Hoboken), 130-137, vol. 73(1). link> doi> full text>2021.
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Comorbidities in patients with polymyalgia rheumatica prior to and following diagnosis: A case control and cohort study. Semin Arthritis Rheum, 663-672, vol. 50(4). link> doi> full text>2020.
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Computer-Based Stratified Primary Care for Musculoskeletal Consultations Compared With Usual Care: Study Protocol for the STarT MSK Cluster Randomized Controlled Trial. JMIR Res Protoc, e17939, vol. 9(7). link> doi> full text>2020.
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Development and validation of the DIabetes Severity SCOre (DISSCO) in 139 626 individuals with type 2 diabetes: a retrospective cohort study. BMJ Open Diabetes Res Care, vol. 8(1). link> doi> full text>2020.
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Family medicine in times of 'COVID-19': A generalists' voice. European Journal of General Practice, 58-60, vol. 26(1). link> doi> link> full text>2020.
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Mortality in Patients With Gout Treated With Allopurinol: A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken), 1049-1054, vol. 73(7). link> doi> full text>2021.
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Using Google Trends to assess the impact of global public health days on online health information seeking behaviour in Central and South America. J Glob Health, 010403, vol. 10(1). link> doi> full text>2020.
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Cardiovascular risk factors and outcomes in early rheumatoid arthritis: a population-based study. Heart, 1566-1572, vol. 106(20). link> doi> full text>2020.
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Trends in Incidence and Prevalence of Osteoarthritis in the United Kingdom: Findings from the Clinical Practice Research Datalink (CPRD). Osteoarthritis and Cartilage, 792-801, vol. 28(6). doi> link> full text>2020.
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Trends in incidence and prevalence of osteoarthritis in the United Kingdom: findings from the Clinical Practice Research Datalink (CPRD). Osteoarthritis Cartilage, 792-801, vol. 28(6). link> doi> full text>2020.
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Effectiveness of inactivated influenza vaccine in autoimmune rheumatic diseases treated with disease-modifying anti-rheumatic drugs. Rheumatology (Oxford), 3666-3675, vol. 59(12). link> doi> full text>2020.
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Interstitial lung disease is a risk factor for ischaemic heart disease and myocardial infarction. Heart, 916-922, vol. 106(12). link> doi> full text>2020.
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Statin use and risk of joint replacement due to osteoarthritis and rheumatoid arthritis: a propensity-score matched longitudinal cohort study. Rheumatology (Oxford), 2898-2907, vol. 59(10). link> doi> full text>2020.
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Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial. BMC Fam Pract, 30, vol. 21(1). link> doi> full text>2020.
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Correction to: The comorbidity burden of type 2 diabetes mellitus: patterns, clusters and predictions from a large English primary care cohort. BMC Med, 22, vol. 18(1). link> doi> full text>2020.
- 2020.
- 2020.
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Impact of Changes to National Hypertension Guidelines on Hypertension Management and Outcomes in the United Kingdom. Hypertension, 356-364, vol. 75(2). link> doi> full text>2020.
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Investigating multisite pain as a predictor of self-reported falls and falls requiring health care use in an older population: A prospective cohort study. PLoS One, e0226268, vol. 14(12). link> doi> full text>2019.
- 2021.
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Longitudinal clusters of pain and stiffness in polymyalgia rheumatica: 2-year results from the PMR Cohort Study. Rheumatology (Oxford), 1906-1915, vol. 59(8). link> doi> full text>2020.
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Open-label randomised pragmatic trial (CONTACT) comparing naproxen and low-dose colchicine for the treatment of gout flares in primary care. Ann Rheum Dis, 276-284, vol. 79(2). link> doi> full text>2020.
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Protocol for establishing a child and adolescent twin register for mental health research and capacity building in Sri Lanka and other low and middle-income countries in South Asia. BMJ Open, e029332, vol. 9(10). link> doi> full text>2019.
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The Hospital Frailty Risk Score and its association with in-hospital mortality, cost, length of stay and discharge location in patients with heart failure short running title: Frailty and outcomes in heart failure. Int J Cardiol, 184-190, vol. 300. link> doi> full text>2020.
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Prognostic value of comorbidity indices and lung diseases in early rheumatoid arthritis: a UK population-based study. Rheumatology (Oxford), 1296-1305, vol. 59(6). link> doi> full text>2020.
