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Outputs (116)

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.

Foot and ankle problems in children and young people: a population-based cohort study (2024)
Journal Article
Rezel-Potts, E., Bowen, C., Dunn, K., Jones, C., Gulliford, M., & Morrison, S. (2024). Foot and ankle problems in children and young people: a population-based cohort study. European Journal of Pediatrics,

Background: There is little data describing the nature and frequency of foot and ankle problems in children and young people (CYP) problems attending primary care. Aim: To describe the epidemiology, presentation and healthcare use for foot and ankl... Read More about Foot and ankle problems in children and young people: a population-based cohort study.

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.

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., Axen, 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)
Report
E Foster, N., M Dunn, K., Protheroe, J., C Hill, J., Lewis, M., Saunders, B., …Chudyk, A. (2023). Stratified primary care for adults with musculoskeletal pain: the STarT MSK research programme including RCTs. NIHR

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.

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

AbstractAdolescent 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 pain, but the current evidence is mi... 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., …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., …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., …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 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., …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.

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., …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.

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..

Stratified care for patients with back, neck, knee, shoulder or multi-site pain: the STarT MSK feasibility/pilot randomised controlled trial (ISRCTN15366334) (2020)
Journal Article
Hill, J., Saunders, B., Bartlam, B., Lewis, M., Chen, Y., Wathall, S., …Foster, N. (2020). Stratified care for patients with back, neck, knee, shoulder or multi-site pain: the STarT MSK feasibility/pilot randomised controlled trial (ISRCTN15366334). Physiotherapy, 107(Supplement 1), e58-e59. https://doi.org/10.1016/j.physio.2020.03.080

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., …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., …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.

Matching treatment options for risk sub-groups in musculoskeletal pain: a consensus groups study (2019)
Journal Article
Protheroe, J., Saunders, B., Bartlam, B., Dunn, K., Cooper, V., Campbell, P., …Foster, N. (2019). Matching treatment options for risk sub-groups in musculoskeletal pain: a consensus groups study. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-019-2587-z

Background Musculoskeletal (MSK) pain represents a considerable worldwide healthcare burden. This study aimed to gain consensus from practitioners who work with MSK pain patients, on the most appropriate primary care treatment options for subgroups... Read More about Matching treatment options for risk sub-groups in musculoskeletal pain: a consensus groups study.

Risk of adverse events in patients prescribed long-term opioids: a cohort study in the UK Clinical Practice Research Datalink (2019)
Journal Article
Bedson, J., Chen, Y., Ashworth, J., Hayward, R. A., Dunn, K. M., & Jordan, K. P. (2019). Risk of adverse events in patients prescribed long-term opioids: a cohort study in the UK Clinical Practice Research Datalink. European Journal of Pain, 23(5), 908-922. https://doi.org/10.1002/ejp.1357

Background Long-term opioid prescribing for musculoskeletal pain is controversial due to uncertainty regarding effectiveness and safety. This study examined the risks of a range of adverse events in a large cohort of patients prescribed long-term op... Read More about Risk of adverse events in patients prescribed long-term opioids: a cohort study in the UK Clinical Practice Research Datalink.

Determining one-year trajectories of low back related leg pain in primary care patients: growth mixture modelling of a prospective cohort study (2018)
Journal Article
Dunn, & Stynes. (2018). Determining one-year trajectories of low back related leg pain in primary care patients: growth mixture modelling of a prospective cohort study. Arthritis Care and Research, 1840-1848. https://doi.org/10.1002/acr.23556

OBJECTIVE The clinical presentation and outcome of patients with back and leg pain in primary care are heterogeneous and may be better understood by identification of homogeneous and clinically meaningful subgroups. Subgroups of patients with differ... Read More about Determining one-year trajectories of low back related leg pain in primary care patients: growth mixture modelling of a prospective cohort study.

