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All Outputs (110)

Classification of low-back-related leg pain consulters using latent class analysis (2017)
Presentation / Conference Contribution
Stynes, S. . M., Konstantinou, K., Ogollah, R., & Dunn, K. Classification of low-back-related leg pain consulters using latent class analysis. Presented at The Society for Back Pain Research (SBPR) - Annual General Meeting 2016

Background
Low back-related leg pain (LBLP) is clinically diagnosed as referred leg pain or sciatica. Within the spectrum of LBLP there may be unrecognised subgroups of patients. This study aimed to identify and describe clusters of LBLP patients us... Read More about Classification of low-back-related leg pain consulters using latent class analysis.

The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581). (2017)
Journal Article
Foster, N. E., Konstantinou, K., Lewis, M., Ogollah, R., Dunn, K. M., van der Windt, D., Beardmore, R., Artus, M., Bartlam, B., Hill, J. C., Jowett, S., Kigozi, J., Mallen, C., Saunders, B., & Hay, E. M. (2017). The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581). BMC Musculoskeletal Disorders, 18, Article 172. https://doi.org/10.1186/s12891-017-1513-5

BACKGROUND: Sciatica has a substantial impact on patients, and is associated with high healthcare and societal costs. Although there is variation in the clinical management of sciatica, the current model of care usually involves an initial period of... Read More about The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581)..

Brief pain re-assessment provided more accurate prognosis than baseline information for low-back or shoulder pain (2017)
Journal Article
Jordan, Dunn, & Van Der Windt. (2017). Brief pain re-assessment provided more accurate prognosis than baseline information for low-back or shoulder pain. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-017-1502-8

Background
Research investigating prognosis in musculoskeletal pain conditions has only been moderately successful in predicting which patients are unlikely to recover. Clinical decision making could potentially be improved by combining information... Read More about Brief pain re-assessment provided more accurate prognosis than baseline information for low-back or shoulder pain.

Identifying Treatment Effect Modifiers in the STarT Back Trial: A Secondary Analysis (2017)
Journal Article
Beneciuk, J., Hill, J., Campbell, P., Afolabi, E., George, S., Dunn, K., & Foster, N. (2017). Identifying Treatment Effect Modifiers in the STarT Back Trial: A Secondary Analysis. Journal of Pain, 54-65. https://doi.org/10.1016/j.jpain.2016.10.002

Identification of patient characteristics influencing treatment outcomes is a top low back pain (LBP) research priority. Results from the STarT Back Trial support the effectiveness of prognostic stratified care for LBP compared to current best care,... Read More about Identifying Treatment Effect Modifiers in the STarT Back Trial: A Secondary Analysis.

Generic prognostic factors for musculoskeletal pain in primary care: a systematic review. (2017)
Journal Article
Artus, M., Campbell, P., Mallen, C., Dunn, K., & van der Windt, D. (2017). Generic prognostic factors for musculoskeletal pain in primary care: a systematic review. BMJ Open, e012901 - ?. https://doi.org/10.1136/bmjopen-2016-012901

OBJECTIVES: To summarise the evidence for generic prognostic factors across a range of musculoskeletal (MSK) conditions. SETTING: primary care. METHODS AND OUTCOMES: Comprehensive systematic literature review. MEDLINE, CINAHL, PsychINFO and EMBASE we... Read More about Generic prognostic factors for musculoskeletal pain in primary care: a systematic review..

Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study. (2016)
Journal Article
Konstantinou, K., Dunn, K., Ogollah, R., Vogel, S., & Hay, E. (2016). Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study. BMC Musculoskeletal Disorders, 332. https://doi.org/10.1186/s12891-015-0787-8

Background
Patients with back pain radiating to the leg(s) report worse symptoms and poorer recovery than those with back pain alone. Robust evidence regarding their epidemiological profile is lacking from primary care, the setting where most of the... Read More about Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study..

