The Epidemiology of Common Hand Conditions
Lead Research Organisation:
University of Oxford
Department Name: NDORMS
Abstract
The aim of this research is to establish a greater understanding of the pathophysiology of clinically significant hand osteoarthritis and carpal tunnel syndrome through the use of large-scale epidemiological study. The project focuses upon UK primary and secondary care data linked to prospective cohort studies UK Biobank and Million Women Study, with external validation between cohorts and through comparison to international datasets. Patients and lay advisors perceived treatment variation, prevention of progression, and greater understanding of disease prognosis as key priorities for the work, which is reflected in these aims:
1. To evaluate the burden of disease and methods of treatment on a national and international level, investigating the potential effects of geographical and demographic variation.
2. To identify medical, pharmacological, lifestyle, occupational and demographic factors for developing disease.
3. To determine the effect of these factors upon the spectrum of disease severity, pain, and functional impairment.
4. To identify subsets of the disease-free population likely to develop disease, as targets for prevention.
5. To identify those patients that are most likely to require treatment, as targets for trials of earlier intervention.
6. To investigate the potential of targets found to progress to feasibility study.
1. To evaluate the burden of disease and methods of treatment on a national and international level, investigating the potential effects of geographical and demographic variation.
2. To identify medical, pharmacological, lifestyle, occupational and demographic factors for developing disease.
3. To determine the effect of these factors upon the spectrum of disease severity, pain, and functional impairment.
4. To identify subsets of the disease-free population likely to develop disease, as targets for prevention.
5. To identify those patients that are most likely to require treatment, as targets for trials of earlier intervention.
6. To investigate the potential of targets found to progress to feasibility study.
Publications
Aboelmagd K
(2022)
A Virtual Fracture Clinic Pathway for Managing Suspected Paediatric Scaphoid Fractures.
in Cureus
Alser O
(2021)
Temporal Trends and Geographical Variation in Dupuytren Disease Surgery in England: A Population-Based Cohort Study.
in Annals of plastic surgery
Alser O
(2020)
Serious complications and risk of re-operation after Dupuytren's disease surgery: a population-based cohort study of 121,488 patients in England.
in Scientific reports
Brown RR
(2022)
Feasibility of delivering foot and ankle surgical courses in a partnership in Eastern, Central and Sothern Africa.
in BMC medical education
Burkard T
(2022)
The association of bariatric surgery and Dupuytren's disease: a propensity score-matched cohort study.
in The Journal of hand surgery, European volume
Burn E
(2020)
Deep phenotyping of 34,128 adult patients hospitalised with COVID-19 in an international network study.
in Nature communications
Craig RS
(2019)
Serious adverse events and lifetime risk of reoperation after elective shoulder replacement: population based cohort study using hospital episode statistics for England.
in BMJ (Clinical research ed.)
Dean BJF
(2018)
A new acute scaphoid fracture assessment method: a reliability study of the 'long axis' measurement.
