Biography
I came to North Staffordshire in 1994 as Consultant Rheumatologist at the Haywood Hospital and Senior Lecturer, Keele University. My undergraduate and early postgraduate training was at the University of Sheffield, following which I moved to Manchester as Senior Registrar in Rheumatology. I was awarded an Arthritis Research Campaign Clinical Research Fellowship and completed my MD at the ARC Epidemiology Unit with Professor Symmons and Professor Silman in 1992. I was promoted to Professor of Community Rheumatology in 2004 and took over from Peter Croft as Director of the Centre in 2010.
Research and scholarship
My main research interests are linked with the Centre's applied research programme investigating the efficacy and clinical effectiveness of non-pharmacological treatments for musculoskeletal pain and arthritis presenting in primary care. This research has contributed to international guidelines on Osteoarthritis and Back Pain, and has been translated into national policy (Department of Health Musculoskeletal Services Framework). Evidence from our randomised trials of treatments for back pain (Hay Lancet 2005), shoulder pain (Hay Ann Rheum Dis 2003), tennis elbow (Hay BMJ 1999), and knee pain (Hay BMJ 2006, Foster BMJ 2008) have directly informed national guidelines (eg NICE OA Guidelines, ARMA standards of care) and informed the RCGP curriculum for Musculoskeletal General Practitioners with Special Interests (Hay et al, Rheumatology 2007).
Locally, this research has directly translated into improving healthcare outcomes by influencing a service redesign of services for back pain and for chronic pain, which reduced wait times, resulted in high patient satisfaction and reduced primary care consultation rates (Stevenson et al, Physiotherapy 2004).
Teaching
I am committed to building multi-disciplinary research capacity in primary care. Through embedding doctoral training within funded research programmes my research group has demonstrated the feasibility of supporting highly competitive PhD Fellowship applications to external funders such as NIHR.
I have personally supervised 9 higher degrees (8 PhD, 2 MPhil) to completion and have 3 current PhD students.
Further information
I am Chair of Arthritis Research UK's Musculoskeletal Pain Clinical Studies Group, Board Member of the NIHR National School for Primary Care Research, Panel Member NIHR Applied Programme Grants and Panel Member (Uo2) 2014 Research Excellence Framework.
Selected Publications
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The effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome: 24-month follow-up of a randomised trial. Rheumatology (Oxford). link> doi> full text>2022.
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Refinement and validation of a tool for stratifying patients with musculoskeletal pain. Eur J Pain, 2081-2093, vol. 25(10). link> doi> full text>2021.
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The cost-effectiveness of different approaches to exercise and corticosteroid injection for subacromial pain (impingement) syndrome. Rheumatology (Oxford), 4175-4184, vol. 60(9). link> doi> full text>2021.
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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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Supporting self-management of low back pain with an internet intervention in primary care: a protocol for a randomised controlled trial of clinical and cost-effectiveness (SupportBack 2). BMJ Open, e040543, vol. 10(8). link> doi> full text>2020.
Full Publications Listshow
Journal Articles
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The effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome: 24-month follow-up of a randomised trial. Rheumatology (Oxford). link> doi> full text>2022.
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Refinement and validation of a tool for stratifying patients with musculoskeletal pain. Eur J Pain, 2081-2093, vol. 25(10). link> doi> full text>2021.
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The cost-effectiveness of different approaches to exercise and corticosteroid injection for subacromial pain (impingement) syndrome. Rheumatology (Oxford), 4175-4184, vol. 60(9). link> doi> full text>2021.
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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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Supporting self-management of low back pain with an internet intervention in primary care: a protocol for a randomised controlled trial of clinical and cost-effectiveness (SupportBack 2). BMJ Open, e040543, vol. 10(8). link> doi> full text>2020.
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Optimising outcomes of exercise and corticosteroid injection in patients with subacromial pain (impingement) syndrome: a factorial randomised trial. Br J Sports Med, 262-271, vol. 55(5). link> doi> full text>2021.
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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.
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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.
- 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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Exploring Patients' Experiences of Internet-Based Self-Management Support for Low Back Pain in Primary Care. Pain Medicine. link> doi> link> full text>2019.
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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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Determining responsiveness and meaningful changes for the Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways. BMJ Open, e025357, vol. 9(10). link> doi> full text>2019.
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Subgrouping patients with sciatica in primary care for matched care pathways: development of a subgrouping algorithm. BMC Musculoskelet Disord, 313, vol. 20(1). link> doi> full text>2019.
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Matching treatment options for risk sub-groups in musculoskeletal pain: a consensus groups study. BMC Musculoskelet Disord, 271, vol. 20(1). link> doi> full text>2019.
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Inflammatory biomarkers do not distinguish between patients with sciatica and referred leg pain within a primary care population: results from a nested study within the ATLAS cohort. BMC Musculoskelet Disord, 202, vol. 20(1). link> doi> full text>2019.
- 2019.
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The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomised controlled trial. Lancet, 1423-1433, vol. 392(10156). link> doi> full text>2018.
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Uptake of the NICE osteoarthritis guidelines in primary care: a survey of older adults with joint pain. BMC Musculoskelet Disord, 295, vol. 19(1). link> doi> full text>2018.
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Uptake of the NICE osteoarthritis guidelines in primary care: a survey of older adults with joint pain. BMC Musculoskeletal Disorders. doi> link> full text>2018.