Increased risk of reproductive dysfunction in women prescribed long-term opioids for musculoskeletal pain: a matched cohort study in the Clinical Practice Research Datalink. (2018)
Journal Article
Dunn. (2018). Increased risk of reproductive dysfunction in women prescribed long-term opioids for musculoskeletal pain: a matched cohort study in the Clinical Practice Research Datalink. European Journal of Pain, 1701-1708. https://doi.org/10.1002/ejp.1256

BACKGROUND: One fifth of primary care attendees suffer chronic non-cancer pain, with musculoskeletal conditions the leading cause. 12% of patients with chronic non-cancer pain are prescribed strong opioids. Evidence suggests long-term opioid use is r... Read More about Increased risk of reproductive dysfunction in women prescribed long-term opioids for musculoskeletal pain: a matched cohort study in the Clinical Practice Research Datalink..

ADVERSE HEALTH RISKS IN ADOLESCENTS WITH BACK PAIN (2018)
Presentation / Conference
Williams, C., Kamper, S., Michaleff, Z., Campbell, P., Wiggers, J., Hodder, R., & Dunn, K. (2018, August). ADVERSE HEALTH RISKS IN ADOLESCENTS WITH BACK PAIN. Poster presented at 15th International Congress of Behavioral Medicine

Background Adverse health risk indicators such as substance use and psychological distress are public health priorities for adolescents. They are drivers of long term adverse health and social outcomes. For this reason they are common targets of publ... Read More about ADVERSE HEALTH RISKS IN ADOLESCENTS WITH BACK PAIN.

Child and adolescent musculoskeletal pain (CAM-Pain) feasibility study: testing a method of identifying, recruiting and collecting data from children and adolescents who consult about a musculoskeletal condition in UK general practice (2018)
Journal Article
Michaleff, Z., Campbell, P., Hay, A., Warburton, L., & Dunn, K. (2018). Child and adolescent musculoskeletal pain (CAM-Pain) feasibility study: testing a method of identifying, recruiting and collecting data from children and adolescents who consult about a musculoskeletal condition in UK general practice. BMJ Open, e021116 - ?. https://doi.org/10.1136/bmjopen-2017-021116

OBJECTIVES Test a method of identifying, recruiting and collecting data from children and adolescents who consult their general practitioner about a musculoskeletal condition. DESIGN Prospective cohort feasibility study. SETTING 13 general... Read More about Child and adolescent musculoskeletal pain (CAM-Pain) feasibility study: testing a method of identifying, recruiting and collecting data from children and adolescents who consult about a musculoskeletal condition in UK general practice.

Clinical diagnostic model for sciatica developed in primary care patients with low back-related leg pain (2018)
Journal Article
Stynes, S., Konstantinou, K., Ogollah, R., Hay, E., & Dunn, K. (2018). Clinical diagnostic model for sciatica developed in primary care patients with low back-related leg pain. PloS one, 1 -14. https://doi.org/10.1371/journal.pone.0191852

Background Identification of sciatica may assist timely management but can be challenging in clinical practice. Diagnostic models to identify sciatica have mainly been developed in secondary care settings with conflicting reference standard selection... Read More about Clinical diagnostic model for sciatica developed in primary care patients with low back-related leg pain.

Epidemiology of paediatric presentations with musculoskeletal problems in primary care. (2018)
Journal Article
Protheroe, & Dunn. (2018). Epidemiology of paediatric presentations with musculoskeletal problems in primary care. BMC Musculoskeletal Disorders, 40 - ?. https://doi.org/10.1186/s12891-018-1952-7

BACKGROUND: Musculoskeletal disease is a common cause of morbidity, but there is a paucity of musculoskeletal research focusing on paediatric populations, particularly in primary care settings. In particular, there is limited information on populatio... Read More about Epidemiology of paediatric presentations with musculoskeletal problems in primary care..

Trajectories and predictors of the long-term course of low back pain: cohort study with 5-year follow-up (2018)
Journal Article
Jordan, K., Dunn, K., Strauss, V., Foster, N., Chen, Y., & Campbell, P. (2018). Trajectories and predictors of the long-term course of low back pain: cohort study with 5-year follow-up. PAIN, 252-260. https://doi.org/10.1097/j.pain.0000000000001097

Low back pain (LBP) is a major health challenge globally. Research has identified common trajectories of pain over time. We aimed to investigate whether trajectories described in one primary care cohort can be confirmed in another, and to determine t... Read More about Trajectories and predictors of the long-term course of low back pain: cohort study with 5-year follow-up.

