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All Outputs (117)

Stratified health care for low back pain using the STarT Back approach: Holy Grail or doomed to fail? (2024)
Journal Article
Croft, P., Hill, J. C., Foster, N. E., Dunn, K. M., & van der Windt, D. A. (in press). Stratified health care for low back pain using the STarT Back approach: Holy Grail or doomed to fail?. PAIN, https://doi.org/10.1097/j.pain.0000000000003319

There have been at least 7 separate randomised controlled trials published between 2011 and 2023 that have examined primary care for nonspecific low back pain informed by the STarT Back approach to stratified care based on risk prediction, compared w... Read More about Stratified health care for low back pain using the STarT Back approach: Holy Grail or doomed to fail?.

Musculoskeletal Health and Work: Development and Internal–External Cross-Validation of a Model to Predict Risk of Work Absence and Presenteeism in People Seeking Primary Healthcare (2024)
Journal Article
Archer, L., Peat, G., Snell, K. I. E., Hill, J. C., Dunn, K. M., Foster, N. E., …Wynne-Jones, G. (2024). Musculoskeletal Health and Work: Development and Internal–External Cross-Validation of a Model to Predict Risk of Work Absence and Presenteeism in People Seeking Primary Healthcare. Journal of Occupational Rehabilitation, https://doi.org/10.1007/s10926-024-10223-w

Purpose
To develop and validate prediction models for the risk of future work absence and level of presenteeism, in adults seeking primary healthcare with musculoskeletal disorders (MSD).

Methods
Six studies from the West-Midlands/Northwest regi... Read More about Musculoskeletal Health and Work: Development and Internal–External Cross-Validation of a Model to Predict Risk of Work Absence and Presenteeism in People Seeking Primary Healthcare.

P051 Trends in consultations for musculoskeletal pain in children and young people presenting to United Kingdom primary care: an electronic health record study (2024)
Presentation / Conference
Mason, K. J., Jordan, K. P., Bailey, J., Jöud, A., Jowett, S., Protheroe, J., …Dunn, K. M. (2024, April). P051 Trends in consultations for musculoskeletal pain in children and young people presenting to United Kingdom primary care: an electronic health record study. Poster presented at British Society for Rheumatology Annual Conference 2024

Background/Aims
Musculoskeletal pain in childhood increases the risk of such pain in adulthood but there is an absence of management guidance for this group, not helped by a lack of evidence on the extent and nature of pain in children. The aim was... Read More about P051 Trends in consultations for musculoskeletal pain in children and young people presenting to United Kingdom primary care: an electronic health record study.

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

Addressing Child and Adolescent Musculoskeletal Pain: the CAM-Pain Programme - Code Lists (2023)
Dataset
Jordan, K., Mason, K., Bailey, J., Protheroe, J., Mughal, F., Thomas, M., …Dunn, K. (2023). Addressing Child and Adolescent Musculoskeletal Pain: the CAM-Pain Programme - Code Lists. [Dataset]

SNOMED Clinical terminology and Clinical Practice Record Datalink (CPRD) AURUM dataset code lists from CAM-Pain programme 2023:

The aim of the CAM-Pain programme is to improve the understanding, self-management, impact and healthcare of musculoske... Read More about Addressing Child and Adolescent Musculoskeletal Pain: the CAM-Pain Programme - Code Lists.

Prognosis of patients with neuropathic low back-related leg pain: An exploratory study using prospective data from UK primary care (2023)
Journal Article
Harrisson, S. A., Ogollah, R., Dunn, K. M., Foster, N. E., & Konstantinou, K. (2023). Prognosis of patients with neuropathic low back-related leg pain: An exploratory study using prospective data from UK primary care. Journal of Pain, 25(2), 533-544. https://doi.org/10.1016/j.jpain.2023.09.016

This prospective cohort study investigates the prognosis of patients with neuropathic low back-related leg pain (LBLP) consulting in UK primary care. Data from 511 patients were collected using standardised baseline clinical examinations (including M... Read More about Prognosis of patients with neuropathic low back-related leg pain: An exploratory study using prospective data from UK primary care.

Development and External Validation of Individualized Prediction Models for Pain Intensity Outcomes in Patients With Neck Pain, Low Back Pain, or Both in Primary Care Settings (2023)
Journal Article
Archer, L., Snell, K. I. E., Stynes, S., Axén, I., Dunn, K. M., Foster, N. E., …Hill, J. C. (in press). Development and External Validation of Individualized Prediction Models for Pain Intensity Outcomes in Patients With Neck Pain, Low Back Pain, or Both in Primary Care Settings. Physical Therapy, 103(11), Article pzad128. https://doi.org/10.1093/ptj/pzad128

Objective
The purpose of this study was to develop and externally validate multivariable prediction models for future pain intensity outcomes to inform targeted interventions for patients with neck or low back pain in primary care settings.

Metho... Read More about Development and External Validation of Individualized Prediction Models for Pain Intensity Outcomes in Patients With Neck Pain, Low Back Pain, or Both in Primary Care Settings.

Stratified primary care for adults with musculoskeletal pain: the STarT MSK research programme including RCTs (2023)
Journal Article
E Foster, N., M Dunn, K., Protheroe, J., C Hill, J., Lewis, M., Saunders, B., …Chudyk, A. (in press). Stratified primary care for adults with musculoskeletal pain: the STarT MSK research programme including RCTs. Health Technology Assessment, 11(4), 1-103. https://doi.org/10.3310/FBVX4177

Background Usual primary care for patients with musculoskeletal pain varies widely and treatment outcomes are suboptimal. Stratified care involves targeting treatments according to patient subgroups, in the hope of maximising treatment benefit and re... Read More about Stratified primary care for adults with musculoskeletal pain: the STarT MSK research programme including RCTs.