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Lessons learnt from a discontinued randomised controlled trial: adalimumab injection compared with placebo for patients receiving physiotherapy treatment for sciatica (Subcutaneous Injection of Adalimumab Trial compared with Control: SCIATiC). Trials, 408, vol. 19(1). link> doi> full text>2018.
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A multi-modal recruitment strategy using social media and internet-mediated methods to recruit a multidisciplinary, international sample of clinicians to an online research study. PLoS One, e0200184, vol. 13(7). link> doi> full text>2018.
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Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials. doi> full text>2018.
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Cost-utility analysis of interventions to improve effectiveness of exercise therapy for adults with knee osteoarthritis: the BEEP trial. Rheumatol Adv Pract, rky018, vol. 2(2). link> doi> full text>2018.
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Clinical diagnostic model for sciatica developed in primary care patients with low back-related leg pain. PLoS One, e0191852, vol. 13(4). link> doi> full text>2018.
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Cost-Utility Analysis of Routine Anxiety and Depression Screening in Patients Consulting for Osteoarthritis: Results From a Clinical, Randomized Controlled Trial. Arthritis Care Res (Hoboken), 1787-1794, vol. 70(12). link> doi> full text>2018.
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Cost-effectiveness of a model consultation to support self-management in patients with osteoarthritis. Rheumatology (Oxford), 1056-1063, vol. 57(6). link> doi> full text>2018.
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Using an internet intervention to support self-management of low back pain in primary care: findings from a randomised controlled feasibility trial (SupportBack). BMJ Open, e016768, vol. 8(3). link> doi> full text>2018.
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Clinical course and prognostic factors across different musculoskeletal pain sites: A secondary analysis of individual patient data from randomised clinical trials. Eur J Pain, 1057-1070, vol. 22(6). link> doi> full text>2018.
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Novel approach to characterising individuals with low back-related leg pain: cluster identification with latent class analysis and 12-month follow-up. Pain, 728-738, vol. 159(4). link> doi> full text>2018.
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Effectiveness and costs of a vocational advice service to improve work outcomes in patients with musculoskeletal pain in primary care: a cluster randomised trial (SWAP trial ISRCTN 52269669). Pain, 128-138, vol. 159(1). link> doi> full text>2018.
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The feasibility and acceptability of a physical activity intervention for older people with chronic musculoskeletal pain: The iPOPP pilot trial protocol. Musculoskeletal Care, 118-132, vol. 16(1). link> doi> full text>2018.
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Prognosis of sciatica and back-related leg pain in primary care: the ATLAS cohort. Spine J, 1030-1040, vol. 18(6). link> doi> full text>2018.
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Implementing core NICE guidelines for osteoarthritis in primary care with a model consultation (MOSAICS): a cluster randomised controlled trial. Osteoarthritis Cartilage, 43-53, vol. 26(1). link> doi> full text>2018.
- 2017.
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Effect of a model consultation informed by guidelines on recorded quality of care of osteoarthritis (MOSAICS): a cluster randomised controlled trial in primary care. Osteoarthritis Cartilage, 1588-1597, vol. 25(10). link> doi> full text>2017.
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The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581). BMC Musculoskelet Disord, 172, vol. 18(1). link> doi> full text>2017.
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The effects of implementing a point-of-care electronic template to prompt routine anxiety and depression screening in patients consulting for osteoarthritis (the Primary Care Osteoarthritis Trial): A cluster randomised trial in primary care. PLoS Med, e1002273, vol. 14(4). link> doi> full text>2017.
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PMS74 - Development of the Musculoskeletal Health Questionnaire (MSK-HQ) for Use in Different Conditions and Different Healthcare Pathways. Value in Health, 544, vol. 19(7). doi> link> full text>2016.
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Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care. J Pain Res, 807-818, vol. 9. link> doi> full text>2016.
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Reconsultation, self-reported health status and costs following treatment at a musculoskeletal Clinical Assessment and Treatment Service (CATS): a 12-month prospective cohort study. BMJ Open, e011735, vol. 6(10). link> doi> full text>2016.
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The clinical and cost effectiveness of steroid injection compared with night splints for carpal tunnel syndrome: the INSTINCTS randomised clinical trial study protocol. BMC Musculoskelet Disord, 415, vol. 17(1). link> doi> full text>2016.
- 2016.
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Reliability among clinicians diagnosing low back-related leg pain. Eur Spine J, 2734-2740, vol. 25(9). link> doi> full text>2016.
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Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways. BMJ Open, e012331, vol. 6(8). link> doi> full text>2016.
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Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study. BMC Musculoskelet Disord, 332, vol. 16. link> doi> full text>2015.
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Should General Practitioners Issue a Sick Certificate to Employees Who Consult for Low Back Pain in Primary Care?. J Occup Rehabil, 577-588, vol. 25(3). link> doi> full text>2015.
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An Economic Evaluation of TENS in Addition to Usual Primary Care Management for the Treatment of Tennis Elbow: Results from the TATE Randomized Controlled Trial. PLoS One, e0135460, vol. 10(8). link> doi> full text>2015.
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Using an internet intervention to support self-management of low back pain in primary care: protocol for a randomised controlled feasibility trial (SupportBack). BMJ Open, e009524, vol. 5(9). link> doi> full text>2015.
