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
- 2021.
- 2020.
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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.
- 2020.
Full Publications Listshow
Journal Articles
- 2021.
- 2020.
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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.
- 2020.
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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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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). link> doi> full text>2020.
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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. link> doi> full text>2020.
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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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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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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). link> doi> full text>2020.
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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.
- 2019.
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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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The association between gravidity, parity and the risk of developing rheumatoid arthritis: A systematic review and meta-analysis. Semin Arthritis Rheum, 252-260, vol. 50(2). link> doi> full text>2020.
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Haematological abnormalities in new-onset rheumatoid arthritis and risk of common infections: a population-based study. Rheumatology (Oxford), 997-1005, vol. 59(5). link> doi> full text>2020.
- 2019.
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Characteristics of patients with giant cell arteritis who experience visual symptoms. Rheumatol Int, 1789-1796, vol. 39(10). link> doi> full text>2019.
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Antibiotic use and the risk of rheumatoid arthritis: a population-based case-control study. BMC Med, 154, vol. 17(1). link> doi> full text>2019.
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Do β-adrenoreceptor blocking drugs associate with reduced risk of symptomatic osteoarthritis and total joint replacement in the general population? A primary care-based, prospective cohort study using the Clinical Practice Research Datalink. BMJ Open, e032050, vol. 9(8). link> doi> full text>2019.
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The comorbidity burden of type 2 diabetes mellitus: patterns, clusters and predictions from a large English primary care cohort. BMC Med, 145, vol. 17(1). link> doi> full text>2019.
- 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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Gender-specific risk factors for gout: a systematic review of cohort studies. Adv Rheumatol, 24, vol. 59(1). link> doi> full text>2019.
- 2019.
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Early Unplanned Readmissions After Admission to Hospital With Heart Failure. Am J Cardiol, 736-745, vol. 124(5). link> doi> full text>2019.
- 2020.
- 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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The association of pain and stiffness with fatigue in incident polymyalgia rheumatica: baseline results from the polymyalgia rheumatica cohort study. Prim Health Care Res Dev, e46, vol. 20. link> doi> full text>2019.
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Symptoms associated with inflammatory arthritis are common in the primary care population: results from the joint symptoms survey. Rheumatology (Oxford), 2009-2014, vol. 58(11). link> doi> full text>2019.
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Association between inactivated influenza vaccine and primary care consultations for autoimmune rheumatic disease flares: a self-controlled case series study using data from the Clinical Practice Research Datalink. Ann Rheum Dis, 1122-1126, vol. 78(8). link> doi> full text>2019.
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Dietary components and risk of cardiovascular disease and all-cause mortality: a review of evidence from meta-analyses. Eur J Prev Cardiol, 1415-1429, vol. 26(13). link> doi> full text>2019.
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Delays between the onset of symptoms and first rheumatology consultation in patients with rheumatoid arthritis in the UK: an observational study. BMJ Open, e024361, vol. 9(3). link> doi> full text>2019.
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Multisite pain and self-reported falls in older people: systematic review and meta-analysis. Arthritis Res Ther, 67, vol. 21(1). link> doi> full text>2019.
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Assessing the severity of Type 2 diabetes using clinical data-based measures: a systematic review. Diabet Med, 688-701, vol. 36(6). link> doi> full text>2019.
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How do UK physiotherapists address weight loss among individuals with hip osteoarthritis? A mixed-methods study. Musculoskeletal Care, 133-144, vol. 17(1). link> doi> full text>2019.
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Patient Characteristics and General Practitioners' Advice to Stop Statins in Oldest-Old Patients: a Survey Study Across 30 Countries. Journal of General Internal Medicine. link> doi> link> full text>2019.
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Examining management and research priorities in patients with polymyalgia rheumatica: a primary care questionnaire survey. Clin Rheumatol, 1767-1772, vol. 38(6). link> doi> full text>2019.
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Development and validation of prediction models to estimate risk of primary total hip and knee replacements using data from the UK: two prospective open cohorts using the UK Clinical Practice Research Datalink. Ann Rheum Dis, 91-99, vol. 78(1). link> doi> full text>2019.
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Development and validation of a clinical rule for recognition of early inflammatory arthritis. BMJ Open, e023552, vol. 8(11). link> doi> full text>2019.
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Comorbidities in polymyalgia rheumatica: a systematic review. Arthritis Res Ther, 258, vol. 20(1). link> doi> full text>2018.
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Musculoskeletal symptoms and non-prescribed treatments are common in an urban African population of people living with HIV. Rheumatol Int, 285-291, vol. 39(2). link> doi> full text>2019.