PMS74 - Development of the Musculoskeletal Health Questionnaire (MSK-HQ) for Use in Different Conditions and Different Healthcare Pathways (2016)
Journal Article
Hill, J., Kang, S., Benedetto, E., Myers, H., Blackburn, S., Smith, S., Dunn, K., Hay, E., Rees, J., Beard, D., Glyn-Jones, S., Barker, K., Churchman, D., Ellis, B., Fitzpatrick, R., & Price, A. (2016). PMS74 - Development of the Musculoskeletal Health Questionnaire (MSK-HQ) for Use in Different Conditions and Different Healthcare Pathways. Value in Health, 19(7), 544 - 544. https://doi.org/10.1016/j.jval.2016.09.1142

Objectives
Musculoskeletal pain is the single greatest cause of years lived with disability. This can include osteoarthritis, inflammatory disorders and musculoskeletal disorders such as back, neck, shoulder, hip, and knee pain. The Arthritis UK Mus... Read More about PMS74 - Development of the Musculoskeletal Health Questionnaire (MSK-HQ) for Use in Different Conditions and Different Healthcare Pathways.

Does a modified STarT Back Tool predict outcome with a broader group of musculoskeletal patients than back pain? A secondary analysis of cohort data. (2016)
Journal Article
Hill, J., Afolabi, E. K., Lewis, M., Dunn, K., Roddy, E., Van Der Windt, D., & Foster, N. E. (2016). Does a modified STarT Back Tool predict outcome with a broader group of musculoskeletal patients than back pain? A secondary analysis of cohort data. BMJ Open, e012445 - ?. https://doi.org/10.1136/bmjopen-2016-012445

OBJECTIVES: The STarT Back Tool has good predictive performance for non-specific low back pain in primary care. We therefore aimed to investigate whether a modified STarT Back Tool predicted outcome with a broader group of musculoskeletal patients, a... Read More about Does a modified STarT Back Tool predict outcome with a broader group of musculoskeletal patients than back pain? A secondary analysis of cohort data..

Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care. (2016)
Journal Article
Campbell, P., Hill, J., Protheroe, J., Afolabi, E., Lewis, M., Beardmore, R., Hay, E., Mallen, C., Bartlam, B., Saunders, B., Van Der Windt, D., Jowett, S., Foster, N., & Dunn, K. (2016). Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care. Journal of Pain Research, 2016(9), 807 -818. https://doi.org/10.2147/JPR.S116614

Musculoskeletal conditions represent a considerable burden worldwide, and are predominantly managed in primary care. Evidence suggests that many musculoskeletal conditions share similar prognostic factors. Systematically assessing patient’s prognosis... Read More about Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care..

Comprehensive Systematic Review of long-term opioids in women with chronic non cancer pain and associated reproductive dysfunction (hypothalmic-pituitary-gonadal axis disruption) (2016)
Journal Article
Dunn. (2016). Comprehensive Systematic Review of long-term opioids in women with chronic non cancer pain and associated reproductive dysfunction (hypothalmic-pituitary-gonadal axis disruption). PAIN, 8-16. https://doi.org/10.1097/j.pain.0000000000000691

A comprehensive systematic literature review of reproductive side effects in women aged 18 to 55 years treated with opioids for 1 month or longer for chronic noncancer pain. A search of 7 databases including EMBASE and Medline was undertaken (October... Read More about Comprehensive Systematic Review of long-term opioids in women with chronic non cancer pain and associated reproductive dysfunction (hypothalmic-pituitary-gonadal axis disruption).

Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways. (2016)
Journal Article
Hill, J., Kang, S., Benedetto, E., Myers, H., Blackburn, S., Smith, S., Dunn, K., Hay, E., Rees, J., Beard, D., Glyn-Jones, S., Barker, K., Ellis, B., Fitzpatrick, R., & Price, A. (2016). Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways. BMJ Open, 6(8), Article e012331. https://doi.org/10.1136/bmjopen-2016-012331

OBJECTIVES: Current musculoskeletal outcome tools are fragmented across different healthcare settings and conditions. Our objectives were to develop and validate a single musculoskeletal outcome measure for use throughout the pathway and patients wit... Read More about Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways..