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A pilot cluster randomised controlled trial to investigate the addition of direct access to physiotherapy to usual GP-led primary care for adults with musculoskeletal pain: the STEMS pilot trial protocol (ISRCTN23378642). Pilot Feasibility Stud, 26, vol. 1. link> doi> full text>2015.
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Managing back pain and osteoarthritis without paracetamol. BMJ, h1352, vol. 350. link> doi> full text>2015.
- 2015.
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Exploring how pain leads to productivity loss in primary care consulters for osteoarthritis: a prospective cohort study. PLoS One, e0120042, vol. 10(4). link> doi> full text>2015.
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Self-management approaches for osteoarthritis in the hand: a 2×2 factorial randomised trial. Annals of the Rheumatic Diseases, 108-118, vol. 74(1). link> doi> link> full text>2015.
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Joint protection and hand exercises for hand osteoarthritis: an economic evaluation comparing methods for the analysis of factorial trials. Rheumatology (Oxford), 876-883, vol. 54(5). link> doi> full text>2015.
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Quality of care for OA: the effect of a point-of-care consultation recording template. Rheumatology (Oxford), 844-853, vol. 54(5). link> doi> full text>2015.
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Clinical Effectiveness of Exercise and Corticosteroid Injection for Subacromial Impingement Syndrome: A Randomised Controlled Trial. ARTHRITIS & RHEUMATOLOGY, S489-S490, vol. 66. link>2014.
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Transcutaneous electrical nerve stimulation as adjunct to primary care management for tennis elbow: pragmatic randomised controlled trial (TATE trial). Br J Sports Med, 1458, vol. 48(19). link> doi> full text>2014.
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Anticipated significant work limitation in primary care consulters with osteoarthritis: a prospective cohort study. BMJ Open, e005221, vol. 4(9). link> doi> full text>2014.
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Implementing the NICE osteoarthritis guidelines: a mixed methods study and cluster randomised trial of a model osteoarthritis consultation in primary care--the Management of OsteoArthritis In Consultations (MOSAICS) study protocol. Implement Sci, 95, vol. 9. link> doi> full text>2014.
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A multicentre, pragmatic, parallel group, randomised controlled trial to compare the clinical and cost-effectiveness of three physiotherapy-led exercise interventions for knee osteoarthritis in older adults: the BEEP trial protocol (ISRCTN: 93634563). BMC Musculoskelet Disord, 254, vol. 15. link> doi>2014.
- 2014.
- 2014.
- 2014.
- 2014.
- 2014.
- 2014.
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EARLY WORK LOSS IN OLDER WORKERS CONSULTING PRIMARY CARE PHYSICIANS FOR OSTEOARTHRITIS: A PROSPECTIVE COHORT STUDY. GERONTOLOGIST, 504, vol. 53. link>2013.
- 2013.
- 2013.
- 2013.
- 2013.
- 2013.
- 2012.
- 2012.
- 2012.
- 2012.
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Clinical course, characteristics and prognostic indicators in patients presenting with back and leg pain in primary care. The ATLAS study protocol. BMC Musculoskelet Disord, 4, vol. 13. link> doi> full text>2012.
- 2010.
- 2010.
- 2010.
- 2012.
- 2011.
- 2011.
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Evidence for effectiveness of Extracorporal Shock-Wave Therapy (ESWT) to treat calcific and non-calcific rotator cuff tendinosis - A systematic review. MANUAL THERAPY, 419-433, vol. 16(5). doi>2011.
- 2011.
- 2011.
- 2011.
- 2011.
- 2011.
- 2011.
- 2011.
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Hand assessment in older adults with musculoskeletal hand problems: a reliability study. BMC Musculoskelet Disord, 3, vol. 12. link> doi> full text>2011.
- 2011.
- 2010.
- 2010.
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IMPaCT Back study protocol. Implementation of subgrouping for targeted treatment systems for low back pain patients in primary care: a prospective population-based sequential comparison. BMC Musculoskelet Disord, 186, vol. 11. link> doi> full text>2010.
- 2010.
- 2010.
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Exercise therapy after corticosteroid injection for moderate to severe shoulder pain: large pragmatic randomised controlled trial. BMJ, c3037, vol. 340. doi>2010.
- 2010.
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The Staffordshire Arthritis, Musculoskeletal, and Back Assessment (SAMBA) Study: a prospective observational study of patient outcome following referral to a primary-secondary care musculoskeletal interface service. BMC Musculoskeletal Disorders, 67, vol. 11. doi> full text>2010.
- 2010.
- 2010.
- 2010.
- 2009.
- 2009.
- 2009.
- 2009.
- 2009.
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Testing a model of association between patient identified problems and responses to global measures of health in low back pain patients: a prospective study. Health Qual Life Outcomes, 74, vol. 7. link> doi> full text>2009.
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'PhysioDirect' telephone assessment and advice services for physiotherapy: protocol for a pragmatic randomised controlled trial. BMC HEALTH SERVICES RESEARCH, Article ARTN 136, vol. 9. link> doi> full text>2009.
- 2009.
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Research priorities for non-pharmacological therapies for common musculoskeletal problems: nationally and internationally agreed recommendations. BMC Musculoskeletal Disorders, Article 3, vol. 10. doi> full text>2009.