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Risk of chronic kidney disease in patients with gout and the impact of urate lowering therapy: a population-based cohort study. Arthritis Res Ther, 243, vol. 20(1). link> doi> full text>2018.
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The extra-articular impacts of rheumatoid arthritis: moving towards holistic care. BMC Rheumatology, 32, vol. 2. link> doi> link> full text>2018.
- 2019.
- 2018.
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Development and validation of prediction models to estimate risk of primary total hip and knee replacements using data from the UK: two prospective open cohorts using the UK Clinical Practice Research Datalink. Annals of the Rheumatic Diseases. doi> full text>2018.
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Better Outcomes for Older people with Spinal Trouble (BOOST) Trial: a randomised controlled trial of a combined physical and psychological intervention for older adults with neurogenic claudication, a protocol. BMJ Open, e022205, vol. 8(10). link> doi> full text>2018.
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Incidence, prevalence and treatment burden of polymyalgia rheumatica in the UK over two decades: a population-based study. Ann Rheum Dis, 1750-1756, vol. 77(12). link> doi> full text>2018.
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Temporal relationships between systemic lupus erythematosus and comorbidities. Rheumatology (Oxford), 840-848, vol. 58(5). link> doi> full text>2019.
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The Risk of Gout Among Patients With Sleep Apnea: A Matched Cohort Study. Arthritis Rheumatol, 154-160, vol. 71(1). link> doi> full text>2019.
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The availability of health information to patients with newly diagnosed polymyalgia rheumatica: results from the Polymyalgia Rheumatica (PMR) Cohort study. Prim Health Care Res Dev, e8, vol. 20. link> doi> full text>2019.
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Support available for and perceived priorities of people with polymyalgia rheumatica and giant cell arteritis: results of the PMRGCAuk members' survey 2017. Clin Rheumatol, 3411-3418, vol. 37(12). link> doi> full text>2018.
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A randomised controlled trial of the clinical and cost-effectiveness of ultrasound-guided intra-articular corticosteroid and local anaesthetic injections: the hip injection trial (HIT) protocol. BMC Musculoskelet Disord, 218, vol. 19(1). link> doi> full text>2018.
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The real evidence for polymyalgia rheumatic as a paraneoplastic syndrome. Reumatismo, 118-119, vol. 70(2). link> doi> full text>2018.
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Obesity, hypertension and diuretic use as risk factors for incident gout: a systematic review and meta-analysis of cohort studies. Arthritis Res Ther, 136, vol. 20(1). link> doi> full text>2018.
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Platelet-rich plasma (PRP) therapy for knee arthritis: a feasibility study in primary care. Pilot Feasibility Stud, 93, vol. 4. 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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Using electronic health records to quantify and stratify the severity of type 2 diabetes in primary care in England: rationale and cohort study design. BMJ Open, e020926, vol. 8(6). link> doi> full text>2018.
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Searching for a prodrome for rheumatoid arthritis in the primary care record: A case-control study in the clinical practice research datalink. Semin Arthritis Rheum, 815-820, vol. 48(5). link> doi> full text>2019.
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Predictors and temporal trend of flu vaccination in auto-immune rheumatic diseases in the UK: a nationwide prospective cohort study. Rheumatology (Oxford), 1726-1734, vol. 57(10). link> doi> full text>2018.
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Rheumatoid arthritis and excess mortality: down but not out. A primary care cohort study using data from Clinical Practice Research Datalink. Rheumatology (Oxford), 977-981, vol. 57(6). link> doi> full text>2018.
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Risk of fragility fracture among patients with gout and the effect of urate-lowering therapy. CMAJ, E581-E587, vol. 190(19). link> doi> full text>2018.
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Primary care challenges in diagnosing and referring patients with suspected rheumatoid arthritis: a national cross-sectional GP survey. Rheumatol Adv Pract, rky012, vol. 2(1). link> doi> full text>2018.
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UK-South Asian patients' experiences of and satisfaction toward receiving information about biologics in rheumatoid arthritis. Patient Prefer Adherence, 489-497, vol. 12. 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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The real evidence for polymyalgia rheumatica as a paraneoplastic syndrome. Reumatismo, 23-34, vol. 70(1). link> doi> full text>2018.
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Gout Severity, Socioeconomic Status, and Work Absence: A Cross-Sectional Study in Primary Care. Arthritis Care Res (Hoboken), 1822-1828, vol. 70(12). link> doi> full text>2018.