Trends in long-term opioid prescribing in primary care patients with musculoskeletal conditions: an observational database study (2016)
Journal Article
Bedson, J., Chen, Y., Hayward, R. A., Ashworth, J., Walters, K., Dunn, K. M., & Jordan, K. P. (2016). Trends in long-term opioid prescribing in primary care patients with musculoskeletal conditions: an observational database study. PAIN, 157(7), 1525 -1531. https://doi.org/10.1097/j.pain.0000000000000557

Long-term opioids may benefit patients with chronic pain but have also been linked to harmful outcomes. In the United Kingdom, the predominant source of opioids is primary care prescription. The objective was to examine changes in the incidence, leng... Read More about Trends in long-term opioid prescribing in primary care patients with musculoskeletal conditions: an observational database study.

Classification of patients with low back-related leg pain: a systematic review (2016)
Journal Article
Stynes, & Dunn. (2016). Classification of patients with low back-related leg pain: a systematic review. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-016-1074-z

Background
The identification of clinically relevant subgroups of low back pain (LBP) is considered the number one LBP research priority in primary care. One subgroup of LBP patients are those with back related leg pain. Leg pain frequently accompan... Read More about Classification of patients with low back-related leg pain: a systematic review.

What have we learned from ten years of trajectory research in low back pain? (2016)
Journal Article
Dunn. (2016). What have we learned from ten years of trajectory research in low back pain?. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-016-1071-2

Background
Non-specific low back pain (LBP) is often categorised as acute, subacute or chronic by focusing on the duration of the current episode. However, more than twenty years ago this concept was challenged by a recognition that LBP is often an... Read More about What have we learned from ten years of trajectory research in low back pain?.

Process and impact of patient involvement in a systematic review of shared decision making in primary care consultations (2016)
Journal Article
Hyde, C., Dunn, K. M., Higginbottom, A., & Chew-Graham, C. A. (2016). Process and impact of patient involvement in a systematic review of shared decision making in primary care consultations. Health Expectations, 298-308. https://doi.org/10.1111/hex.12458

BACKGROUND: Patient and public involvement and engagement (PPIE) in systematic reviews remains uncommon, despite the policy imperative for patient involvement in research. The aim of this study was to investigate the process and impact of collaborati... Read More about Process and impact of patient involvement in a systematic review of shared decision making in primary care consultations.

Has there been a change in the rates of UK sickness certification for back pain over time? An examination of historical data from 2000 to 2010. (2016)
Journal Article
Wynne-Jones, G., & Dunn, K. (2016). Has there been a change in the rates of UK sickness certification for back pain over time? An examination of historical data from 2000 to 2010. BMJ Open, e009634 - ?. https://doi.org/10.1136/bmjopen-2015-009634

OBJECTIVES: This paper aims to investigate historical patterns of sickness certification for back pain from 2000 to 2010. DESIGN: Electronic medical records from 14 practices that are part of the National Institute for Health Research (NIHR) Clinical... Read More about Has there been a change in the rates of UK sickness certification for back pain over time? An examination of historical data from 2000 to 2010..

048 A Consensus Group Approach to Agreeing Matched Treatment Options for Musculoskeletal Pain of Patients Stratified According to Prognostic Risk (2016)
Presentation / Conference Contribution
Protheroe, J., Saunders, B. M., Hill, J., Bartlam, B., Dunn, K. M., & Foster, N. 048 A Consensus Group Approach to Agreeing Matched Treatment Options for Musculoskeletal Pain of Patients Stratified According to Prognostic Risk

Background: This paper reports on an expert consensus exercise to agree matched treatment options for subgroups of patients based on prognostic risk of persistent disabling pain. As part of the Stratified Primary Care for Musculoskeletal Pain researc... Read More about 048 A Consensus Group Approach to Agreeing Matched Treatment Options for Musculoskeletal Pain of Patients Stratified According to Prognostic Risk.