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Development and implementation of a physiotherapy intervention for use in a pragmatic randmonised controlled trial in primary care for shoulder pain. Musculoskeletal Care, 67-77, vol. 7(2).2009.
- 2009.
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Pharmacist-led medication review for knee pain in older adults: content, process and outcomes. International Journal of Pharmacy Practice, 347-355, vol. 16(6). doi>2008.
- 2008.
- 2008.
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How do pain and function vary with compartmental distribution and severity of radiographic knee osteoarthritis?. Rheumatology, 1704-1707, vol. 47(11). doi>2008.
- 2008.
- 2008.
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A randomised clinical trial of subgrouping and targeted treatment for low back pain compared with best current care. The STarT Back Trial Study Protocol. BMC Musculoskelet Disord, 58, vol. 9. link> doi> full text>2008.
- 2008.
- 2008.
- 2008.
- 2008.
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Patients' preferences within randomised trials: systematic review and patient level meta-analysis. BMJ, 1864, vol. 337.2008.
- 2008.
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Six sessions of manual acupuncture do not seem to help when added to optimal exercise for knee osteoarthritis. Focus on Alternative and Complementary Therapies, 35-37, vol. 13(1).2008.
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Targeted treatment for back pain in primary care: an evaluation of a screening tool to subgroup patients. Arthritis and Rheumatism (Arthritis Care and Research), 632-641, vol. 59.2008.
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The STarT Back screening tool: subgroups for targeted treatment of back pain in primary care. Arthritis and Rheumatism (Arthritis Care and Research), 632-641, vol. 59(5).2008.
- 2007.
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The Clinical Assessment Study of the Hand (CAS-HA): a prospective study of musculoskeletal hand problems in the general population. BMC Musculoskelet Disord, 85, vol. 8. link> doi> full text>2007.
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Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial. BMJ, 436, vol. 335(7617). link> doi> full text>2007.
- 2007.
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ICF core sets for low back pain: do they include what matters to patients?. J Rehabil Med, 353-357, vol. 39(5). link> doi> full text>2007.
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Cervical spine magnetic resonance imaging in primary care consulters with shoulder pain: a case-control study. Annals of the Rheumatic Diseases, 1363-1368, vol. 66(10). doi>2007.
- 2007.
- 2007.
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Radiographic presentation of osteoarthritis of the thumb. Rheumatology, i14, vol. 46.2007.
- 2007.
- 2007.
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The ICF core sets for low back pain: do they include what matters to patients?. J Rehab Med, 353-7, vol. 39(5).2007.
- 2007.
- 2006.
- 2006.
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Lateral epicondylitis in general practice: course and prognostic indicators of outcome. Journal of Rheumatology, 2053-2059, vol. 33.2006.
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Lateral epicondylitis in general practice: course and prognostic indicators of outcome. J Rheumatol, 2053-2059, vol. 33(10). link>2006.
- 2006.
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Symptoms and radiographic osteoarthritis: not as discordant as they are made out to be?. Ann Rheum Dis, 86-91, vol. 66(1). doi>2007.
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Evidence-based clinical guidelines: a new system to better determine true strength of recommendation. Journal of Evaluation in Clinical Practice, 347-352, vol. 12(3).2006.
- 2006.
- 2006.
- 2006.
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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, 30, vol. 7. link> doi> full text>2006.
- 2006.
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Does physiotherapy management of low back pain change as a result of an evidence-based educational programme?. Journal of Evaluation in Clinical Practice, 365-375, vol. 12(3). doi>2006.
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Sensitivity to change and internal consistency of the Northwick Park Neck Pain questionnaire and derivation of a minimal clinically important difference. Clinical Journal of Pain, 820-826, vol. 22(9). doi>2006.
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The performance of the ACR clinical classification criteria for knee osteoarthritis in the general population. Rheumatology, i69, vol. 45.2006.
- 2005.
- 2005.
- 2005.
- 2005.
- 2005.
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A cost consequences analysis of local corticosteroid injections and physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care. Rheumatology, 1447-51, vol. 44.2005.
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A systematic search and critical review of measures of disability for use in population survey of hand osteoarthritis. Osteoarthritis and Cartilage, 1-12, vol. 13.2005.
- 2005.
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Evidence-Based Recommendations for the Role of Exercise in the Management of Osteoarthritis of the Hip or Knee - the MOVE consensus. Rheumatology, 67-73, vol. 44.2005.
- 2005.
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Manual therapy or pulsed shortwave diathermy provide no additional benefit over advice and exercise in the treatment of neck disorders. Focus on Alternative and Complementary Therapies, 307-308, vol. 10(4).2005.
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Meeting the challenges of research governance. Rheumatology, 571-572, vol. 44(5). doi>2005.
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Shoulder pain: diagnosis and management in primary care. BMJ, 1124-8, vol. 331. doi>2005.
- 2006.
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A comparison of four shoulder-specific questionnaires in primary care. Annals of the Rheumatic Diseases, 1293-1299, vol. 63(10). doi>2004.
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Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: The "Acupuncture, Physiotherapy and Exercise" (APEX) study [ISRCTN88597683]. BMC MUSCULOSKELETAL DISORDERS, Article ARTN 31, vol. 5. link> doi> full text>2004.
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Treatment of shoulder pain - Reply. ANNALS OF THE RHEUMATIC DISEASES, 607, vol. 63(5). link>2004.