Novel approach to characterising individuals with low back-related leg pain: cluster identification with latent class analysis and 12-month follow-up. (2018)
Journal Article
Stynes, S., Konstantinou, K., Ogollah, R., Hay, E. M., & Dunn, K. M. (2018). Novel approach to characterising individuals with low back-related leg pain: cluster identification with latent class analysis and 12-month follow-up. PAIN, 159(4), https://doi.org/10.1097/j.pain.0000000000001147

Traditionally, low back-related leg pain (LBLP) is diagnosed clinically as referred leg pain or sciatica (nerve root involvement). However, within the spectrum of LBLP, we hypothesised that there may be other unrecognised patient subgroups. This stud... Read More about Novel approach to characterising individuals with low back-related leg pain: cluster identification with latent class analysis and 12-month follow-up..

Prognosis of sciatica and back-related leg pain in primary care: the ATLAS cohort (2017)
Journal Article
Konstantinou, K., Dunn, K., Ogollah, R., Lewis, M., Van Der Windt, D., Hay, E., & Study Team, A. (2017). Prognosis of sciatica and back-related leg pain in primary care: the ATLAS cohort. Spine Journal, 1030-1040. https://doi.org/10.1016/j.spinee.2017.10.071

Background Context Evidence is lacking on the prognosis and prognostic factors of back-related leg pain and sciatica in patients seeing their primary care physicians. This evidence could guide timely appropriate treatment and referral decisions.... Read More about Prognosis of sciatica and back-related leg pain in primary care: the ATLAS cohort.

Measuring Musculoskeletal Pain in Infants, Children, and Adolescents. (2017)
Journal Article
Michaleff, Z., Kamper, S., Stinson, J., Hestbaek, L., Williams, C., Campbell, P., & Dunn, K. (2017). Measuring Musculoskeletal Pain in Infants, Children, and Adolescents. Journal of Orthopaedic & Sports Physical Therapy, 712 - 730. https://doi.org/10.2519/jospt.2017.7469

Synopsis Accurate, reliable, and timely assessment of pain is critical for effective management of musculoskeletal pain conditions. The assessment of pain in infants, children, and adolescents with and without cognitive impairment can be particularly... Read More about Measuring Musculoskeletal Pain in Infants, Children, and Adolescents..

Pain and learning in primary school: a population-based study (2017)
Journal Article
Kosola, S., Mundy, L. K., Sawyer, S. M., Canterford, L., van der Windt, D. A., Dunn, K. M., & Patton, G. C. (2017). Pain and learning in primary school: a population-based study. PAIN, 158(9), 1825-1830. https://doi.org/10.1097/j.pain.0000000000000984

Despite the frequency of pain among children, little is known about its effects on learning and school outcomes. The objective of this study was to quantify the association of pain and academic achievement while taking into account the presence of co... Read More about Pain and learning in primary school: a population-based study.

The pain, depression, disability pathway in those with low back pain: a moderation analysis of health locus of control (2017)
Journal Article
Dunn, K., Campbell, P., & Hope, K. (2017). The pain, depression, disability pathway in those with low back pain: a moderation analysis of health locus of control. Journal of Pain Research, https://doi.org/10.2147/JPR.S139445

Low back pain (LBP) is common, impacts on the individual and society, and is a major health concern. Psychological consequences of LBP, such as depression, are significant barriers to recovery, but mechanisms for the development of depression are les... Read More about The pain, depression, disability pathway in those with low back pain: a moderation analysis of health locus of control.

Chronic pain in families: a cross-sectional study of shared social, behavioural, and environmental influences (2017)
Journal Article
Campbell, P., Jordan, K., Dunn, K., & Smith, B. (2017). Chronic pain in families: a cross-sectional study of shared social, behavioural, and environmental influences. PAIN, 41-47. https://doi.org/10.1097/j.pain.0000000000001062

Chronic pain is common and creates a significant burden to the individual and society. Emerging research has shown the influence of the family environment on pain outcomes. However, it is not clear what shared factors between family members associate... Read More about Chronic pain in families: a cross-sectional study of shared social, behavioural, and environmental influences.

