All Outputs (110)

Risk-based stratified primary care for common musculoskeletal pain presentations (STarT MSK): a cluster-randomised, controlled trial (2022)
Journal Article
Hill, J. C., Garvin, S., Bromley, K., Saunders, B., Kigozi, J., Cooper, V., Lewis, M., Protheroe, J., Wathall, S., Chudyk, A., Dunn, K. M., Birkinshaw, H., Jowett, S., Hay, E. M., van der Windt, D., Mallen, C., & Foster, N. E. (2022). Risk-based stratified primary care for common musculoskeletal pain presentations (STarT MSK): a cluster-randomised, controlled trial. The Lancet Rheumatology, 4(9), e591 - e602. https://doi.org/10.1016/S2665-9913%2822%2900159-X

Background Risk-based stratified care shows clinical effectiveness and cost-effectiveness versus usual primary care for non-specific low back pain but is untested for other common musculoskeletal disorders. We aimed to test the clinical effectiveness... Read More about Risk-based stratified primary care for common musculoskeletal pain presentations (STarT MSK): a cluster-randomised, controlled trial.

The development of individualised work absence prediction models in patients with neck and/or low back pain (2021)
Presentation / Conference Contribution
Wynne-Jones, G., Archer, L., Snell, K., Stynes, S., Dunn, K., Foster, N., Van Der Windt, D., & Hill, J. (2021, December). The development of individualised work absence prediction models in patients with neck and/or low back pain. Presented at Virtual Physiotherapy UK 2020 Conference

Refinement and validation of a tool for stratifying patients with musculoskeletal pain (2021)
Journal Article
Dunn, K. M., Campbell, P., Lewis, M., Hill, J. C., van der Windt, D. A., Afolabi, E., Protheroe, J., Wathall, S., Jowett, S., Oppong, R., Mallen, C. D., Hay, E. M., & Foster, N. E. (2021). Refinement and validation of a tool for stratifying patients with musculoskeletal pain. European Journal of Pain, 25(10), 2081-2093. https://doi.org/10.1002/ejp.1821

AbstractBackgroundPatients with musculoskeletal pain in different body sites share common prognostic factors. Using prognosis to stratify and treatment match can be clinically and cost‐effective. We aimed to refine and validate the Keele STarT MSK To... Read More about Refinement and validation of a tool for stratifying patients with musculoskeletal pain.

Chronic widespread pain in children and adolescents presenting in primary care: prevalence and associated risk factors (2021)
Journal Article
Somayajula, G., GG, S., Campbell, P., P, C., Protheroe, J., J, P., Lacey, R., RJ, L., Dunn, K. M., & KM, D. (2021). Chronic widespread pain in children and adolescents presenting in primary care: prevalence and associated risk factors. PAIN, 163(2), E333-E341. https://doi.org/10.1097/j.pain.0000000000002354

A significant proportion of children/adolescents report Chronic Widespread Pain (CWP), but little is known about clinically relevant CWP or what factors lead to onset in this population. Objectives were to report the primary care consultation prevale... Read More about Chronic widespread pain in children and adolescents presenting in primary care: prevalence and associated risk factors.

Are psychological symptoms a risk factor for musculoskeletal pain in adolescents? (2021)
Journal Article
Andreucci, A., Campbell, P., & Dunn, K. (2021). Are psychological symptoms a risk factor for musculoskeletal pain in adolescents?. European Journal of Pediatrics, https://doi.org/10.1007/s00431-021-04002-5

<jats:title>Abstract</jats:title><jats:p>Adolescent musculoskeletal pain is common and is associated with musculoskeletal pain in adulthood. Psychological symptoms, also common in adolescence, have been shown to be associated with musculoskeletal pai... Read More about Are psychological symptoms a risk factor for musculoskeletal pain in adolescents?.

Estimating the population health burden of musculoskeletal conditions using primary care electronic health records (2021)
Journal Article
Yu, D., Peat, G., Jordan, K., Bailey, J., Prieto-Alhambra, D., Robinson, D., Strauss, V., Walker-Bone, K., Silman, A., Mamas, M., Blackburn, S., Dent, S., Dunn, K., Judge, A., Protheroe, J., & Wilkie, R. (2021). Estimating the population health burden of musculoskeletal conditions using primary care electronic health records. Rheumatology, 60(10), 4832-4843. https://doi.org/10.1093/rheumatology/keab109

Objectives
Better indicators from affordable, sustainable data sources are needed to monitor population burden of musculoskeletal conditions. We propose five indicators of musculoskeletal health and assessed if routinely available primary care elect... Read More about Estimating the population health burden of musculoskeletal conditions using primary care electronic health records.