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The Knee Clinical Assessment Study--CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population. BMC Musculoskelet Disord, 4, vol. 5. link> doi> full text>2004.
- 2004.
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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, 93-96, vol. 54(499). link>2004.
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An integrated care pathway for the management of low back pain. Physiotherapy, 91-96, vol. 90.2004.
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Integrated care in practice: Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain? The "Acupuncture, Physiotherapy and Exercise" (APEX) Study. BMC Musculoskeletal Disorders, vol. 31(5).2004.
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Consultation and the outcome of shoulder pain: a cohort study in the population. J Rheumatol..2003.
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Do physiotherapists' attitudes towards evidence based practice change as a result of an evidence based educational programme?. Journal of Evaluation in Clinical Practice, 207-217, vol. 10(2). doi>2004.
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Osteoporosis: what are the implications of DEXA scanning 'high risk' women in primary care?. Family Practice, 289-293, vol. 20(3). doi>2003.
- 2003.
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Associations of depression in rheumatoid arthritis. Psychosomatics, 209-215, vol. 44.2003.
- 2002.
- 2002.
- 2002.
- 2002.
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Corticosteroid injections for lateral epicondylitis: a systematic review. Pain, 23-40, vol. 96(1-2).2002.
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Development of the Knee Standardized Clinical Interview: a research tool for studying the primary care clinical epidemiology of knee problems in older adults. Rheumatology, 1101-1108, vol. 41.2002.
- 2001.
- 2001.
- 2001.
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A pragmatic randomised controlled trial (RCT) in primary care for shoulder pain: content of the physiotherapy intervention. RHEUMATOLOGY, 148, vol. 40. link>2001.
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Clinical history in older adults with knee pain: standardised interview questions from general practice and rheumatology perspectives for epidemiological research. RHEUMATOLOGY, 127, vol. 40. link>2001.
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Clinical effetiveness of DMARDS in practice: adverse reactions in a cohort of 2,170 patients monitored for 9,378 treatment years. Quarterly Journal of Medicine, 309-321, vol. 97.2001.
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RCGP and BSR. A joint initiative for joint problems – how to manage demand. Rheumatology, 833-834, vol. 40(7).2001.
- 2000.
- 2000.
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How to supervise a thesis - best practice. Rheumatology, 560-562, vol. 39.2000.
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Outcome of shoulder region pain in the community. Rheumatology, 91, vol. 39.2000.
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Postgraduate degrees for rheumatology trainees: an options appraisal of MD, PhD and MSc degrees. Rheumatology, 1290-1293, vol. 38.2000.
- 1999.
- 1999.
- 1999.
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A randomised controlled trial of local corticosteroid injection and naproxen for the treatment of lateral epicondylitis in primary care. British Medical Journal, 964-968, vol. 319.1999.
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The ACR nomenclature and case definitions for neuropsychiatric lupus syndrome. Arthritis Rheumatism, 599-608, vol. 42.1999.
- 1998.
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Corticosteroid injections for lateral epicondylitis: A systematic overview. BRITISH JOURNAL OF GENERAL PRACTICE, 209-216, vol. 46(405). link>1996.
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Interobserver reliability in measuring fexion, internal rotation and external rotation of the hip using a plurimeter. Annals Rheumatic Diseases, 320-323, vol. 55.1996.
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The development and initial validation of the SLICC/ACR damage index in SLE. Arthritis Rheumatism, 363-369, vol. 39.1996.
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PSYCHIATRIC-DISORDER AND COGNITIVE IMPAIRMENT IN SLE. JOURNAL OF RHEUMATOLOGY, 2187, vol. 22(11). link>1995.
- 1995.
- 1995.
- 1995.
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Acquired Brown's syndrome in primary sjogren's syndrome. Br J Ophthalmol, 89/90, vol. 79(1).1995.
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Lack of influence of non-inherited maternal HLA antigens (NIMA) on the occurence of rheumatoid arthritis in multicase families. Annals Rheumatic Diseases, 311-313, vol. 54.1995.
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Relative contributions of HLA-DQA and complement C4A loci in determining susceptibility to systemic lupus erythematosus. British Journal of Rheumatology, 221-225, vol. 34.1995.
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Arthritis and Rheumatism Council's National Repository of Family Material: pedigrees from the first 100 rheumatoid arthrits families containing affected sibling pairs. British Journal of Rheumatology, 970, vol. 33. doi>1994.
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A prospective study of psychiatric disorder and cognitive function in systemic lupus erythematosus. Annals Rheumatic Diseases, 637-647, vol. 53.1994.
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And the European Community Study Group on diagnostic criteria for Sjögrens syndrom (Hay EM) Sensitivity and specificity of tests for ocular and oral involvement in Sjögrens syndrome. Annals Rheumatic Diseases, 637-647, vol. 53.1994.
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HLA-DP does not contribute towards susceptibility to systemic lupus erythematosus. Annals Rheumatic Diseases, 188-190, vol. 53.1994.
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Serological and immunogenetic markers of extraglandular Sjögrenssyndrome. British Journal of Rheumatology, 193-194, vol. 33.1994.
- 1993.
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A prospective study of psychiatric disorder and cognitive function in SLE. British Journal of Rheumatology, 88, vol. 32.1993.