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Use of Oral Analgesics and Risk of Comorbidities in Osteoarthritis: Findings from Primary Care Settings in the UK. ARTHRITIS & RHEUMATOLOGY (pp. 3268-3269, vol. 74). link>2022.
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Musculoskeletal pain and its impact on rates of hospitalisation and mortality in cancer: a linked electronic health record cohort study (MSKCOM). Society for Academic Primary Care. link>2022.
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CLINICAL AND COST-EFFECTIVENESS OF ULTRASOUND-GUIDED INTRA-ARTICULAR CORTICOSTEROID AND LOCAL ANAESTHETIC INJECTION FOR HIP OSTEOARTHRITIS: A RANDOMISED CONTROLLED TRIAL (HIT). OSTEOARTHRITIS AND CARTILAGE (p. S479, vol. 28). link> doi> full text>2020.
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QUALITATIVE FINDINGS FROM THE HIP INJECTION TRIAL (HIT): EXPERIENCES OF LIVING WITH HIP OSTEOARTHRITIS AND RECEIVING TRIAL TREATMENTS. RHEUMATOLOGY (vol. 59). link> doi> full text>2020.
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THE EXTENT AND CHARACTERISTICS OF DIAGNOSTIC DELAY IN AXSPA: A SYSTEMATIC REVIEW. RHEUMATOLOGY (vol. 59). link> doi> full text>2020.
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"If It Was Unicorn Dust I'd Have It Again." Patient Experiences of Hip Osteoarthritis and Treatments in the Hip Injection Trial. ARTHRITIS & RHEUMATOLOGY (vol. 71). link>2019.
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Clinical Effectiveness of Ultrasound-guided Intra-articular Corticosteroid and Local Anaesthetic Injections for Hip Osteoarthritis: A Randomised Controlled Trial (HIT). ARTHRITIS & RHEUMATOLOGY (vol. 71). link>2019.
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GOUT ATTACK TRAJECTORIES IN A 3-YEAR COHORT STUDY IN PRIMARY CARE. RHEUMATOLOGY (vol. 58). link>2019.
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LONG-TERM EFFECT OF ALLOPURINOL USE ON SERUM URIC ACID LEVELS, MORTALITY AND COMORBIDITIES IN GOUT PATIENTS: AN ELECTRONIC HEALTH RECORD COHORT STUDY. RHEUMATOLOGY (vol. 58). link>2019.
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WHAT IS THE ROLE OF UK PHYSIOTHERAPISTS IN THE MANAGEMENT OF PEOPLE WITH POLYMYALGIA RHEUMATICA? FINDINGS FROM A QUALITATIVE STUDY. RHEUMATOLOGY (p. 30, vol. 58). link>2019.
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A systematic review of measures using clinical data for assessing the severity of Type 2 diabetes. DIABETIC MEDICINE (p. 173, vol. 36). link>2019.
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INCREASED RISK OF SELF-HARM IN PATIENTS WITH OSTEOPOROSIS: A UK POPULATION STUDY. OSTEOPOROSIS INTERNATIONAL (pp. 625-626, vol. 29). link>2018.
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Inactivated Influenza Vaccine Prevents Respiratory Infections and Improves All-Cause and Cause-Specific Mortality in Immunosuppressed People with Autoimmune Rheumatic Diseases: Propensity Score Adjusted Cohort Study Using Data from Clinical Practice Research Datalink. ARTHRITIS & RHEUMATOLOGY (vol. 70). link>2018.
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Risk of Dementia in Patients with Gout and the Impact of Urate-Lowering Therapies: A Large Population-Based Cohort Study. ARTHRITIS & RHEUMATOLOGY (vol. 70). link>2018.
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SEARCHING FOR A PRODROME FOR RHEUMATOID ARTHRITIS IN THE PRIMARY CARE RECORD: A CLINICAL PRACTICE RESEARCH DATALINK STUDY. RHEUMATOLOGY (vol. 57). link>2018.
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Severity domains for quantifying the severity of Type 2 diabetes using primary care data and linked hospitalisation records from England. DIABETIC MEDICINE (p. 199, vol. 35). link>2018.
