Outputs (8)

Can clinical presentation predict radiologically confirmed cauda equina syndrome: retrospective case review of 530 cases at a tertiary emergency department (2024)
Journal Article
Wood, L., Dunstan, E., Karouni, F., Zlatanos, C., Elkazaz, M., Salem, K. M. I., D'Aquino, D. A., & Lewis, M. (in press). Can clinical presentation predict radiologically confirmed cauda equina syndrome: retrospective case review of 530 cases at a tertiary emergency department. European Spine Journal, https://doi.org/10.1007/s00586-024-08474-5

Purpose
Cauda equina syndrome (CES) may have significant individual consequences if diagnostic delays occur. Our aim was to evaluate the presenting subjective and objective features of patients with suspected CES in comparison to those with radiolog... Read More about Can clinical presentation predict radiologically confirmed cauda equina syndrome: retrospective case review of 530 cases at a tertiary emergency department.

Protocol for the Work And Vocational advicE (WAVE) randomised controlled trial testing the addition of vocational advice to usual primary care (Clinical Trials: NCT04543097) (2024)
Preprint / Working Paper
Wynne-Jones, G., Lewis, M., Sowden, G., Madan, I., Walker-Bone, K., Chew-Graham, C., Bromley, K., Jowett, S., Parsons, V., Mansell, G., Cooke, K., Lawton, S., Saunders, B., Pemberton, J., Cooper, C., & Foster, N. Protocol for the Work And Vocational advicE (WAVE) randomised controlled trial testing the addition of vocational advice to usual primary care (Clinical Trials: NCT04543097)

Objectives To investigate the effectiveness of adding a brief vocational advice intervention to usual care in reducing the number of days absent from work over a period of 6 months in adults given a fit note by their general practice.

Design Multi... Read More about Protocol for the Work And Vocational advicE (WAVE) randomised controlled trial testing the addition of vocational advice to usual primary care (Clinical Trials: NCT04543097).

Exploring General Practitioners' Management of Self‐Harm in Young People: A Qualitative Study (2024)
Journal Article
Mughal, F., Saunders, B., Lewis, M., J. Armitage, C., Dikomitis, L., Lancaster, G., Townsend, E., & A. Chew‐Graham, C. (2024). Exploring General Practitioners' Management of Self‐Harm in Young People: A Qualitative Study. Health Expectations, 27(5), Article e70026. https://doi.org/10.1111/hex.70026

Background: General practitioners (GPs) are key to the frontline assessment and treatment of young people after self‐harm. Young people value GP‐led self‐harm care, but little is known about how GPs manage young people after self‐harm. Aim: This stud... Read More about Exploring General Practitioners' Management of Self‐Harm in Young People: A Qualitative Study.

How GPs can help young people avoid future self-harm: a qualitative study (2024)
Journal Article
Mughal, F., Chew-Graham, C. A., Townsend, E., Armitage, C., Lewis, M., & Saunders, B. (2024). How GPs can help young people avoid future self-harm: a qualitative study. British Journal of General Practice (BJGP), 74(749), e832-e838. https://doi.org/10.3399/BJGP.2024.0209

Background Self-harm is a growing problem in young people. General practitioners (GPs) are usually the first point of healthcare contact for young people aged 16-25 years after self-harm. GPs can experience barriers to supporting young people and beh... Read More about How GPs can help young people avoid future self-harm: a qualitative study.

What do RCTs tell us, and could they tell us more? Looking within and beyond the study sample (2024)
Book Chapter
Sim, J., Lancaster, G., & Lewis, M. (2024). What do RCTs tell us, and could they tell us more? Looking within and beyond the study sample. In A Medical Educator's Guide to Thinking Critically about Randomised Controlled Trials: Deconstructing the "Gold Standard" (109-144). Springer Nature [academic journals on nature.com]. https://doi.org/10.1007/978-3-031-25859-6_5

Randomised controlled trials (RCTs) are generally regarded as the gold-standard method to answer questions of treatment effectiveness. Carefully designed and rigorously implemented, they can provide unbiased estimates of average treatment effectivene... Read More about What do RCTs tell us, and could they tell us more? Looking within and beyond the study sample.

The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study (2024)
Journal Article
Mughal, F., Chew-Graham, C. A., Saunders, B., Lawton, S. A., Lewis, S., Smith, J., Lancaster, G., Townsend, E., Armitage, C. J., Bower, P., Kapur, N., Kessler, D., Realpe, A. X., Wiles, N., Ougrin, D., & Lewis, M. (2024). The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study. NIHR Open Research, 4(27), https://doi.org/10.3310/nihropenres.13576.1

Background
Self-harm in young people is a growing concern and reducing rates a global priority. General practitioners (GPs) can intervene early after self-harm but there are no effective treatments presently available. We developed the GP-led COPING... Read More about The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study.

Cost-utility analysis of risk-based stratified primary care for common musculoskeletal pain presentations: a cluster-randomised, controlled trial (2024)
Preprint / Working Paper
Kigozi, J., Hill, J. C., Bromley, K., Lewis, M., Wathall, S., Chudyk, A., Dunn, K. M., Foster, N. E., & Jowett, S. Cost-utility analysis of risk-based stratified primary care for common musculoskeletal pain presentations: a cluster-randomised, controlled trial

Background
Risk-based stratified care (SC) has demonstrated cost-effectiveness versus usual primary care for non-specific low back pain. The STarT MSK trial investigated the cost-effectiveness of risk-based stratified care versus non-stratified usua... Read More about Cost-utility analysis of risk-based stratified primary care for common musculoskeletal pain presentations: a cluster-randomised, controlled trial.

The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study. (2024)
Journal Article
Mughal, F., Chew-Graham, C. A., Saunders, B., Lawton, S. A., Lewis, S., Smith, J., Lancaster, G., Townsend, E., Armitage, C. J., Bower, P., Kapur, N., Kessler, D., Realpe, A. X., Wiles, N., Ougrin, D., & Lewis, M. (2024). The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study. NIHR Open Research, 4, https://doi.org/10.3310/nihropenres.13576.2

BackgroundSelf-harm in young people is a growing concern and reducing rates a global priority. Rates of self-harm documented in general practice have been increasing for young people in the UK in the last two decades, especially in 13-16-year-olds. G... Read More about The CO-produced Psychosocial INtervention delivered by GPs to young people after self-harm (COPING): protocol for a feasibility study..