Validity of the Visual Trajectories Questionnaire for Pain (2017)
Journal Article
Dunn, K. M., Campbell, P., & Jordan, K. P. (2017). Validity of the Visual Trajectories Questionnaire for Pain. The Journal of Pain, 1451-1458. https://doi.org/10.1016/j.jpain.2017.07.011

Researchers have identified trajectories of pain derived using statistical techniques on longitudinal data. These trajectories have potential to be of use clinically but the repeated data collection required is currently impractical for such situatio... Read More about Validity of the Visual Trajectories Questionnaire for Pain.

Neuropathic pain in low back-related leg pain patients: What is the evidence of prevalence, characteristics, and prognosis in primary care? A systematic review of the literature. (2017)
Journal Article
Stynes, S., Dunn, K., Foster, N., Konstantinou, K., & Harrisson, S. (2017). Neuropathic pain in low back-related leg pain patients: What is the evidence of prevalence, characteristics, and prognosis in primary care? A systematic review of the literature. Journal of Pain, 1295-1312. https://doi.org/10.1016/j.jpain.2017.04.012

This systematic review synthesizes literature describing prevalence, characteristics and prognosis of low back-related leg pain (LBLP) patients with neuropathic pain in primary care and/or similar settings. Inclusion and exclusion criteria were devel... Read More about Neuropathic pain in low back-related leg pain patients: What is the evidence of prevalence, characteristics, and prognosis in primary care? A systematic review of the literature..

Consultation patterns of children and adolescents with knee pain in UK general practice: analysis of medical records (2017)
Journal Article
Campbell, P., Protheroe, J., Rajani, A., Dunn, K., & Michaleff, Z. (2017). Consultation patterns of children and adolescents with knee pain in UK general practice: analysis of medical records. BMC Musculoskeletal Disorders, https://doi.org/10.1186/s12891-017-1586-1

Background Knee problems are common in children and adolescents. Despite this, little is known about the epidemiology of knee problems in children and adolescents who consult in general practice. The aim of this study was to describe consultations b... Read More about Consultation patterns of children and adolescents with knee pain in UK general practice: analysis of medical records.

Are sleep problems a risk factor for the onset of musculoskeletal pain in children and adolescents? A systematic review (2017)
Journal Article
Dunn, K., Andreucci, A., & Campbell, P. (2017). Are sleep problems a risk factor for the onset of musculoskeletal pain in children and adolescents? A systematic review. SLEEP, https://doi.org/10.1093/sleep/zsx093

Study Objectives: Musculoskeletal pain is a major burden on the society. Adults with sleep problems are at higher risk of musculoskeletal pain onset, but there is no evidence for this relationship in children and adolescents. This study aimed to sys... Read More about Are sleep problems a risk factor for the onset of musculoskeletal pain in children and adolescents? A systematic review.

Classification of low-back-related leg pain consulters using latent class analysis (2017)
Journal Article
Stynes, S. . M., Konstantinou, K., Ogollah, R., & Dunn, K. (2018). Classification of low-back-related leg pain consulters using latent class analysis. Orthopaedic Proceedings, 99-B(SUPP_10), 17. https://doi.org/10.1302/1358-992X.99BSUPP_10.SBPR2016-017

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., …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., …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., …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., …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)
Journal Article
Protheroe, J., Saunders, B. M., Hill, J., Bartlam, B., Dunn, K. M., & Foster, N. (2016). 048 A Consensus Group Approach to Agreeing Matched Treatment Options for Musculoskeletal Pain of Patients Stratified According to Prognostic Risk. Rheumatology, 55(S1), i80–i81. https://doi.org/10.1093/rheumatology/kew140.011

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.

Musculoskeletal pain in children and adolescents (2016)
Journal Article
Dunn. (2016). Musculoskeletal pain in children and adolescents. Brazilian Journal of Physical Therapy, 275 - 284. https://doi.org/10.1590/bjpt-rbf.2014.0149

INTRODUCTION: Musculoskeletal (MSK) pain in children and adolescents is responsible for substantial personal impacts and societal costs, but it has not been intensively or systematically researched. This means our understanding of these conditions is... Read More about Musculoskeletal pain in children and adolescents.