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GOUT AND SUBSEQUENT RISK OF INCIDENT ERECTILE DYSFUNCTION: A POPULATION-BASED COHOR STUDY FROM THE UNITED KINGDOM. RHEUMATOLOGY (p. 111, vol. 56). link>2017.
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GOUT AS A CONSEQUENCE OF SLEEP APNOEA: A MATCHED COHORT STUDY. RHEUMATOLOGY (p. 122, vol. 56). link>2017.
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HOW DO PHYSIOTHERAPISTS APPROACH ANALGESIC USE IN PATIENTS WITH HIP OSTEOARTHRITIS? FINDINGS FROM A MIXED METHODS STUDY. RHEUMATOLOGY (p. 36, vol. 56). link>2017.
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I FOUND IT MOST CONFUSING, I DIDN'T KNOW WHAT TO BELIEVE: EXPLORING PATIENT DECISION MAKING AROUND GOUT AND DIET. RHEUMATOLOGY (p. 121, vol. 56). link>2017.
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MY WHOLE LIFE IS ALTERED CONSIDERABLY: LIVING WITH THE ONGOING EFFECTS OF GIANT CELL ARTERITIS SYMPTOMS AND TREATMENTS. RHEUMATOLOGY (p. 120, vol. 56). link>2017.
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REFINEMENT AND VALIDATION OF THE KEELE START MSK TOOL FOR MUSCULOSKELETAL PAIN IN PRIMARY CARE. RHEUMATOLOGY (pp. 119-120, vol. 56). link>2017.
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RISK OF FRAGILITY FRACTURE OVER 10 YEARS IN POLYMYALGIA RHEUMATICA AND GIANT CELL ARTERITIS: A UK POPULATION STUDY. RHEUMATOLOGY (pp. 85-86, vol. 56). link>2017.
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SO LOOKING AT THIS, YOU LOOK LIKE YOU'VE GOT SOME ISSUES GOING ON WITH YOUR JOINTS: EXPLORING CASE-FINDING IN LONG-TERM CONDITION REVIEW CONSULTATIONS-THE ENHANCE PILOT TRIAL. RHEUMATOLOGY (p. 121, vol. 56). link>2017.
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VARIATION IN PHYSICIANS' DECISIONS ON ANTIHYPERTENSIVE TREATMENT IN OLDEST-OLD AND FRAIL INDIVIDUALS ACROSS 29 COUNTRIES. JOURNAL OF GENERAL INTERNAL MEDICINE (p. S377, vol. 32). link>2017.
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World Congress of Physiotherapy 2017 - Cape Town, South Africa. Current physiotherapy practice and assessment in Polymyalgia Rheumatica: a UK cross-sectional survey..
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RISK OF FRAGILITY FRACTURE OVER 10 YEARS ACROSS EIGHT INFLAMMATORY CONDITIONS: A UK POPULATION STUDY. OSTEOPOROSIS INTERNATIONAL (pp. 616-617, vol. 27). link>2016.
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Gout and Subsequent Risk of Incident Erectile Dysfunction: A Population-Based Cohort Study from the United Kingdom. ARTHRITIS & RHEUMATOLOGY (vol. 68). link>2016.
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Proceedings of the First International Conference on Stepped Wedge Trial Design : York, UK, 10 March 2016. Trials (p. 311, vol. 17 Suppl 1). link> doi> full text>2016.
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CHALLENGES FACED IN PRIMARY CARE DURING THE EARLY STAGES OF RHEUMATOID ARTHRITIS: A CROSS-SECTIONAL SURVEY OF GENERAL PRACTITIONERS. RHEUMATOLOGY (p. 78, vol. 55). link>2016.
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GOUT SEVERITY, SOCIO-ECONOMIC DEPRIVATION AND WORK LOSS: A CROSS-SECTIONAL STUDY IN PRIMARY CARE. RHEUMATOLOGY (p. 79, vol. 55). link>2016.
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HOW COMMON ARE GIANT CELL ARTERITIS SYMPTOMS IN PATIENTS WITH POLYMYALGIA RHEUMATICA? RESULTS FROM AN INCIDENT PRIMARY CARE COHORT. RHEUMATOLOGY (p. 77, vol. 55). link>2016.
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OBESITY, HYPERTENSION AND DIURETIC USE AS RISK FACTORS FOR INCIDENT GOUT: A META-ANALYSIS OF COHORT STUDIES. RHEUMATOLOGY (p. 80, vol. 55). link>2016.