Family-based Interventions Benefit Individuals with Musculoskeletal Pain in the Short-term but not in the Long Term: A Systematic Review and Meta-analysis. (2021)
Journal Article
Fritsch, C., Ferreira, M., da Silva, A., Simic, M., Dunn, K., Campbell, P., Foster, N., & Ferreira, P. (2021). Family-based Interventions Benefit Individuals with Musculoskeletal Pain in the Short-term but not in the Long Term: A Systematic Review and Meta-analysis. Clinical Journal of Pain, 37(2), 140-157. https://doi.org/10.1097/AJP.0000000000000897

INTRODUCTION: The benefits of family-based interventions for patients with musculoskeletal pain have been previously shown in individual randomised controlled trials (RCTs), but no systematic review has summarised their effects. MATERIALS AND METHODS... Read More about Family-based Interventions Benefit Individuals with Musculoskeletal Pain in the Short-term but not in the Long Term: A Systematic Review and Meta-analysis..

Prevalence, Characteristics and Clinical Course of Neuropathic Pain in Primary Care Patients Consulting with Low Back-related Leg Pain. (2020)
Journal Article
Dunn. (2020). Prevalence, Characteristics and Clinical Course of Neuropathic Pain in Primary Care Patients Consulting with Low Back-related Leg Pain. Clinical Journal of Pain, https://doi.org/10.1097/AJP.0000000000000879

OBJECTIVES: Little is known about the epidemiology of neuropathic pain in primary care patients consulting with low back-related leg pain. We aimed to describe prevalence, characteristics and clinical course of low back-related leg pain patients with... Read More about Prevalence, Characteristics and Clinical Course of Neuropathic Pain in Primary Care Patients Consulting with Low Back-related Leg Pain..

Computer-Based Stratified Primary Care for Musculoskeletal Consultations Compared With Usual Care: Study Protocol for the STarT MSK Cluster Randomized Controlled Trial. (2020)
Journal Article
Hill, J., Garvin, S., Chen, Y., Cooper, V., Wathall, S., Bartlam, B., Saunders, B., Lewis, M., Protheroe, J., Chudyk, A., Birkinshaw, H., Dunn, K. M., Jowett, S., Oppong, R., Hay, E., van der Windt, D., Mallen, C., & Foster, N. E. (2020). Computer-Based Stratified Primary Care for Musculoskeletal Consultations Compared With Usual Care: Study Protocol for the STarT MSK Cluster Randomized Controlled Trial. JMIR Research Protocols, 9(7), https://doi.org/10.2196/17939

BACKGROUND: Musculoskeletal (MSK) pain is a major cause of pain and disability. We previously developed a prognostic tool (STarT Back Tool) with demonstrated effectiveness in guiding primary care low back pain management by supporting decision-making... Read More about Computer-Based Stratified Primary Care for Musculoskeletal Consultations Compared With Usual Care: Study Protocol for the STarT MSK Cluster Randomized Controlled Trial..

Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial (2020)
Journal Article
Konstantinou, K., Lewis, M., Dunn, K., Hay, E., Van Der Windt, D., Artus, M., Hill, J., Hughes, G., Robinson, M., Saunders, B., Bartlam, B., Mallen, C., Ogollah, R., Kigozi, J., Jowett, S., & Foster, N. (2020). Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial. The Lancet Rheumatology, 2(7), e401-e411. https://doi.org/10.1016/S2665-9913%2820%2930099-0

Background
Sciatica has a substantial impact on individuals and society. Stratified care has been shown to lead to better outcomes among patients with non-specific low back pain, but it has not been tested for sciatica. We aimed to investigate the c... Read More about Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial.

Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT (2020)
Journal Article
Foster, N. E., Konstantinou, K., Lewis, M., Ogollah, R., Saunders, B., Kigozi, J., Jowett, S., Bartlam, B., Artus, M., Hill, J. C., Hughes, G., Mallen, C. D., Hay, E. M., van der Windt, D. A., Robinson, M., & Dunn, K. M. (2020). Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT. Health Technology Assessment, 2(7), e401-e411. https://doi.org/10.3310/hta24490

BACKGROUND: Sciatica has a substantial impact on patients and society. Current care is 'stepped', comprising an initial period of simple measures of advice and analgesia, for most patients, commonly followed by physiotherapy, and then by more intensi... Read More about Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT.

Risk factors for non-specific neck pain in young adults. A systematic review. (2020)
Journal Article
Dunn. (2020). Risk factors for non-specific neck pain in young adults. A systematic review. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-020-03379-y

BACKGROUND: Young adulthood is a sensitive period of life where development of musculoskeletal neck pain may be established and impact future health. The objective of this systematic review was to investigate risk factors for non-specific neck pain i... Read More about Risk factors for non-specific neck pain in young adults. A systematic review..

Sleep problems increase the risk of musculoskeletal pain in boys but not girls: a prospective cohort study (2020)
Journal Article
Andreucci, A., Campbell, P., Mundy, L. K., Sawyer, S. M., Kosola, S., Patton, G. C., & Dunn, K. M. (2020). Sleep problems increase the risk of musculoskeletal pain in boys but not girls: a prospective cohort study. European Journal of Pediatrics, 179(11), 1711–1719. https://doi.org/10.1007/s00431-020-03667-8

Adults with sleep problems are at higher risk for onset of musculoskeletal pain, but the evidence is less clear for children. This prospective cohort study investigated whether children with sleep problems are at higher risk for onset of musculoskele... Read More about Sleep problems increase the risk of musculoskeletal pain in boys but not girls: a prospective cohort study.

Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial (2020)
Journal Article
Hill, J., Garvin, S., Chen, Y., Cooper, V., Wathall, S., Saunders, B., Lewis, A. M., Protheroe, J., Chudyk, A., Dunn, K., Hay, E., Van Der Windt, D., Mallen, C., & Foster, N. E. (2020). Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial. BMC Family Practice, 21, Article 30. https://doi.org/10.1186/s12875-019-1074-9

Background: Musculoskeletal (MSK) pain from the five most common presentations to primary care (back, neck, shoulder, knee or multi-site pain), where the majority of patients are managed, is a costly global health challenge. At present, first-line de... Read More about Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial.

Musculoskeletal consultations from childhood to adulthood: a longitudinal study (2019)
Journal Article
Bhayankaram, N. P., Lacey, R. J., Barnett, L. A., Jordan, K. P., & Dunn, K. M. (2019). Musculoskeletal consultations from childhood to adulthood: a longitudinal study. Journal of Public Health, 42(4), e428–e434. https://doi.org/10.1093/pubmed/fdz141

BACKGROUND: The Global Burden of Disease reports indicate that musculoskeletal conditions are important causes of disability worldwide. Such conditions may originate in childhood, but studies investigating changes longitudinally and from childhood to... Read More about Musculoskeletal consultations from childhood to adulthood: a longitudinal study.

Sleep problems and psychological symptoms as predictors of musculoskeletal conditions in children and adolescents. (2019)
Journal Article
Andreucci, A., Campbell, P., Dunn, K., Richardson, E., & Chen, Y. (2020). Sleep problems and psychological symptoms as predictors of musculoskeletal conditions in children and adolescents. European Journal of Pain, 24(2), 354-363. https://doi.org/10.1002/ejp.1491

BACKGROUND: Population-based studies show that sleep problems and psychological symptoms may increase the risk of musculoskeletal pain onset in children / adolescents. However, there is no evidence of these associations within primary care settings,... Read More about Sleep problems and psychological symptoms as predictors of musculoskeletal conditions in children and adolescents..

Back pain, mental health and substance use are associated in adolescents. (2019)
Journal Article
Yamato, T., Hodder, R., Wiggers, J., Williams, C., Kamper, S., Michaleff, Z., Campbell, P., & Dunn, K. (2019). Back pain, mental health and substance use are associated in adolescents. Journal of Public Health, 41(3), 487 -493. https://doi.org/10.1093/pubmed/fdy129

BACKGROUND: During adolescence, prevalence of pain and health risk factors such as smoking, alcohol use and poor mental health all rise sharply. The aim of this study was to describe the relationship between back pain and health risk factors in adole... Read More about Back pain, mental health and substance use are associated in adolescents..

Risk factors for episodes of back pain in emerging adults. A systematic review (2019)
Journal Article
Elin Øiestad, B., Hilde, G., Therese Tveter, A., Peat, G. G., Thomas, M. J., Dunn, K. M., & Grotle, M. (2020). Risk factors for episodes of back pain in emerging adults. A systematic review. European Journal of Pain, 24(1), 19-38. https://doi.org/10.1002/ejp.1474

BACKGROUND AND OBJECTIVE: The transition from adolescence to adulthood is a sensitive period in life for health outcomes, including back pain. The objective was to synthesize evidence on risk factors for new episodes of back pain in emerging adults (... Read More about Risk factors for episodes of back pain in emerging adults. A systematic review.

Subgrouping patients with sciatica in primary care for matched care pathways: development of a subgrouping algorithm (2019)
Journal Article
Konstantinou, K., Dunn, K., Windt, D., Ogollah, R., Jasani, V., & Foster, N. (2019). Subgrouping patients with sciatica in primary care for matched care pathways: development of a subgrouping algorithm. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-019-2686-x

Background
Sciatica is a painful condition managed by a stepped care approach for most patients. Currently, there are no decision-making tools to guide matching care pathways for patients with sciatica without evidence of serious pathology, early in... Read More about Subgrouping patients with sciatica in primary care for matched care pathways: development of a subgrouping algorithm.

Factors associated with costs and health outcomes in patients with Back and leg pain in primary care: a prospective cohort analysis (2019)
Journal Article
Kigozi, J., Konstantinou, K., Ogollah, R., Dunn, K., Lewis, M., & Jowett, S. (2019). Factors associated with costs and health outcomes in patients with Back and leg pain in primary care: a prospective cohort analysis. BMC Health Services Research, https://doi.org/10.1186/s12913-019-4257-0

Background
There is limited research on the economic burden of low back-related leg pain, including sciatica. The aim of this study was to describe healthcare resource utilisation and factors associated with cost and health outcomes in primary care... Read More about Factors associated with costs and health outcomes in patients with Back and leg pain in primary care: a prospective cohort analysis.