Reliability among clinicians diagnosing low back-related leg pain. (2015)
Journal Article
Stynes, S., Konstantinou, K., Dunn, K., Lewis, M., & Hay, E. (2015). Reliability among clinicians diagnosing low back-related leg pain. European Spine Journal, 25, 2734–2740. https://doi.org/10.1007/s00586-015-4359-2

PURPOSE: To investigate agreement and reliability among clinicians when diagnosing low back-related leg pain (LBLP) in primary care consulters. METHODS: Thirty-six patients were assessed by one of six physiotherapists and diagnosed as having either l... Read More about Reliability among clinicians diagnosing low back-related leg pain..

Stratified care for patients with sciatica and suspected sciatica in primary care: the scopic trial protocol (scopic-sciatica outcomes in primary care) (2015)
Presentation / Conference
Foster, N., Konstantinou, K., Beardmore, R., Dunn, K., Lewis, M., Bartlam, B., …Hay, E. (2015, November). Stratified care for patients with sciatica and suspected sciatica in primary care: the scopic trial protocol (scopic-sciatica outcomes in primary care). Poster presented at 3rd International Clinical Trials Methodology Conference, Glasgow

Structural Equation Modelling of the moderation effect of health locus of control on the pain-depression pathway (2015)
Presentation / Conference
Hope, K., Dunn, K. M., & Campbell, P. (2015, September). Structural Equation Modelling of the moderation effect of health locus of control on the pain-depression pathway. Poster presented at 9th Congress of the European Pain Federation (EFIC), Vienna, Austria

Background and aims Low back pain (LBP) is common, and is a major health concern. Psychological consequences of LBP, such as depression, are significant barriers to recovery, but mechanisms for the development of depression are less well understood.... Read More about Structural Equation Modelling of the moderation effect of health locus of control on the pain-depression pathway.

In sickness and in health: A cross-sectional analysis of concordance for musculoskeletal pain in 13,507 couples (2015)
Journal Article
Campbell, P., Shraim, M., Jordan, K., & Dunn, K. (2015). In sickness and in health: A cross-sectional analysis of concordance for musculoskeletal pain in 13,507 couples. European Journal of Pain, 20(3), 438-446. https://doi.org/10.1002/ejp.744

Background: Musculoskeletal pain conditions are common and create substantial burden for the individual and society. While research has shown concordance between couples for risk of some diseases, e.g. heart disease or diabetes, little information is... Read More about In sickness and in health: A cross-sectional analysis of concordance for musculoskeletal pain in 13,507 couples.

In sickness and in health: a cross-sectional analysis of concordance for musculoskeletal consultations in 13,507 couples (2015)
Journal Article
Campbell, P., Shraim, M., Jordan, K., & Dunn, K. (2016). In sickness and in health: a cross-sectional analysis of concordance for musculoskeletal consultations in 13,507 couples. European Journal of Pain, 20(3), 438-446

Background Musculoskeletal pain conditions are common and create substantial burden for the individual and society. While research has shown concordance between couples for risk of some diseases, e.g. heart disease or diabetes, little information is... Read More about In sickness and in health: a cross-sectional analysis of concordance for musculoskeletal consultations in 13,507 couples.

The science of clinical practice: disease diagnosis or patient prognosis? Evidence about "what is likely to happen" should shape clinical practice (2015)
Journal Article
Croft, P., Altman, D. G., Deeks, J. J., Dunn, K. M., Hay, A. D., Hemingway, H., …Timmis, A. (2015). The science of clinical practice: disease diagnosis or patient prognosis? Evidence about "what is likely to happen" should shape clinical practice. BMC Medicine, 20. https://doi.org/10.1186/s12916-014-0265-4

BACKGROUND: Diagnosis is the traditional basis for decision-making in clinical practice. Evidence is often lacking about future benefits and harms of these decisions for patients diagnosed with and without disease. We propose that a model of clinical... Read More about The science of clinical practice: disease diagnosis or patient prognosis? Evidence about "what is likely to happen" should shape clinical practice.