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Challenges of diagnosis and management of giant cell arteritis in general practice: a multimethods study. BMJ Open, e019320, vol. 8(2). link> doi> full text>2018.
- 2018.
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How can primary care physicians enhance the early diagnosis of rheumatic diseases?. Expert Rev Clin Immunol, 171-173, vol. 14(3). link> doi> full text>2018.
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Risk of fracture among patients with polymyalgia rheumatica and giant cell arteritis: a population-based study. BMC Med, 4, vol. 16(1). link> doi> full text>2018.
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Health-related quality of life in gout in primary care: Baseline findings from a cohort study. Semin Arthritis Rheum, 61-69, vol. 48(1). link> doi> full text>2018.
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The INCLUDE study: INtegrating and improving Care for patients with infLammatory rheUmatological DisordErs in the community; identifying multimorbidity: Protocol for a pilot randomized controlled trial. J Comorb, 2235042X18792373, vol. 8(1). link> doi> full text>2018.
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Ambulatory emergency care: how should acute generalists manage risk in undifferentiated illness?. Br J Gen Pract, 12-13, vol. 68(666). link> doi> full text>2018.
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Applying quantitative bias analysis to estimate the plausible effects of selection bias in a cluster randomised controlled trial: secondary analysis of the Primary care Osteoarthritis Screening Trial (POST). Trials, 585, vol. 18(1). link> doi> full text>2017.
- 2017.
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The OMERACT Core Domain Set for Outcome Measures for Clinical Trials in Polymyalgia Rheumatica. Journal of Rheumatology, 1515-1521, vol. 44(10). link> doi> link> full text>2017.
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Feasibility randomised multicentre, double-blind, double-dummy controlled trial of anakinra, an interleukin-1 receptor antagonist versus intramuscular methylprednisolone for acute gout attacks in patients with chronic kidney disease (ASGARD): protocol study. BMJ Open, e017121, vol. 7(9). link> doi> full text>2017.
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What is the impact of giant cell arteritis on patients' lives? A UK qualitative study. BMJ Open, e017073, vol. 7(8). link> doi> full text>2017.
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Assessment of the face validity, feasibility and utility of a patient-completed questionnaire for polymyalgia rheumatica: a postal survey using the QQ-10 questionnaire. Pilot Feasibility Stud, 7, vol. 4. link> doi> full text>2018.
- 2017.
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DIAGNOSTIC DELAY FOR GIANT CELL ARTERITIS (GCA). A SYSTEMATIC REVIEW AND META-ANALYSIS. ANNALS OF THE RHEUMATIC DISEASES, 1092, vol. 75. link> doi> full text>2016.
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Diagnostic delay for giant cell arteritis - a systematic review and meta-analysis. BMC Med, 120, vol. 15(1). link> doi> full text>2017.
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Association between characteristics of pain and stiffness and the functional status of patients with incident polymyalgia rheumatica from primary care. Clin Rheumatol, 1639-1644, vol. 37(6). link> doi> full text>2018.
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The pathway to consultation for rheumatoid arthritis: exploring anticipated actions between the onset of symptoms and face-to-face encounter with a healthcare professional. BMC Musculoskelet Disord, 258, vol. 18(1). link> doi> full text>2017.
- 2017.
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Gout and subsequent erectile dysfunction: a population-based cohort study from England. Arthritis Res Ther, 123, vol. 19(1). link> doi> full text>2017.
- 2017.
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The British Society for Rheumatology Guideline for the Management of Gout. Rheumatology (Oxford), 1056-1059, vol. 56(7). link> doi> full text>2017.
- 2017.
- 2017.
- 2017.
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Des caractéristiques de la goutte associées à la dépression mais pas à l’anxiété en soins primaires : conclusions initiales d’une étude de cohorte prospective. Revue du Rhumatisme. doi> link> 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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Variation in GP decisions on antihypertensive treatment in oldest-old and frail individuals across 29 countries. BMC Geriatr, 93, vol. 17(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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Incident acute pseudogout and prior bisphosphonate use: Matched case-control study in the UK-Clinical Practice Research Datalink. Medicine (Baltimore), e6177, vol. 96(12). link> doi> full text>2017.
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Prognosis research ideally should measure time-varying predictors at their intended moment of use. Diagn Progn Res, 1, vol. 1. link> doi> full text>2017.
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Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study. BMJ Open, e014301, vol. 7(1). link> doi> full text>2017.
