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All Outputs (433)

Preterm delivery and maternal cardiovascular disease future risk: A systematic review and meta-analysis (2018)
Presentation / Conference Contribution
Wu, P., Gulati, M., Kwok, C., Wong, C., Narain, A., O'Brien, S., Chew-Graham, C., Verma, G., Kadam, U., & Mamas, M. (2018, April). Preterm delivery and maternal cardiovascular disease future risk: A systematic review and meta-analysis. Poster presented at British Maternal & Fetal Medicine Society (BMFMS) 20th Annual Conference 2018, Brighton, UK

Objectives

We aimed to systematically evaluate and summarise the evidence on the relationship between preterm birth (<37 weeks of gestational age) and maternal cardiovascular diseases future risk.

Design

Systematic review and meta-analysis o...

Cost-Utility Analysis of Routine Anxiety and Depression Screening in Patients Consulting for Osteoarthritis: Results From a Clinical, Randomized Controlled Trial (2018)
Journal Article
Kigozi, J., Jowett, S., Nicholl, B. I., Lewis, M., Bartlam, B., Green, D., Belcher, J., Clarkson, K., Lingard, Z., Pope, C., Chew-Graham, C. A., Croft, P., Hay, E., Peat, G., & Mallen, C. D. (2018). Cost-Utility Analysis of Routine Anxiety and Depression Screening in Patients Consulting for Osteoarthritis: Results From a Clinical, Randomized Controlled Trial. Arthritis Care and Research, 70(12), 1787-1794. https://doi.org/10.1002/acr.23568

OBJECTIVE: To investigate the cost-effectiveness (cost-utility) of introducing general practitioner screening for anxiety and depression in patients consulting with osteoarthritis (OA). METHODS: A cluster-randomised trial-based economic evaluation to... Read More about Cost-Utility Analysis of Routine Anxiety and Depression Screening in Patients Consulting for Osteoarthritis: Results From a Clinical, Randomized Controlled Trial.

i049 The importance of identifying and managing co-morbid anxiety and depression in people with rheumatological conditions (2018)
Presentation / Conference Contribution
Chew-Graham, C. i049 The importance of identifying and managing co-morbid anxiety and depression in people with rheumatological conditions. Presented at British Society for Rheumatology Annual Conference 2018

Anxiety and depression are common mental disorders and major contributors to the overall global burden of disease. Depression is a risk factor for suicide. Where anxiety and depression are co-morbid with a long term physical condition, the morbidity... Read More about i049 The importance of identifying and managing co-morbid anxiety and depression in people with rheumatological conditions.

A randomised controlled trial, cost-effectiveness and process evaluation of the implementation of self-management for chronic gastrointestinal disorders in primary care, and linked projects on identification and risk assessment (2018)
Journal Article
Thompson, D. G., O’Brien, S., Kennedy, A., Rogers, A., Whorwell, P., Lovell, K., Richardson, G., Reeves, D., Bower, P., Chew-Graham, C., Harkness, E., & Beech, P. A randomised controlled trial, cost-effectiveness and process evaluation of the implementation of self-management for chronic gastrointestinal disorders in primary care, and linked projects on identification and risk assessment. Programme Grants for Applied Research, 6(1), 1-154. https://doi.org/10.3310/pgfar06010

Background
Chronic gastrointestinal disorders are major burdens in primary care. Although there is some evidence that enhancing self-management can improve outcomes, it is not known if such models of care can be implemented at scale in routine NHS s... Read More about A randomised controlled trial, cost-effectiveness and process evaluation of the implementation of self-management for chronic gastrointestinal disorders in primary care, and linked projects on identification and risk assessment.

Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations (2018)
Journal Article
Chew-Graham, C. (2018). Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations. Patient Education and Counseling, https://doi.org/10.1016/j.pec.2018.03.009

Objectives To establish: a) feasibility of training GPs in a communication intervention to solicit additional patient concerns early in the consultation, using specific lexical formulations (“do you have ‘any’ vs. ‘some’ other concerns?”) noting the... Read More about Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations.

Severity domains for quantifying the severity of Type 2 diabetes using primary care data and linked hospitalisation records from England (2018)
Presentation / Conference Contribution
ZGHEBI, S., Rutter, M., Ashcroft, D., Van Marwijk, H., Mallen, C., Chew-Graham, C. A., Qureshi, N., Weng, S., Mamas, M., & Kontopantelis, E. (2018, March). Severity domains for quantifying the severity of Type 2 diabetes using primary care data and linked hospitalisation records from England. Poster presented at Diabetes UK Professional Conference 2018, London ExCeL, London, UK

Aims: Despite the increasing prevalence of Type 2 diabetes, which presents a significant burden on healthcare resources, there is no agreed validated UK measure to infer Type 2 diabetes severity from electronic health records (EHRs). This study aimed... Read More about Severity domains for quantifying the severity of Type 2 diabetes using primary care data and linked hospitalisation records from England.