Repeated primary care consultations for non-specific physical symptoms in children in UK: a cohort study (2014)
Journal Article
Bucknall, M., Mallen, C. D., & Dunn, K. M. (2014). Repeated primary care consultations for non-specific physical symptoms in children in UK: a cohort study. BMC Family Practice, 195 - ?. https://doi.org/10.1186/s12875-014-0195-4

BackgroundNon-specific physical symptoms (NSPS), such as headache and abdominal pain, are common reasons for children to consult primary care. NSPS represent a significant burden not only on society, but also on health care services, through frequent... Read More about Repeated primary care consultations for non-specific physical symptoms in children in UK: a cohort study.

Estimating the burden of disease in chronic pain with and without neuropathic characteristics: does the choice between the EQ-5D and SF-6D matter? (2014)
Journal Article
Dunn, K. M. (2014). Estimating the burden of disease in chronic pain with and without neuropathic characteristics: does the choice between the EQ-5D and SF-6D matter?. PAIN, 1996 - 2004. https://doi.org/10.1016/j.pain.2014.07.001

The EQ-5D and Short Form (SF)12 are widely used generic health-related quality of life (HRQoL) questionnaires. They can be used to derive health utility index scores, on a scale where 0 is equivalent to death and 1 represents full health, with scores... Read More about Estimating the burden of disease in chronic pain with and without neuropathic characteristics: does the choice between the EQ-5D and SF-6D matter?.

The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study (2014)
Journal Article
Bucknall, M., Shraim, M., Mallen, C. D., & Dunn, K. M. (2014). The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study. PloS one, e108039 -?. https://doi.org/10.1371/journal.pone.0108039

BACKGROUND: Non-specific physical symptoms (NSPS) such as abdominal pain, headache and musculoskeletal pain are widespread in the community, and are common reasons for visiting a general practitioner (GP). Causes of NSPS are multifactorial, but may i... Read More about The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.

Impact of pain intensity on relationship quality between couples where one has back pain (2014)
Journal Article
Vivekanantham, A., Campbell, P., Mallen, C., & Dunn, K. (2014). Impact of pain intensity on relationship quality between couples where one has back pain. Pain Medicine, 832 - 841. https://doi.org/10.1111/pme.12366

OBJECTIVES: To investigate associations of pain intensity in those with long-term back pain, with their partners' rating of key constructs of relationship quality: cohesion (activities together), consensus (affection, sexual relations), satisfaction... Read More about Impact of pain intensity on relationship quality between couples where one has back pain.

AGREEMENT AMONG THERAPISTS WHEN DIAGNOSING LOW BACK-RELATED LEG PAIN (2014)
Journal Article
Stynes, S., Konstantinou, K., Dunn, K., Lewis, M., & Hay, E. (2014). AGREEMENT AMONG THERAPISTS WHEN DIAGNOSING LOW BACK-RELATED LEG PAIN. Orthopaedic Proceedings, 96-B(S4), 4-4

Background Pain with radiation to the leg is a common presentation in back pain patients. Radiating leg pain is either referred pain or radicular, commonly described as sciatica. Clinically distinguishing between these types of leg pain is recognize... Read More about AGREEMENT AMONG THERAPISTS WHEN DIAGNOSING LOW BACK-RELATED LEG PAIN.

Rasch analysis of the 23-item version of the Roland Morris Disability Questionnaire (2014)
Journal Article
Kent, P., Grotle, M., Dunn, K., Albert, H., & Lauridsen, H. (2015). Rasch analysis of the 23-item version of the Roland Morris Disability Questionnaire. Journal of Rehabilitation Medicine, 47(4), 356-364. https://doi.org/10.2340/16501977-1935

OBJECTIVE: To determine the psychometric properties of the 23-item version of the Roland Morris Disability Questionnaire (RMDQ-23) and to quantify their stability across 2 cultures/languages and 2 types of care-settings. METHODS: Rasch analysis of da... Read More about Rasch analysis of the 23-item version of the Roland Morris Disability Questionnaire.

