Evaluation of surgical outcomes using administrative hospital data (2021)
Thesis
El-Dhuwaib, Y. Evaluation of surgical outcomes using administrative hospital data. (Thesis). Keele University. https://keele-repository.worktribe.com/output/419487

Hospital Episode Statistics (HES) is the main hospital administrative dataset in England. Since the early 1990s HES has been used for research. The aim of the thesis is to evaluate the use of HES data to measure surgical outcomes.

Objectives:
1.... Read More about Evaluation of surgical outcomes using administrative hospital data.

The association between osteoarthritis and invasive management strategies and clinical outcomes following acute myocardial infarction in electronic health record data (2020)
Thesis
Parmar, S. S. The association between osteoarthritis and invasive management strategies and clinical outcomes following acute myocardial infarction in electronic health record data. (Thesis). Keele University. https://keele-repository.worktribe.com/output/418969

Background
The association between osteoarthritis (OA) and acute myocardial infarction (AMI) is unclear, as are the outcomes of people with OA diagnosed with AMI. This study aimed to describe the annual prevalence of OA among AMI patients and descri... Read More about The association between osteoarthritis and invasive management strategies and clinical outcomes following acute myocardial infarction in electronic health record data.

Exploration of the use of decision analytic modelling in low back pain and sciatica (2020)
Thesis
Ashwell Hall, J. Exploration of the use of decision analytic modelling in low back pain and sciatica. (Thesis). Keele University. https://keele-repository.worktribe.com/output/417289

Low back pain (LBP) is a global public health problem. Keele University developed the STarT Back tool to stratify LBP patients according to their risk of persistent disability, matching treatments to individual risk. A 12-month trial-based economic e... Read More about Exploration of the use of decision analytic modelling in low back pain and sciatica.

Investigating comorbid mood disorders in people with inflammatory rheumatological conditions: a mixed methods study (2020)
Thesis
Machin, A. R. Investigating comorbid mood disorders in people with inflammatory rheumatological conditions: a mixed methods study. (Thesis). Keele University. https://keele-repository.worktribe.com/output/416229

Background
Mood problems in people with rheumatoid arthritis (RA) are under-recognised and treated, contributing to increased mortality. Comorbid depression is associated with increased disease activity and reduced quality of life (QoL), though the... Read More about Investigating comorbid mood disorders in people with inflammatory rheumatological conditions: a mixed methods study.

Understanding self-harm behaviour in older adults: a systematic review and qualitative study (2019)
Thesis
Troya Bermeo, M. I. Understanding self-harm behaviour in older adults: a systematic review and qualitative study. (Thesis). Keele University. https://keele-repository.worktribe.com/output/415218

Two worldwide challenges served as a drive for this research: the reality of an ageing population and the identified need of supporting people who self-harm. Addressing self-harm has been increasingly prioritised due to its social, economic and healt... Read More about Understanding self-harm behaviour in older adults: a systematic review and qualitative study.

Use of invasive strategies in the management of non-ST elevation acute myocardial infarction and clinical outcomes (2019)
Thesis
Rashid, M. Use of invasive strategies in the management of non-ST elevation acute myocardial infarction and clinical outcomes. (Thesis). Keele University. https://keele-repository.worktribe.com/output/414984

Non-elevation acute myocardial infarction (NSTEMI) is one of the commonest phenotype of acute coronary syndrome (ACS) and associated with significant morbidity and mortality at the short and long term. An invasive strategy in the form of coronary ang... Read More about Use of invasive strategies in the management of non-ST elevation acute myocardial infarction and clinical outcomes.

Environmental ultraviolet-B exposures and measured health outcomes in English children (2019)
Thesis
Walker, J. Environmental ultraviolet-B exposures and measured health outcomes in English children. (Thesis). Keele University. https://keele-repository.worktribe.com/output/417800

Purpose
Vitamin D status has been shown to significantly impact extra-skeletal health outcomes. In the UK, the ability of the population to synthesize vitamin D is highly sensitive to environmental factors including ultraviolet-B wavelength light. T... Read More about Environmental ultraviolet-B exposures and measured health outcomes in English children.

Real voices: A participatory action research study to explore the support provided to children visiting adult patients in hospital. (2019)
Thesis
Jervis, J. Real voices: A participatory action research study to explore the support provided to children visiting adult patients in hospital. (Thesis). Keele University. https://keele-repository.worktribe.com/output/414219

Background: There is evidence that a supportive and open approach to children visiting adult relatives in hospitals has positive benefits for the children, patient, families and healthcare staff. Despite this, many children (<17 years) are still rest...

Risk factors for the onset of musculoskeletal pain in children and adolescents (2018)
Thesis
Andreucci, A. Risk factors for the onset of musculoskeletal pain in children and adolescents. (Thesis). Keele University. https://keele-repository.worktribe.com/output/411391

Background

Musculoskeletal pain is a major burden on society. Research in adults has identified risk factors associated with musculoskeletal pain onset, however at present evidence for risk factors in children and adolescents is limited.

Aims... Read More about Risk factors for the onset of musculoskeletal pain in children and adolescents.

Primary care decision-making for shoulder pain: identifying treatment effect moderators using clinical expertise (2018)
Thesis
McRobert, C. Primary care decision-making for shoulder pain: identifying treatment effect moderators using clinical expertise. (Thesis). Keele University. https://keele-repository.worktribe.com/output/411441

Background
Shoulder pain is a common, costly condition with variable prognosis. Commonly used treatments for shoulder pain in primary care include: (i) advice & analgesia, (ii) exercise and/or manual therapy, and (iii) corticosteroid injection. Curr... Read More about Primary care decision-making for shoulder pain: identifying treatment effect moderators using clinical expertise.