A feasibility study for NOn-Traditional providers to support the management of Elderly People with Anxiety and Depression: The NOTEPAD study Protocol (2018)
Journal Article
Burroughs, H., Bartlam, B., Ray, M., Kingstone, T., Shepherd, T., Ogollah, R., Proctor, J., Waheed, W., Bower, P., Bullock, P., Lovell, K., Gilbody, S., Bailey, D., Butler-Whalley, S., & Chew-Graham, C. (2018). A feasibility study for NOn-Traditional providers to support the management of Elderly People with Anxiety and Depression: The NOTEPAD study Protocol. Trials, https://doi.org/10.1186/s13063-018-2550-6

Background
Anxiety and depression are common among older people, with up to 20% reporting such symptoms, and the prevalence increases with co-morbid chronic physical health problems. Access to treatment for anxiety and depression in this population... Read More about A feasibility study for NOn-Traditional providers to support the management of Elderly People with Anxiety and Depression: The NOTEPAD study Protocol.

Evidence flowers: An innovative, visual method of presenting “best evidence” summaries to health professional and lay audiences (2018)
Journal Article
Babatunde, O., Tan, V., Jordan, J., Dziedzic, K., Chew-Graham, C., Jinks, C., Protheroe, J., & Van Der Windt, D. (2018). Evidence flowers: An innovative, visual method of presenting “best evidence” summaries to health professional and lay audiences. Research Synthesis Methods, 9(2), 273-284. https://doi.org/10.1002/jrsm.1295

Background & Aims
Barriers to dissemination and engagement with evidence pose a threat to implementing evidence-based medicine. Understanding, retention, and recall can be enhanced by visual presentation of information. The aim of this exploratory r... Read More about Evidence flowers: An innovative, visual method of presenting “best evidence” summaries to health professional and lay audiences.

Preterm Delivery and Future Risk of Maternal Cardiovascular Disease: A Systematic Review and Meta-Analysis (2018)
Journal Article
Chew-Graham, & Mamas. (2018). Preterm Delivery and Future Risk of Maternal Cardiovascular Disease: A Systematic Review and Meta-Analysis. Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease, https://doi.org/10.1161/JAHA.117.007809

Abstract Background - Preterm delivery (<37 weeks gestational age) affects 11% of all pregnancies, but data are conflicting whether preterm birth is associated with long-term adverse maternal cardiovascular outcomes. We aimed to systematically evalua...

What are the sources of stress and distress for general practitioners working in England? A qualitative study. (2018)
Journal Article
Chew-Graham. (2018). What are the sources of stress and distress for general practitioners working in England? A qualitative study. BMJ Open, e017361 - ?. https://doi.org/10.1136/bmjopen-2017-017361

OBJECTIVES: This paper reports the sources of stress and distress experienced by general practitioners (GP) as part of a wider study exploring the barriers and facilitators to help-seeking for mental illness and burnout among this medical population.... Read More about What are the sources of stress and distress for general practitioners working in England? A qualitative study..

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. (2018)
Journal Article
Healey, E., Herron, D., Hider, S., Bucknall, M., Cooke, K., Finney, A., Goddin, D., Hennings, S., Jinks, C., Lewis, M., Machin, A., Mallen, C., Wathall, S., & Chew-Graham, C. (2018). 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. Journal of Comorbidity, 8(1), https://doi.org/10.1177/2235042X18792373

Background: Patients with inflammatory rheumatic conditions such as rheumatoid arthritis, polymyalgia rheumatica and ankylosing spondylitis are at increased risk of common comorbidities such as cardiovascular disease, osteoporosis and anxiety and dep... Read More about 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..

The feasibility and acceptability of a physical activity intervention for older people with chronic musculoskeletal pain: The iPOPP pilot trial protocol (2017)
Journal Article
Healey, E., Jinks, C., Foster, N., Chew-Graham, Chew-Graham, C., Pincus, T., Hartshorne, L., Cooke, K., Nicholls, E., Proctor, J., Lewis, M., Dent, S., Wathall, S., Hay, E., & McBeth, J. (2017). The feasibility and acceptability of a physical activity intervention for older people with chronic musculoskeletal pain: The iPOPP pilot trial protocol. Musculoskeletal Care, 16(1), https://doi.org/10.1002/msc.1222

INTRODUCTION: This pilot trial will inform the design and methods of a future full-scale randomized controlled trial (RCT) and examine the feasibility, acceptability and fidelity of the Increasing Physical activity in Older People with chronic Pain (... Read More about The feasibility and acceptability of a physical activity intervention for older people with chronic musculoskeletal pain: The iPOPP pilot trial protocol.