Long-term trajectories of back pain: Cohort study with 7-year follow-up (2013)
Journal Article
Campbell, P., Jordan, K., & Dunn, K. (2013). Long-term trajectories of back pain: Cohort study with 7-year follow-up. BMJ Open, 3(12), Article e003838. https://doi.org/10.1136/bmjopen-2013-003838

OBJECTIVE: To describe long-term trajectories of back pain. DESIGN: Monthly data collection for 6 months at 7-year follow-up of participants in a prospective cohort study. SETTING: Primary care practices in Staffordshire, UK. PARTICIPANTS: 228 people... Read More about Long-term trajectories of back pain: Cohort study with 7-year follow-up.

Low back pain across the life course (2013)
Journal Article
Dunn, K. M., Hestbaek, L., & Cassidy, J. D. (2013). Low back pain across the life course. Best Practice and Research: Clinical Rheumatology, 27(5), 591-600. https://doi.org/10.1016/j.berh.2013.09.007

Back pain episodes are traditionally regarded as individual events, but this model is currently being challenged in favour of treating back pain as a long-term or lifelong condition. Back pain can be present throughout life, from childhood to older a... Read More about Low back pain across the life course.

Opioid use among low back pain patients in primary care: Is opioid prescription associated with disability at 6-month follow-up? (2013)
Journal Article
Ashworth, J., Green, D. J., Dunn, K. M., & Jordan, K. P. (2013). Opioid use among low back pain patients in primary care: Is opioid prescription associated with disability at 6-month follow-up?. PAIN, 1038 - 1044. https://doi.org/10.1016/j.pain.2013.03.011

Opioid prescribing for chronic noncancer pain is increasing, but there is limited knowledge about longer-term outcomes of people receiving opioids for conditions such as back pain. This study aimed to explore the relationship between prescribed opioi... Read More about Opioid use among low back pain patients in primary care: Is opioid prescription associated with disability at 6-month follow-up?.

A Prognostic Approach to Defining Chronic Pain Across a Range of Musculoskeletal Pain Sites (2013)
Journal Article
Muller, S., Thomas, E., Dunn, K. M., & Mallen, C. D. (2013). A Prognostic Approach to Defining Chronic Pain Across a Range of Musculoskeletal Pain Sites. The Clinical Journal of Pain, 29(5), 411-416. https://doi.org/10.1097/ajp.0b013e318257099e

Objectives: To test whether the prognostic definition of chronic pain, which has previously been applied in specific anatomic areas, performed well in a cohort of older adults with a range of musculoskeletal pain sites. Methods: Data are taken... Read More about A Prognostic Approach to Defining Chronic Pain Across a Range of Musculoskeletal Pain Sites.

Neuropathic pain in the community: More under-treated than refractory? (2013)
Journal Article
Torrance, N., Ferguson, J. A., Afolabi, E., Bennett, M. I., Serpell, M. G., Dunn, K. M., & Smith, B. H. (2013). Neuropathic pain in the community: More under-treated than refractory?. PAIN, 154(5), 690-699. https://doi.org/10.1016/j.pain.2012.12.022

Summary There is a significant proportion of chronic pain that is persistent and neuropathic, appears undertreated or untreated, and is associated with poor health and quality of life. Best current estimates of neuropathic pain prevalence come f... Read More about Neuropathic pain in the community: More under-treated than refractory?.

GP consultations for medically unexplained physical symptoms in parents and their children: a systematic review (2013)
Journal Article
Shraim, M., Mallen, C. D., & Dunn, K. M. (2013). GP consultations for medically unexplained physical symptoms in parents and their children: a systematic review. British Journal of General Practice (BJGP), e318 - e325. https://doi.org/10.3399/bjgp13X667178

BACKGROUND: There is evidence of an association of medically unexplained physical symptoms (MUPS) between parents and children, but it is unclear whether this association is also present for GP consultations. AIM: To review the literature investigati... Read More about GP consultations for medically unexplained physical symptoms in parents and their children: a systematic review.