Action research: towards excellence in teaching, assessment and feedback for clinical consultation skills (2018)
Thesis
Lefroy, J. Action research: towards excellence in teaching, assessment and feedback for clinical consultation skills. (Thesis). Keele University. https://keele-repository.worktribe.com/output/411453

Background
Consultation skills are the core competencies required at graduation of the doctor as a practitioner. Every medical school has its own system of teaching and assessing consultation skills. These are generally amalgams of previous curricu... Read More about Action research: towards excellence in teaching, assessment and feedback for clinical consultation skills.

Multisite pain and falls in older people (2018)
Thesis
Welsh, V. K. Multisite pain and falls in older people. (Thesis). Keele University. https://keele-repository.worktribe.com/output/410388

Falls are a common occurrence in older people and multisite pain has been identified as a potential falls risk factor in this age group. This thesis aims to describe the relationship between multisite pain and falls in community-dwelling older people... Read More about Multisite pain and falls in older people.

GPs' attitudes, beliefs and behaviours regarding exercise for chronic knee pain: a questionnaire survey (2017)
Journal Article
Roddy, E., Cottrell, E., Foster, N. E., Porcheret, M., & Rathod, T. (2017). GPs' attitudes, beliefs and behaviours regarding exercise for chronic knee pain: a questionnaire survey. BMJ Open, 7(6), e014999 - ?. https://doi.org/10.1136/bmjopen-2016-014999

OBJECTIVES:
The aim of this study was to investigate general practitioners' (GPs) attitudes, beliefs and behaviours regarding the use of exercise for patients with chronic knee pain (CKP) attributable to osteoarthritis.

SETTING: Primary care GPs... Read More about GPs' attitudes, beliefs and behaviours regarding exercise for chronic knee pain: a questionnaire survey.

Statistical analysis of randomised controlled trials: a simulation and empirical study of methods of covariate adjustment
Thesis
Statistical analysis of randomised controlled trials: a simulation and empirical study of methods of covariate adjustment. https://keele-repository.worktribe.com/output/403309

Randomised controlled trials (RCTs) are widely accepted as the optimum design for comparing two or more medical therapies. Chance baseline imbalance (BI) through randomization opens the estimate of effect to bias. Statistical methods such as change s... Read More about Statistical analysis of randomised controlled trials: a simulation and empirical study of methods of covariate adjustment.

Consequences of cardiovascular disease and osteoarthritis comorbidity on short and long-term physical health change in general practice
Thesis
Consequences of cardiovascular disease and osteoarthritis comorbidity on short and long-term physical health change in general practice. https://keele-repository.worktribe.com/output/403601

Comorbidity is defined as experiencing an ‘index’ health condition with one or more other conditions at the same time. The prevalence of comorbidity, in particular chronic disease comorbidity, is set to rise in ageing Western populations and negative... Read More about Consequences of cardiovascular disease and osteoarthritis comorbidity on short and long-term physical health change in general practice.

The acceptability and implementation of a PhysioDirect service: A qualitative investigation of multi-perspectives
Thesis
The acceptability and implementation of a PhysioDirect service: A qualitative investigation of multi-perspectives. https://keele-repository.worktribe.com/output/403602

In response to long waiting lists and problems with access to primary care physiotherapy, several Primary Care Trusts (PCTs) developed physiotherapy-led telephone assessment and treatment services. The MRC-funded PhysioDirect trial was a randomised t... Read More about The acceptability and implementation of a PhysioDirect service: A qualitative investigation of multi-perspectives.

A mixed methods study of patient centred care in people with chronic venous leg ulceration
Thesis
A mixed methods study of patient centred care in people with chronic venous leg ulceration. https://keele-repository.worktribe.com/output/404170

Aims: To explore the lived experience of patients with chronic venous leg ulceration and to establish whether themes that impact on quality of life are addressed during wound care consultations. To develop a consultation template based on these theme... Read More about A mixed methods study of patient centred care in people with chronic venous leg ulceration.

Identifying chronic widespread pain in primary care: a medical record database study
Thesis
Identifying chronic widespread pain in primary care: a medical record database study. https://keele-repository.worktribe.com/output/404181

Chronic widespread pain (CWP) is common and associated with poor health. In general practice no morbidity code for CWP exists. By identifying patients in medical records consulting regularly over five years with multiple individual regional (axial, u... Read More about Identifying chronic widespread pain in primary care: a medical record database study.

Modelling factors associated with long-term prescription patterns of analgesia for musculoskeletal conditions in primary care
Thesis
Ndlovu, M. Modelling factors associated with long-term prescription patterns of analgesia for musculoskeletal conditions in primary care. https://keele-repository.worktribe.com/output/406911

Musculoskeletal (MSK) pain is a major reason why people consult their general practitioner. Analgesia plays a central role in its treatment but do not always work, resulting in the need to switch amongst analgesia potency levels. Stronger analgesia i... Read More about Modelling factors associated with long-term prescription patterns of analgesia for musculoskeletal conditions in primary care.

Psychological stress and musculoskeletal pain: the moderating effect of childhood and adulthood trauma
Thesis
Woodward, A. Psychological stress and musculoskeletal pain: the moderating effect of childhood and adulthood trauma. https://keele-repository.worktribe.com/output/407018

The aetiology of widespread musculoskeletal pain is complex. Psychological stress is a robust predictor of symptom onset and persistence but not everyone who experiences stress goes on to develop widespread pain. The aim of the studies presented in t... Read More about Psychological stress and musculoskeletal pain: the moderating effect of childhood and adulthood trauma.