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Anti-P antibodies are associated with psychiatric and focal cerebral disorders in patients with systemic lupus erythematosus. British Journal Rheumatology, 287-290, vol. 32.1993.
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Antiribosomal P protein antibodies in different populations of patients with systemic lupus erythematosus. British Journal Rheumatology, 663-665, vol. 32.1993.
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Clinical course of patients with anti-RNP antibodies. Journal of Rheumatology, 1256-1257, vol. 20.1993.
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HLA-DQ, DR and complement C4 variants in systemic lupus erythematosus. Journal Rheumatology, 870-875, vol. 32.1993.
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Preliminary criteria for the classification of Sjögrens syndrome. Results of a prospective concerted action supported by the European Community. Arthritis Rheumatism, 340-347, vol. 36.1993.
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The BILAG Index: a reliable and valid instrument for measuring clinical disease activity in systemic lupus erythematosus. Quarterly Journal of Medicine, 447-458, vol. 86.1993.
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Psychiatric disorder and cognitive functioning in systemic lupus erythematosus. Arthritis Rheumatism, 411-416, vol. 35.1992.
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Soluble CD23 levels in patients with systemic lupus erythematosus and primary sjögrens syndrome. Clinical Experimental Immunology, 452-455, vol. 89.1992.
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Systemic Lupus International Collaborative Clinics: Development of a damage index for SLE. Journal of Rheumatology, 1820-1821.1992.
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Seeing the light at the end of the carpal tunnel: the challenges of recruiting sites to a clinical trial of an investigational medicinal product in primary care. TRIALS (vol. 18). link>2017.
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Diagnosis of nerve root involvement in primary care consulters with low back-related leg pain. Manual Therapy (p. e38, vol. 25). Elsevier. doi>2016.
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AGREEMENT AMONG THERAPISTS WHEN DIAGNOSING LOW BACK-RELATED LEG PAIN. RHEUMATOLOGY (p. 113, vol. 55). link>2016.
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DOES THE ADDITION OF A VOCATIONAL ADVICE SERVICE TO BEST CURRENT PRIMARY CARE IMPROVE WORK OUTCOMES IN PATIENTS WITH MUSCULOSKELETAL PAIN? THE STUDY OF WORK AND PAIN (SWAP) CLUSTER RANDOMIZED TRIAL (ISRCTN 52269669). RHEUMATOLOGY (p. 50, vol. 55). link>2016.
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IDENTIFICATION OF NERVE ROOT INVOLVEMENT IN PRIMARY CARE CONSULTERS WITH LOW BACK-RELATED LEG PAIN: DIAGNOSTIC CLASSIFICATION USING ALTERNATIVE APPROACHES. RHEUMATOLOGY (p. 159, vol. 55). link>2016.
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IMPROVING THE EFFECTIVENESS OF EXERCISE THERAPY FOR OLDER ADULTS WITH KNEE PAIN: A PRAGMATIC RANDOMIZED CONTROLLED TRIAL. RHEUMATOLOGY (p. 40, vol. 54). link>2015.
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QUALITY OF CARE FOR OSTEOARTHRITIS: THE EFFECT OF A POINT-OF-CARE CONSULTATION RECORDING TEMPLATE. RHEUMATOLOGY (p. 81, vol. 53). link>2014.
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COST-EFFECTIVENESS OF JOINT PROTECTION AND HAND EXERCISE FOR HAND OSTEOARTHRITIS. RHEUMATOLOGY (p. 147, vol. 52). link>2013.
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MANAGING SCIATICA IN THE PHYSIOTHERAPY CONSULTATION: A QUALITATIVE OBSERVATION AND INTERVIEW STUDY. RHEUMATOLOGY (pp. 99-100, 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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Concurrent validity of hand-held sphygmomanometer dynamometry for measuring thigh muscle strengths. Rheumatology (p. I159, vol. 48).2009.
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THE COST-UTILITY OF ACUPUNCTURE AS AN ADJUNCT TO EXERCISE-BASED PHYSIOTHERAPY FOR OSTEOARTHRITIS OF THE KNEE. RHEUMATOLOGY (p. I106, vol. 48). link>2009.
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Implementation of sub-grouping for targeted treatment systems for low back pain patients in primary care: a prospective population-based sequential comparison.2009.
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The cost-utility of NHS physiotherapist-delivered acupuncture for knee osteoarthritis and the dilemma of non-operable treatment interventions.2009.
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Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: Randomised controlled trial. RHEUMATOLOGY (p. II2, vol. 47). link>2008.
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Illness perceptions of low back pain patients in primary care: Are they associated with outcome?. RHEUMATOLOGY (p. I10, vol. 46). link>2007.
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The impact of non-inflammatory musculoskeletal hand conditions in a community dwelling population of older adults. Rheumatology (pp. I20-I21, vol. 46 (suppl. 1)). Oxford Univ Press.2007.
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The pain burden of participants in pragmatic trials for regional musculoskeletal conditions. RHEUMATOLOGY (p. I125, vol. 46). link>2007.
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Cost-utility analysis of a brief pain management programme and physical treatments for low back pain: Results from an economic analysis alongside a randomised clinical trial. RHEUMATOLOGY (p. I123, vol. 45). link>2006.
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Performance of the ACR clinical classification criteria for knee osteoarthritis in the general population. RHEUMATOLOGY (p. I69, vol. 45). link>2006.