Are childhood factors predictive of adult health literacy? A longitudinal birth cohort analysis (2023)
Journal Article
Solis-Trapala, I., Campbell, P., Lacey, R., Rowlands, G., Dunn, K., & Protheroe, J. (2023). Are childhood factors predictive of adult health literacy? A longitudinal birth cohort analysis. SSM - Population Health, 13, Article 101426. https://doi.org/10.1016/j.ssmph.2023.101426

Health literacy (HL), defined as the ability of an individual to understand and appraise health information to make informed decisions on their health, helps maintain and improve one's health and thus reduce the use of healthcare services. There is a... Read More about Are childhood factors predictive of adult health literacy? A longitudinal birth cohort analysis.

Symptom patterns and life with post-acute COVID-19 in children aged 8-17: a mixed methods studyprotocol. (2023)
Journal Article
Faux-Nightingale, A., Burton, C., Twohig, H., Bucknall, M., Carroll, W., Chew-Graham, C., …Welsh, V. (2023). Symptom patterns and life with post-acute COVID-19 in children aged 8-17: a mixed methods studyprotocol. British Journal of General Practice Open (BJGP Open), 7(2), Article BJGPO20220149. https://doi.org/10.3399/bjgpo.2022.0149

Background: While there is a substantial body of knowledge about acute COVID-19, less is known about long-COVID, where symptoms continue beyond 4 weeks.

Aim: To describe longer-term effects of COVID-19 infection in children and young people (CYP)... Read More about Symptom patterns and life with post-acute COVID-19 in children aged 8-17: a mixed methods studyprotocol..

Overall prognosis of acute and chronic musculoskeletal, widespread, and neuropathic pain in children and adolescents (2023)
Journal Article
Dunn, K., Montgomery, L. R., Andreucci, A., Kamper, S. J., van der Windt, D., Michaleff, Z. A., …Swain, M. S. (2023). Overall prognosis of acute and chronic musculoskeletal, widespread, and neuropathic pain in children and adolescents. Cochrane Database of Systematic Reviews, 2023(2), https://doi.org/10.1002/14651858.cd014773

Objectives
This is a protocol for a Cochrane Review (prognosis). The objectives are as follows:

We aim to describe the overall prognosis (focusing on the pain course) and the negative impact(s) of acute and chronic musculoskeletal, widespread, an... Read More about Overall prognosis of acute and chronic musculoskeletal, widespread, and neuropathic pain in children and adolescents.

Comparison of healthcare utilisation, costs and health-related quality of life across the subgroups defined by the Keele STarT MSK Tool (2022)
Journal Article
Oppong, R., Lewis, A., Campbell, P., Dunn, K., Foster, N., Hill, J., & Jowett, S. (2022). Comparison of healthcare utilisation, costs and health-related quality of life across the subgroups defined by the Keele STarT MSK Tool. Rheumatology, https://doi.org/10.1093/rheumatology/keac560

Objectives: The aim of this study was to describe and compare health economic outcomes (healthcare utilisation, costs, work outcomes and health-related quality of life (EQ-5D-5L)) in patients classified into different risk subgroups by the Keele STar... Read More about Comparison of healthcare utilisation, costs and health-related quality of life across the subgroups defined by the Keele STarT MSK Tool.

Identification and characterisation of trajectories of sickness absence due to musculoskeletal pain: a 1-year population-based study Tarjei Rysstad1; Margreth Grotle1, 2; Lene Aasdahl3, 4; Kate M. Dunn5; Anne Therese Tveter1 (2022)
Journal Article
Dunn. (2022). Identification and characterisation of trajectories of sickness absence due to musculoskeletal pain: a 1-year population-based study Tarjei Rysstad1; Margreth Grotle1, 2; Lene Aasdahl3, 4; Kate M. Dunn5; Anne Therese Tveter1. Journal of Occupational Rehabilitation, https://doi.org/10.1007/s10926-022-10070-7

Purpose This study aimed to identify trajectories of sickness absence in workers on sick leave due to musculoskeletal disorders and explore the association between these trajectories and established prognostic factors for sickness absence. Methods We... Read More about Identification and characterisation of trajectories of sickness absence due to musculoskeletal pain: a 1-year population-based study Tarjei Rysstad1; Margreth Grotle1, 2; Lene Aasdahl3, 4; Kate M. Dunn5; Anne Therese Tveter1.

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., …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.

Stratifying workers on sick leave due to musculoskeletal pain: Translation, cross-cultural adaptation and construct validity of the Norwegian Keele STarT MSK tool (2022)
Journal Article
Dunn, K. M., Hill, J. C., Rysstad, T., Grotle, M., Aasdahl, L., Hill, J. C., …Tveter, A. T. (2022). Stratifying workers on sick leave due to musculoskeletal pain: Translation, cross-cultural adaptation and construct validity of the Norwegian Keele STarT MSK tool. Scandinavian Journal of Pain, 22(2), 325-335. https://doi.org/10.1515/sjpain-2021-0144

Objectives Stratified care using prognostic models to estimate the risk profiles of patients has been increasing. A refined version of the popular STarT Back tool, the Keele STarT MSK tool, is a newly developed model for matched treatment across a wi... Read More about Stratifying workers on sick leave due to musculoskeletal pain: Translation, cross-cultural adaptation and construct validity of the Norwegian Keele STarT MSK tool.

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., …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., …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.