CollAborative care for Screen-Positive EldeRs with major depression (CASPER plus): a multicentred randomised controlled trial of clinical effectiveness and cost-effectiveness (2017)
Report
Bosanquet, K., Adamson, J., Atherton, K., Bailey, D., Baxter, C., Beresford-Dent, J., Birtwistle, J., Chew-Graham, C., Clare, E., Delgadillo, J., Ekers, D., Foster, D., Gabe, R., Gascoyne, S., Haley, L., Hamilton, J., Hargate, R., Hewitt, C., Holmes, J., Keding, A., …Gilbody, S. (in press). CollAborative care for Screen-Positive EldeRs with major depression (CASPER plus): a multicentred randomised controlled trial of clinical effectiveness and cost-effectiveness. NIHR

Background
Depression in older adults is common and is associated with poor quality of life, increased morbidity and early mortality, and increased health and social care use. Collaborative care, a low-intensity intervention for depression that is s... Read More about CollAborative care for Screen-Positive EldeRs with major depression (CASPER plus): a multicentred randomised controlled trial of clinical effectiveness and cost-effectiveness.

Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care (2017)
Journal Article
Chew-Graham, C. (2017). Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care. BMJ, j4351 - ?. https://doi.org/10.1136/bmj.j4351

Objectives To examine temporal trends in sex and age specific incidence of self harm in children and adolescents, clinical management patterns, and risk of cause specific mortality following an index self harm episode at a young age.Design Population... Read More about Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care.

Barriers, facilitators, and survival strategies for GPs seeking treatment for distress: a qualitative study. (2017)
Journal Article
Spiers, J., Buszewicz, M., Chew-Graham, C. A., Gerada, C., Kessler, D., Leggett, N., Manning, C., Kathryn Taylor, A., Thornton, G., & Riley, R. (2017). Barriers, facilitators, and survival strategies for GPs seeking treatment for distress: a qualitative study. British Journal of General Practice (BJGP), 700-708. https://doi.org/10.3399/bjgp17X692573

BACKGROUND: GPs are under increasing pressure due to a lack of resources, a diminishing workforce, and rising patient demand. As a result, they may feel stressed, burnt out, anxious, or depressed. AIM: To establish what might help or hinder GPs exper... Read More about Barriers, facilitators, and survival strategies for GPs seeking treatment for distress: a qualitative study..

Increased risk of mortality following recorded presentation of symptoms of breathlessness and wheeze in primary care: a matched cohort study using electronic health records (2017)
Presentation / Conference
Chen, Y., Hayward, R., Chew-Graham, C., Hubbard, R., Sims, K., & Jordan, K. (2017, September). Increased risk of mortality following recorded presentation of symptoms of breathlessness and wheeze in primary care: a matched cohort study using electronic health records. Presented at (Oxford) The School for Primary Care Research annual showcase, University of Oxford, Oxford, UK

'If it's a medical issue I would have covered it by now': learning about fibromyalgia through the hidden curriculum: a qualitative study (2017)
Journal Article
Silverwood, V., & Chew-Graham, C. (2017). 'If it's a medical issue I would have covered it by now': learning about fibromyalgia through the hidden curriculum: a qualitative study. BMC Medical Education, 160 -?. https://doi.org/10.1186/s12909-017-0972-6

BACKGROUND: Fibromyalgia syndrome (FMS) is a long-term condition that affects between 1 and 5% of the general population and lies within the spectrum of medically unexplained symptoms (MUS). FMS can be difficult to diagnose and is usually done so as... Read More about 'If it's a medical issue I would have covered it by now': learning about fibromyalgia through the hidden curriculum: a qualitative study.

Improving recognition of anxiety and depression in rheumatoid arthritis: a qualitative study in a community clinic (2017)
Journal Article
Machin, A., Hider, S., Dale, N., & Chew-Graham, C. (2017). Improving recognition of anxiety and depression in rheumatoid arthritis: a qualitative study in a community clinic. British Journal of General Practice (BJGP), 67(661), E531-E537. https://doi.org/10.3399/bjgp17X691877

BACKGROUND: Comorbid anxiety and depression are common in patients with rheumatoid arthritis (RA) but are often under-recognised and treated, contributing to worse outcomes. National Institute for Health and Care Excellence (NICE) recommends that pat... Read More about Improving recognition of anxiety and depression in rheumatoid arthritis: a qualitative study in a community clinic.