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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 (p. I73, vol. 45). link>2006.
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Radiographic knee osteoarthritis: Do compartmental patterns influence pain?. RHEUMATOLOGY (pp. I72-I73, vol. 45). link>2006.
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Symptoms and radiographic osteoarthritis: Not as discordant as they are made out to be?. RHEUMATOLOGY (p. I73, vol. 45). link>2006.
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The ICF core sets for low back pain: Do they tell us what matters to patients?. RHEUMATOLOGY (p. I123, vol. 45). link>2006.
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Validation of a new low back pain sub-grouping tool for primary care (the STarTBack tool). RHEUMATOLOGY (p. I119, vol. 45). link>2006.
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An economic evaluation of three physiotherapy treatments for non-specific neck disorders alongside a randomised trial. Fam Practice (pp. 139-142, vol. 23).2006.
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Attitudes and beliefs of health care practitioners influence their management of patients with LBP.2006.
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Attitudes and beliefs of health care practitioners influence their management of patients with LBP.2006.
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Do the attitudes and beliefs of health care practitioners influence their management of patients with LBP?. Fam Practice (vol. 23).2006.
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Do the attitudes and beliefs of health care practitioners influence their recommendations about work for patients with low back pain?. J Bone Joint Surg (vol. 89).2006.
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Do the patient and doctor agree on diabetic diagnosis?. Fam Practice (pp. 87-88, vol. 23).2006.
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Lessons learned from recent Psychosocial Interventions: Implications for Research.2006.
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Pragmatic randomised clinical trial of the effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in older people presenting to primary care. Fam Practice (pp. 48-50, vol. 23).2006.
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Prevalence and co-occurence of hand osteoarthritis and other musculoskeletal hand conditions in a community dwelling population of older adults. Osteoarthritis and Cartilage (pp. 1063-4584, vol. 14).2006.
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Radiographic Knee Osteoarthritis: Severity and Compartmental Involvement do Influence Symptoms.2006.
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The ICF core sets for low back pain: do they tell us what matters to patients?. The QLR Journal (p. 1138, vols. A-40).2006.
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Using the start back screening tool in primary care: pilot study to assess feasibility. J Bone Joint Surg (vol. 88).2006.
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Cost utility analysis of a brief pain management programme and manual therapy for low back pain: An economic evaluation along-side a randomised clinical trial. ARTHRITIS AND RHEUMATISM (p. S663, vol. 52). link>2005.
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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 (pp. S504-S505, vol. 52). link>2005.
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Predicting the presence of radiographic osteoarthritis in the older patient with knee pain. ARTHRITIS AND RHEUMATISM (p. S509, vol. 52). link>2005.
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Prevalence of radiographic knee osteoarthritis - It all depends on your point of view. ARTHRITIS AND RHEUMATISM (p. S510, vol. 52). link>2005.
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Symptoms and radiographic osteoarthritis: Not as discordant as they are made out to be?. ARTHRITIS AND RHEUMATISM (pp. S509-S510, vol. 52). link>2005.
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The physical examination as a predictor of self-reported physical function in older community-dwelling adults with knee pain. ARTHRITIS AND RHEUMATISM (pp. S466-S467, vol. 52). link>2005.
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Managing inflammatory arthritis in the older person. ANNALS OF THE RHEUMATIC DISEASES (pp. 49-+, vol. 64). link>2005.
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Classifying hand OA in a population of older people: A reliability study. RHEUMATOLOGY (p. I14, vol. 44). link>2005.
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Outcome in low back pain: What matters to the patients?. RHEUMATOLOGY (p. I160, vol. 44). link>2005.
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Startback - Development of a low back pain screening tool. RHEUMATOLOGY (p. I85, vol. 44). link>2005.
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Classifying hand OA in a population of older people: a reliability study. Rheumatology (p. i14, vol. 44).2005.
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Improving the effectiveness of primary care for non-specific back pain: Keele BeBack Study.2005.
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Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: The "Acupuncture, Physiotherapy and Exercise" (APEX) study.2005.
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Managment of inflammatory arthritis in older people.2005.
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Measuring Clinically Important Change in Low Back Pain. J Bone Joint Surg Br Orthopaedic proceedings (p. 39, vol. 87).2005.
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Measuring clinically important change in low back pain. J Bone Joint Surg (vols. 87-B).2005.
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Outcomes in low back pain: what matters to the patients?. Rheumatology (p. i160, vol. 44).2005.
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Outcomes in low back pain: what matters to the patients?.2005.
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Perfomance based functional hand assessment in a population of older people: A reliability study.2005.
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STarT Back - development of a low back pain screening tool.2005.
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The effectivenss of manual therapy or pulsed shortwave diathermy in addition to advice and exercise for neck disorders; a pragmatic randomised controlled trial in physiotherapy clinics. Physiotherapy.2005.
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EVIDENCE-BASED RECOMMENDATIONS FOR THE ROLE OF EXERCISE IN THE MANAGEMENT OF OSTEOARTHRITIS (OA) OF THE HIP OR KNEE. RHEUMATOLOGY (p. 64, vol. 43). link>2004.
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Early physiotherapy management of back pain in primary care: a randomised clinical trial of physical treatments versus a brief pain management programme. Rheumatology (p. ii18, vol. 43).2004.
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Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee.2004.