in BMC musculoskeletal disorders
Studentship Projects
| Project Reference | Relationship | Related To | Start | End | Student Name |
|---|---|---|---|---|---|
| MR/N013468/1 | 30/09/2016 | 29/09/2025 | |||
| 1959917 | Studentship | MR/N013468/1 | 30/09/2017 | 29/09/2021 | Jennifer Lane |
| Description | European Medicines Agency warning regarding use of Hydroxychloroquine |
| Geographic Reach | Europe |
| Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
| Impact | Discussion of potential risks of new use of hydroxychloroquine within emerging Covid 19 treatment |
| URL | https://www.ema.europa.eu/en/news/covid-19-reminder-risk-serious-side-effects-chloroquine-hydroxychl... |
| Description | Patient decision making tool about carpal tunnel syndrome |
| Geographic Reach | National |
| Policy Influence Type | Contribution to new or improved professional practice |
| Impact | as above- greater information for patients making healthcare decisions |
| URL | https://www.england.nhs.uk/wp-content/uploads/2022/07/Making-a-decision-about-carpal-tunnel-syndrome... |
| Description | Arthritis Research UK Clinical Research Fellowship |
| Amount | £242,146 (GBP) |
| Funding ID | 21605 |
| Organisation | Versus Arthritis |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 12/2017 |
| End | 12/2020 |
| Description | Clinical Lecturer starter grant |
| Amount | £30,000 (GBP) |
| Organisation | Academy of Medical Sciences (AMS) |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 08/2023 |
| End | 08/2025 |
| Description | Early Career Fellowship |
| Amount | £50,000 (GBP) |
| Organisation | Orthopaedic Research UK |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 01/2024 |
| End | 12/2024 |
| Description | HTA |
| Amount | £1,350,000 (GBP) |
| Funding ID | FLARE NIHR HTA Trial |
| Organisation | National Institute for Health Research |
| Sector | Public |
| Country | United Kingdom |
| Start | 01/2023 |
| End | 06/2026 |
| Description | MRC DRF Supplementary Funding |
| Amount | £9,061 (GBP) |
| Organisation | MRC Doctoral Training Program |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 03/2019 |
| End | 06/2021 |
| Description | MRC-DTP supplementary grant award |
| Amount | £10,000 (GBP) |
| Funding ID | Oxford MRC-DTP supplementary award |
| Organisation | MRC Doctoral Training Program |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 07/2020 |
| End | 09/2021 |
| Description | UK Regulatory Science and Innovation Networks - Discovery phase |
| Amount | £60,000 (GBP) |
| Organisation | Innovate UK |
| Sector | Public |
| Country | United Kingdom |
| Start | 03/2024 |
| End | 06/2024 |
| Description | University of Oxford studentship |
| Amount | £21,000 (GBP) |
| Organisation | University of Oxford |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 08/2017 |
| End | 09/2020 |
| Title | Validation study for use of routinely collected data for research into common hand conditions |
| Description | External Validation study showing the positive predictive value of a prescribed set of codes (Procedural OPCS and diagnosis ICD codes) that can accurately identify a true case of carpal tunnel syndrome and base of thumb osteoarthritis |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2018 |
| Provided To Others? | Yes |
| Impact | Currently awaiting results of submission to formal journal; published on Biorxiv in interim. This study has enabled me to continue research in the field using these codes within large datasets |
| URL | https://www.biorxiv.org/content/early/2018/03/02/274167 |
| Description | Million Women's Study; musculoskeletal collaboration |
| Organisation | Million Women Study |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | Personally acting as expert advisor in my role as an active clinician within this pilot study with MWS, to note the validity and potential role of MWS in future musculoskeletal research with NDORMS |
| Collaborator Contribution | Offering the resource of their database, and also epidemiological assistance in designing the pilot study and analysing the data produced |
| Impact | collaboration only just begun; multidisciplinary between basic scientists in epidemiology and clinicians. |
| Start Year | 2016 |
| Description | OHDSI network |
| Organisation | Observational Health Data Sciences and Informatics |
| Sector | Charity/Non Profit |
| PI Contribution | The Observational Health Data Sciences and Informatics (or OHDSI, pronounced "Odyssey") program is a multi-stakeholder, interdisciplinary collaborative to bring out the value of health data through large-scale analytics. All our solutions are open-source. OHDSI has established an international network of researchers and observational health databases with a central coordinating center housed at Columbia University. I have been leading a new network study investigating the association between hormonal breast cancer therapies and musculoskeletal side effects with a data partner - IQVIA |
| Collaborator Contribution | IQVIA have offered methodological assistance and access to their 19 datasets in order to replicate the data- this contribution is priceless |
| Impact | still in early stages of study design |
| Start Year | 2020 |
| Description | UK Biobank; pilot musculoskeletal validation study |
| Organisation | UK Biobank |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | Entering into collaborative work with epidemiologists in the UK Biobank, Edinburgh in order to undertake pilot study investigating the validity of the BioBank for the study of musculoskeletal conditions. I am involved in this work within the role as an expert clinical advisor regarding the coding of clinical processes. Should this pilot work be successful, the aim is to engage in further study through this collaborative in planning a DPhil research project. |
| Collaborator Contribution | Collaborative just established; work due to begin May 2016 |
| Impact | due to begin |
| Start Year | 2016 |