The influence of employment social support for risk and prognosis in nonspecific back pain: a systematic review and critical synthesis (2013)
Journal Article
Campbell, P., Wynne-Jones, G., Muller, S., & Dunn, K. (2013). The influence of employment social support for risk and prognosis in nonspecific back pain: a systematic review and critical synthesis. International Archives of Occupational and Environmental Health, 119 -137. https://doi.org/10.1007/s00420-012-0804-2

PURPOSE: To examine the influence of employment social support type (e.g. co-worker, supervisor, general support) on risk of occurrence of low back pain, and prognosis (e.g. recovery, return to work status) for those who have low back pain. METHODS:... Read More about The influence of employment social support for risk and prognosis in nonspecific back pain: a systematic review and critical synthesis.

Agreement of self-reported items and clinically assessed nerve root involvement (or sciatica) in a primary care setting. (2012)
Journal Article
Lewis, & Dunn. (2012). Agreement of self-reported items and clinically assessed nerve root involvement (or sciatica) in a primary care setting. European Spine Journal, 2306 - 2315. https://doi.org/10.1007/s00586-012-2398-5

INTRODUCTION: We analysed baseline measures from an RCT involving adults with low back pain (LBP) with or without referred leg pain, to identify self-report items that best identified clinically determined nerve root involvement (sciatica). METHODS:... Read More about Agreement of self-reported items and clinically assessed nerve root involvement (or sciatica) in a primary care setting..

The effectiveness of national guidance in changing analgesic prescribing in primary care from 2002 to 2009: an observational database study (2012)
Journal Article
Bedson, J., Belcher, J., Martino, O., Ndlovu, M., Rathod, T., Walters, K., …Jordan, K. (2013). The effectiveness of national guidance in changing analgesic prescribing in primary care from 2002 to 2009: an observational database study. European Journal of Pain, 17(3), 434 -443. https://doi.org/10.1002/j.1532-2149.2012.00189.x

BACKGROUND: Numerous national guidelines have been issued to assist general practitioners' safe analgesic prescribing. Their effectiveness is unclear. The objective of this study was to examine trends in general practitioners' prescribing behaviour i... Read More about The effectiveness of national guidance in changing analgesic prescribing in primary care from 2002 to 2009: an observational database study.

Towards a definition of refractory neuropathic pain for epidemiological research. An international Delphi survey of experts (2012)
Journal Article
Dunn. (2012). Towards a definition of refractory neuropathic pain for epidemiological research. An international Delphi survey of experts. BMC Neurology, 29 - ?. https://doi.org/10.1186/1471-2377-12-29

BACKGROUND: Best current estimates of neuropathic pain (NeuP) prevalence come from studies using various screening detecting pain with probable neuropathic features; the proportion experiencing significant, long-term NeuP, and the proportion not resp... Read More about Towards a definition of refractory neuropathic pain for epidemiological research. An international Delphi survey of experts.

The role of relationship quality and perceived partner responses with pain and disability in those with back pain (2012)
Journal Article
Campbell, P., Jordan, K., & Dunn, K. (2012). The role of relationship quality and perceived partner responses with pain and disability in those with back pain. Pain Medicine, 204 -214. https://doi.org/10.1111/j.1526-4637.2011.01298.x

OBJECTIVE: The objectives of this study were to investigate the associations of key constructs of relationship quality (cohesion, consensus, and satisfaction) and perceived partner responses to pain behavior (e.g., solicitous and negative responses)... Read More about The role of relationship quality and perceived partner responses with pain and disability in those with back pain.

Prognostic factors in non-surgically treated sciatica: a systematic review (2011)
Journal Article
Ashworth, J., Konstantinou, K., & Dunn, K. M. (2011). Prognostic factors in non-surgically treated sciatica: a systematic review. BMC Musculoskeletal Disorders, 208 - ?. https://doi.org/10.1186/1471-2474-12-208

BACKGROUND: When present sciatica is considered an obstacle to recovery in low back pain patients, yet evidence is limited regarding prognostic factors for persistent disability in this patient group. The aim of this study is to describe and summaris... Read More about Prognostic factors in non-surgically treated sciatica: a systematic review.