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Article
Open AccessBarriers and facilitators in diagnosing axial spondyloarthritis: a qualitative study
Diagnosis of axial spondyloarthritis (axSpA) is frequently delayed for years after symptom onset. However, little is known about patient and healthcare professional (HCP) perspectives on barriers and facilitat...
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Article
Open AccessBetwixt and between student and professional identities: UK medical students during COVID times
The COVID-19 pandemic lockdown in Spring 2020 brought about unprecedented disruption to medical education in the United Kingdom (UK). Medical students were encouraged to take up paid roles in the National Heal...
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Article
Open AccessCo-development and testing of an extended community pharmacy model of service delivery for managing osteoarthritis: protocol for a sequential, multi-methods study (PharmOA)
Osteoarthritis is a common, painful and disabling long-term condition. Delivery of high-quality guideline-informed osteoarthritis care that successfully promotes and maintains supported self-management is impe...
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Article
Open AccessCohort study investigating gout flares and management in UK general practice
Gout is the most common inflammatory arthritis and is almost exclusively managed in primary care, however the course and severity of the condition is variable and poorly characterised. This research aims impro...
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Article
Open AccessStakeholder perceptions of preventive approaches to rheumatoid arthritis: qualitative study of healthcare professionals’ perspectives on predictive and preventive strategies
There is increasing research interest in the development of preventive treatment for individuals at risk of rheumatoid arthritis (RA). Previous studies have explored the perceptions of at-risk groups and patie...
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Article
Open AccessAcceptability of predictive testing for ischemic heart disease in those with a family history and the impact of results on behavioural intention and behaviour change: a systematic review
Tests to predict the development of chronic diseases in those with a family history of the disease are becoming increasingly available and can identify those who may benefit most from preventive interventions....
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Open AccessThe potential role of community pharmacy staff in reducing patient delay in consulting with symptoms of rheumatoid arthritis: a qualitative study
Rheumatoid arthritis (RA) is a chronic inflammatory arthritis which can cause joint damage and reduced quality of life. Early treatment of RA within 3 months of symptom onset is associated with improved clinic...
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Article
Missed Opportunities in the Diagnosis of Heart Failure: Evaluation of Pathways to Determine Sources of Delay to Specialist Evaluation
Missed opportunities are incidents where different actions by those involved could have resulted in more desirable events. Heart failure is a complex clinical syndrome presenting as symptoms and signs common t...
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Article
Open AccessMetformin use and the risk of total knee replacement among diabetic patients: a propensity-score-matched retrospective cohort study
Metformin has been shown to modulate meta-inflammation, an important pathogenesis in knee osteoarthritis (OA). The study aimed to test the association between regular metformin use with total knee replacement ...
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Article
Open AccessDiagnostic delay in axial spondyloarthritis: a systematic review
Identification of axial spondyloarthritis (axSpA) remains challenging, frequently resulting in a diagnostic delay for patients. Current benchmarks of delay are usually reported as mean data, which are typicall...
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Article
Open AccessWhat non-pharmacological treatments do people with polymyalgia rheumatica try: results from the PMR Cohort Study
Polymyalgia rheumatica (PMR) is common. The mainstay of treatment, glucocorticoids, are associated with significant adverse effects and many patients remain on high doses for a number of years. Little is known...
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Article
Open AccessVertebral fracture as a risk factor for self-harm: a retrospective cohort study
The prevention of self-harm is an international public health priority. It is vital to identify at-risk populations, particularly as self-harm is a risk factor for suicide. This study aims to examine the risk ...
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Open AccessPrevalence of osteoarthritis in lower middle- and low-income countries: a systematic review and meta-analysis
Evidence from the Global Burden of Disease studies suggests that osteoarthritis (OA) is a significant cause of disability globally; however, it is less clear how much of this burden exists in low-income and lo...
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Article
Open AccessSelf-management advice, exercise and foot orthoses for plantar heel pain: the TREADON pilot and feasibility randomised trial
Plantar heel pain (PHP) is common and impacts negatively on physical function and quality of life. Initial treatment usually comprises analgesia and self-management advice (SMA), with referral to a physiothera...
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Article
Open AccessUsing Google Trends to assess the impact of Global Public Health Days on online health information-seeking behaviour in Arabian Peninsula
Global Public Health Days (GPHD) are public health interventions which serve to improve public awareness of specific health conditions. Google Trends is a publicly available tool that allows the user to view t...
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Article
Open AccessA pilot study of a nurse-led integrated care review (the INCLUDE review) for people with inflammatory rheumatological conditions in primary care: feasibility study findings
People with inflammatory rheumatological conditions such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, polymyalgia rheumatica and giant cell arteritis are at an increased risk of common...
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Article
Open AccessCharacteristics of patients with giant cell arteritis who experience visual symptoms
Permanent vision loss is one of the most serious complications of giant cell arteritis (GCA) and therefore prompt diagnosis is paramount. However, diagnosis of GCA remains challenging due to its frequently non...
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Article
Open AccessGender-specific risk factors for gout: a systematic review of cohort studies
Though gout is more prevalent in men than women, it remains unclear whether gender influences risk factors for incident gout. We aimed to systematically review all cohort studies examining risk factors for the...
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Article
Open AccessExamining management and research priorities in patients with polymyalgia rheumatica: a primary care questionnaire survey
Polymyalgia rheumatica (PMR) is a common inflammatory disorder that is usually managed with oral glucocorticoids, which although effective can cause significant adverse events. Support group survey data sugges...
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Article
Open AccessMatching treatment options for risk sub-groups in musculoskeletal pain: a consensus groups study
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 tre...