University of Hertfordshire

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  • Lewis, Jeremy (PI)


Research plan
Workstream 1: Use data from existing studies to identify characteristics of patients likely to benefit from treatments such as exercise, shoulder injection, or surgery.

Workstream 2: Recruit 1000 patients with shoulder pain to a 3-year study in order to develop a prognostic model to discriminate between patients at low versus increased risk of persistent pain and disability. Their GP or physiotherapist will continue to provide the most appropriate treatment. Data collection includes:
 clinical assessment, including physical examination and ultrasound scan of the shoulder
 six questionnaires on pain, difficulties with everyday activities, treatments, and quality of life over three years

Workstream 3: Work with expert clinicians and patient representatives to combine findings from Workstreams 1 and 2 to develop a screening and decision tool. This tool should help clinicians identify patients likely to recover quickly or experience long-lasting pain, and then select the best possible treatments based on patients’ characteristics.

Patients and their clinicians will be interviewed to obtain their views on:
• the importance of information regarding diagnosis and prognosis
• how they make decisions about diagnostic tests and treatment
• whether introducing the new stratified care approach is possible

Workstream 4: Conduct a randomised trial including 530 patients with shoulder pain to test whether using stratified care leads to better patient outcomes and better value for money for the NHS, compared to current care for shoulder pain.

ID: 16538503