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Generic prognostic factors for musculoskeletal pain in primary care: a systematic review. BMJ Open, e012901, vol. 7(1). link> doi> link> full text>
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Rheumatoid arthritis is getting less frequent-results of a nationwide population-based cohort study. Rheumatology (Oxford), 736-744, vol. 56(5). link> doi> full text>2017.
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Possible giant cell arteritis symptoms are common in newly diagnosed patients with Polymyalgia Rheumatica: results from an incident primary care PMR cohort. BMC Rheumatol, 7, vol. 1. link> doi> full text>2017.
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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.
- 2016.
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Predicting mortality from change-over-time in the Charlson Comorbidity Index: A retrospective cohort study in a data-intensive UK health system. Medicine (Baltimore), e4973, vol. 95(43). link> doi> full text>2016.
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Illness perceptions of gout patients and the use of allopurinol in primary care: baseline findings from a prospective cohort study. BMC Musculoskelet Disord, 394, vol. 17(1). link> doi> full text>2016.
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Characterising those with incident polymyalgia rheumatica in primary care: results from the PMR Cohort Study. Arthritis Res Ther, 200, vol. 18. link> doi> full text>2016.
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Prevalence of cardiovascular-related comorbidity in ankylosing spondylitis, psoriatic arthritis and psoriasis in primary care: a matched retrospective cohort study. Clin Rheumatol, 3069-3073, vol. 35(12). link> doi> full text>2016.
- 2017.
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Symptom recognition and perceived urgency of help-seeking for rheumatoid arthritis and other diseases in the general public: A mixed method approach. Arthritis care & research. doi> full text>2016.
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A joint effort over a period of time: factors affecting use of urate-lowering therapy for long-term treatment of gout. BMC Musculoskelet Disord, 249, vol. 17. link> doi> full text>2016.
- 2016.
- 2016.
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Qualitative Exploration of Illness Perceptions of Rheumatoid Arthritis in the General Public. Musculoskeletal Care, 13-22, vol. 15(1). link> doi> full text>2017.
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An algorithm to identify rheumatoid arthritis in primary care: a Clinical Practice Research Datalink study. BMJ Open, e009309, vol. 5(12). link> doi> full text>2015.
- 2015.
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"Why me? I don't fit the mould … I am a freak of nature": a qualitative study of women's experience of gout. BMC Womens Health, 122, vol. 15. link> doi> full text>2015.
- 2015.
- 2015.
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Improving the care of people with long-term conditions in primary care: protocol for the ENHANCE pilot trial. J Comorb, 135-149, vol. 5. link> doi> full text>2015.
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Physician's Prescribing Preference as an Instrumental Variable: Exploring Assumptions Using Survey Data. Epidemiology, 276-283, vol. 27(2). link> doi> full text>2016.
- 2016.
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Gout characteristics associate with depression, but not anxiety, in primary care: Baseline findings from a prospective cohort study. Joint Bone Spine, 553-558, vol. 83(5). link> doi> full text>2016.
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Discussing prognosis with patients with osteoarthritis: a cross-sectional survey in general practice. CLINICAL RHEUMATOLOGY, 1011-1017, vol. 35(4). link> doi> full text>2016.
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The triple whammy anxiety depression and osteoarthritis in long-term conditions. BMC Fam Pract, 163, vol. 16. link> doi> full text>2015.
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What does a primary care annual review for RA include? A national GP survey. Clin Rheumatol, 2137-2138, vol. 35(8). link> doi> full text>2016.
- 2015.
- 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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Mapping patients' experiences from initial symptoms to gout diagnosis: a qualitative exploration. BMJ Open, e008323, vol. 5(9). link> doi> full text>2015.
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“You want to get on with the rest of your life”: a qualitative study of health-related quality of life in gout. Clinical Rheumatology. doi> full text>2015.
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Foot problems in people with gout in primary care: baseline findings from a prospective cohort study. J Foot Ankle Res, 31, vol. 8. link> doi> full text>2015.
- 2015.
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Study aims to test extended review of LTCs to improve management of OA and anxiety/ depression. Practice Nurse.2015.
- 2015.
- 2015.
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Increased risk of vascular disease associated with gout: a retrospective, matched cohort study in the UK clinical practice research datalink. Ann Rheum Dis, 642-647, vol. 74(4). 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.
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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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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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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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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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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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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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COMORBIDITY CLUSTERS IN PEOPLE WITH GOUT: A PRIMARY CARE BASED OBSERVATIONAL STUDY. RHEUMATOLOGY (p. 152, vol. 54). link>2015.
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Improving Care for People with Long-Term Conditions: The ENHANCE study.
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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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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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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>