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Evidence-based recommendations for the role of exercise in the management of osteorarthritis (OA) of the hip or knee. Rheumatology.2004.
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Inter and intra-observer reliability of a non-instrumented, standardised physical examination in a primary care population of older adults with knee problems. Rheumatology (p. 83, vol. 43).2004.
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Issues of generalisability in randmoised controlled trials. Rheumatology (p. 86, vol. 43).2004.
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Living with research governance: experience from a multi-centre clinical trial for knee pain in primary care.2004.
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PANTHER - Issues of generalisability in randomised clinical trials. Rheumatology.2004.
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Physiotherapists' perceived predictors of outcome in neck pain. Rheumatology (p. ii153, vol. 43).2004.
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Cost minimistation analysis of local corticosteroid injection versus physiotherapy for the treatment of new episodes of unilateral should pain in primary care. Rheumatology (p. 147, vol. Suppl 1).2003.
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A Systematic search & critical review of measures of disability for use in a population survey of hand osteoarthritis (OA). Rheumatology (p. 85, vol. 41). doi>2002.
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A quasi-experimental study to investigate the change in physiotherapy clinical practice and attitudes following an evidence based training package on low back pain. Rheumatology (p. 165, vol. 39).2000.
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Long term use of second line antirheumatic drugs in a group of 2170 patients with RA attending a single centre: computerised monitoring aids continuity and compliance. Rheumatology (p. 44, vol. 39).2000.
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Observer reliability study of physical signs used to assess patients with shoulder region pain. Rheumatology (p. 121, vol. 39).2000.
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Social stress, functional impairment and depression in rheumatoid arthritis. British Journal of Rheumatology (p. 279).1997.
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The prevalence of, and morbidity associated with Sjogrens's syndrome: Results from a population based study. Arthritis Rheumatism (p. 1052, vol. 40).1997.
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An assessment of the body chart in Ankylosing Spondylitis. Proc W C P T (p. 1008).1995.
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Departmental Outcome: Forget the patients and staff, measure the notes. British Journal of Rheumatology (p. 49, vol. 34).1995.
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Outpost Rheumatology: The general practitioners perspective. British Journal of Rheumatology (p. 50, vol. 34).1995.
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Rheumatology Education: What do General Practitioners want?. British Journal of Rheumatology (p. 49, vol. 34).1995.
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The body chart: A meaningful assessment of pain compared to visual analogue scales in ankylosing spondylitis. British Journal of Rheumatology (p. 36, vol. 34).1995.
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Weak association between self-reported dry eys and dry mouth and objective tests of salivary and lacrimal function: A population study. British Journal of Rheumatology (p. 33, vol. 34).1995.
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Between observer reliability of the Systemic Lupus international collaborative clinics damage index for SLE. British Journal of Rheumatology (p. 35, vol. 33).1994.
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Lack of influence on non-inherited maternal HLA antigens (NIMA) on the occurence of Rheumatoid Arthritis in muticase families. British Journal of Rheumatology (p. 156, vol. 33).1994.
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Relative effects of HLA-DQA and complement C4A loci on susceptibility to systemic lupus erythematosus. Arthritis Rheumatism (p. S167, vol. 37).1994.
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Polymorphisms of the VB13.2/VB6.7 TCR gene cassette and their relevance to hypergammaglobulinaemic Primary Sjogrens Syndrome. British Journal of Rheumatology (p. 91, vol. 32).1993.
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A cross-sectional study of cognitive function in systemic lupus erythematosus. Lupus (p. 78, vol. 1).1992.
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Anti-P antibodies and systemic lupus erythematosus. Lupus (p. 54, vol. 1).1992.
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Development and testing of the BILAG index (version 3). Lupus (p. 22, vol. 1).1992.
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Fungal HSP90 and SLE. British Journal of Rheumatology (p. 46, vol. 31).1992.
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Soluble Thrombomodulin: A marker of vascular endothelial injury in vasculitis and Systemic Lupus Erythematosus. British Journal of Rheumatology (p. 90, vol. 31).1992.
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A specific TcR gene product is present in abnormal amounts in primary Sjogrens Syndrome. Clin Exp Rheumatol (p. 34, vol. 9).1991.
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An abnormality if the T Cell reportoire in Hypergammaglobulinaemic Primary Sjogrens Syndrome. Arthritis Rheumatism (p. S167, vol. 34).1991.
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Antiribosomal P protein antibodies and Neuropsychiatric disease in patients with Systemic Lupus Eryhtematosus. British Journal of Rheumatology (p. 18, vol. 30).1991.
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Correlation of Serum IgG1 with biopsy findings in Primary Sjogrens Syndrome. British Journal of Rheumatology (p. 18, vol. 30).1991.
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ELISA of Anti-La but not Anti-Ro correlates with total serum IgG1 and degree of salivary gland infiltration in Primary Sjogrens Syndrome. British Journal of Rheumatology (p. 24, vol. 30).1991.
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The BILAG index has good inter-observer agreement when used in a routine out-patient clinic. British Journal of Rheumatology (p. 23, vol. 30).1991.
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The influence of HLA and Primary Sjogrens Syndrome on VB6.7 T Cell receptor gene expression. British Journal of Rheumatology (p. 136, vol. 30).1991.
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Foot pressures in rheumatoid arthritis and diabetes. British Journal of Rheumatology (vol. 27).1988.
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