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PATIENT'S VIEWS ON THE CAUSES OF THEIR POLYMYALGIA RHEUMATICA: RESULTS FROM THE PMR COHORT STUDY. RHEUMATOLOGY (pp. 79-80, vol. 55). link> full text>2016.
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THE IMPACT OF SYMPTOM RECOGNITION ON HELP-SEEKING: A COMPARISON BETWEEN RHEUMATOID ARTHRITIS, BOWEL CANCER AND ANGINA. RHEUMATOLOGY (p. 44, vol. 55). link>2016.
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THE ROLE OF PAIN AND STIFFNESS ON FATIGUE AND INSOMNIA IN AN INCIDENT POLYMYALGIA RHEUMATICA COHORT. RHEUMATOLOGY (p. 82, vol. 55). link>2016.
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COMORBIDITY CLUSTERS IN PEOPLE WITH GOUT: A PRIMARY CARE BASED OBSERVATIONAL STUDY. RHEUMATOLOGY (p. 152, vol. 54). link>2015.
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HOW DO UK AND AUSTRALIAN PHYSIOTHERAPISTS MANAGE PATIENTS WITH HIP OSTEOARTHRITIS? RESULTS OF AN INTERNATIONAL CROSS-SECTIONAL QUESTIONNAIRE. RHEUMATOLOGY (p. 112, vol. 54). link>2015.
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HOW DO GENERAL PRACTITIONERS MANAGE SUSPECTED GIANT CELL ARTERITIS. RHEUMATOLOGY (p. 168, vol. 54). link>2015.
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INTEGRATING CARE FOR JOINT PAIN AND ANXIETY AND DEPRESSION INTO REVIEWS FOR LONG-TERM CONDITIONS: THE ENHANCE STUDY. RHEUMATOLOGY (p. 67, vol. 54). link>2015.
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Improving Care for People with Long-Term Conditions: The ENHANCE study.
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WHAT DOES A PRIMARY CARE ANNUAL REVIEW FOR RHEUMATOID ARTHRITIS INCLUDE? A NATIONAL GENERAL PRACTITIONER SURVEY. RHEUMATOLOGY (p. 66, vol. 54). link>2015.
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WHEN DO GENERAL PRACTITIONERS REFER SUSPECTED RA? A NATIONWIDE GP SURVEY. RHEUMATOLOGY (p. 39, vol. 54). link>2015.
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The ‘ENHANCE’ long-term condition review: Identifying co-morbid joint pain, depression and anxiety in patients with long-term conditions.
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INFLAMMATORY AUTOIMMUNE DISEASES OF THE ELDERLY POPULATION (IADE): A PROSPECTIVE LONGITUDINAL COHORT STUDY. RHEUMATOLOGY (p. 15, vol. 53). link>2014.
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DOES INTRA-ARTICULAR CORTICOSTEROID INJECTION IN THE PRE-OPERATIVE PERIOD INCREASE THE RISK OF JOINT INFECTION FOLLOWING HIP OR KNEE ARTHROPLASTY? A SYSTEMATIC REVIEW AND META-ANALYSIS. RHEUMATOLOGY (p. 132, vol. 53). link>2014.
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DRIVERS OF AND BARRIERS TO HELP SEEKING IN INDIVIDUALS WITH THE SYMPTOMS OF EARLY RHEUMATOID ARTHRITIS. RHEUMATOLOGY (p. 122, vol. 53). link>2014.
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ANXIETY AND DEPRESSION COMORBIDITY IN PRIMARY CARE GOUT: A MATCHED RETROSPECTIVE COHORT STUDY. RHEUMATOLOGY (p. 80, vol. 53). link>2014.
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Managing osteoarthritis in consultations (MOSAICS): an implementation study of NICE recommendations in primary care.
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DELAYS BETWEEN THE ONSET OF SYMPTOMS AND FIRST RHEUMATOLOGY CONSULTATION IN PATIENTS WITH RHEUMATOID ARTHRITIS: A NATIONAL SURVEY. RHEUMATOLOGY (p. 34, vol. 53). link>2014.
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DIAGNOSIS AND TREATMENT OF GOUT IN PRIMARY CARE: A QUALITATIVE STUDY OF PATIENT EXPERIENCE. RHEUMATOLOGY (pp. 80-81, vol. 53). link>2014.
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GOUT: NOT SOMETHING YOU BRAG ABOUT: A QUALITATIVE STUDY OF HEALTH RELATED QUALITY OF LIFE IN GOUT. RHEUMATOLOGY (pp. 161-162, vol. 53). link>2014.
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Developing Guideline for Polymyalgia Rheumatica: Prioritisation of Outcome Measures - Perspective of Patients, General Practitioners and Rheumatologists. ARTHRITIS AND RHEUMATISM (pp. S703-S704, vol. 65). link>2013.
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Symptom Complexes At The Beginning Of Rheumatoid Arthritis: A Qualitative Exploration In At Risk Individuals and In New Patients Prior To Diagnosis. ARTHRITIS AND RHEUMATISM (p. S960, vol. 65). link>2013.
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GOUT IS AN INDEPENDENT RISK FACTOR FOR ALL TYPES OF VASCULAR DISEASE: A RETROSPECTIVE COHORT STUDY IN THE UK GENERAL PRACTICE RESEARCH DATABASE. RHEUMATOLOGY (pp. 38-39, vol. 52). link>2013.
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POLYMYALGIA RHEUMATICA: THE VIEW FROM PRIMARY CARE. RHEUMATOLOGY (p. 21, vol. 52). link>2013.
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THE RISK OF A SUBSEQUENT CANCER DIAGNOSIS AFTER PMR: A PRIMARY CARE DATABASE STUDY. RHEUMATOLOGY (p. 40, vol. 52). link>2013.
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TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION FOR THE MANAGEMENT OF TENNIS ELBOW: A PRAGMATIC RANDOMIZED CONTROLLED TRIAL. RHEUMATOLOGY (p. 38, vol. 52). link>2013.
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ARE RHEUMATOID ARTHRITIS PATIENTS SCREENED FOR CARDIOVASCULAR DISEASE IN PRIMARY CARE?. RHEUMATOLOGY (pp. 37-38, vol. 51). link>2012.
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FATIGUE AS A PRECURSOR TO POLYMYALGIA RHEUMATICA: A RETROSPECTIVE COHORT STUDY. RHEUMATOLOGY (p. 112, vol. 51). link>2012.
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GOUT, ALLOPURINOL AND ERECTILE DYSFUNCTION: AN EPIDEMIOLOGICAL STUDY IN A PRIMARY CARE CONSULTATION DATABASE. RHEUMATOLOGY (p. 38, vol. 51). link>2012.
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POLYMYALGIA RHEUMATICA: MORE THAN JUST SHOULDER PAIN. RHEUMATOLOGY (p. 10, vol. 51). link>2012.
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THE ASSOCIATION OF GOUT WITH SLEEP DISORDERS AND SLEEP APNOEA: A CROSS-SECTIONAL EPIDEMIOLOGICAL STUDY IN PRIMARY CARE. RHEUMATOLOGY (p. 111, vol. 51). link>2012.
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THE COURSE OF COMORBID ANXIETY SYMPTOMS IN PATIENTS PRESENTING TO GENERAL PRACTICE WITH SYMPTOMATIC OSTEOARTHRITIS: LATENT CLASS GROWTH ANALYSIS. RHEUMATOLOGY (pp. 110-111, vol. 51). link>2012.
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POLYMYALGIA RHEUMATICA: DIAGNOSIS, PRESCRIBING AND MANAGEMENT IN PRIMARY CARE. RHEUMATOLOGY (p. 86, vol. 50). link>2011.
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HOW IS ACUTE GOUT MANAGED IN PRIMARY CARE?. RHEUMATOLOGY (pp. I101-I102, vol. 48). link>2009.
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LAY SYMPTOM ATTRIBUTIONS FOR KNEE PAIN AND HAND PAIN: A CROSS-SECTIONAL STUDY. RHEUMATOLOGY (p. I12, vol. 48). link>2009.
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Screening older people with musculoskeletal pain for depression during the general practice consultation. RHEUMATOLOGY (p. II179, vol. 47). link>2008.
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CONTACT Trial (Colchicine Or Naproxen Treatment for ACute gouT). Postal and onlinedoi>
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