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Article ; Online: Musculoskeletal case-mix adjustment in a UK primary/community care cohort: Testing musculoskeletal models to make recommendations in this setting.

Burgess, R / Lewis, M / Hill, J C

2021 Volume 56, Page(s) 102455

Abstract: Benchmarking musculoskeletal (MSK) services is limited by the need to adjust for differences in patient characteristics/case-mix. Without this providers and services cannot be usefully compared. This paper investigates the predictive ability of case-mix ... ...

Abstract	Benchmarking musculoskeletal (MSK) services is limited by the need to adjust for differences in patient characteristics/case-mix. Without this providers and services cannot be usefully compared. This paper investigates the predictive ability of case-mix adjustment models in a primary/community care cohort. Objectives: To investigate the predictive ability of two existing MSK case-mix adjustment models and compare to the predictive ability of an evidence informed and statistically informed model. Method: A secondary analysis of the 'Subgrouping for Targeted Treatment in Musculoskeletal Conditions' cluster randomised controlled trial data (n = 1211). Stepwise linear regression models were built and compared using available baseline variables. The MSK-HQ was used as the primary functional status outcome. Results: Two existing models were compared (UK National PROMs Model, US FOTO Model) using available variables. Of these models the modified US FOTO model showed the best predictive ability in this cohort predicting 44% of the variation in MSK-HQ outcome, the modified UK National PROMs model predicted 41%. A newly developed evidence informed model (Keele Model 1) performed no better than the existing models, and a statistically informed model (Keele Model 2) gave only an additional 2% increase in model power compared to the modified US FOTO model. Conclusion: All models showed strong predictive ability. The modified US FOTO model looks to be best suited to the UK primary/community care cohort of the existing models. This model performed so well that we recommend that this model is used in a UK setting moving forwards rather than development of an alternative UK model.
MeSH term(s)	Cohort Studies ; Humans ; Musculoskeletal Diseases/diagnosis ; Musculoskeletal Diseases/therapy ; Primary Health Care ; Risk Adjustment ; United Kingdom
Language	English
Publishing date	2021-09-01
Publishing country	Netherlands
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2021.102455
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Article ; Online: Recent highlights from the PHENIX heavy ion program

Hill J.C.

EPJ Web of Conferences, Vol 95, p

2015 Volume 03015

Abstract: It is accepted that a QGP can be formed in relativistic collisions of heavy nuclei (A+A). Recently long-range correlations have been observed in p+A collisions at the LHC in high multiplicity events. PHENIX has carried out a series of studies of d+Au ... ...

Abstract	It is accepted that a QGP can be formed in relativistic collisions of heavy nuclei (A+A). Recently long-range correlations have been observed in p+A collisions at the LHC in high multiplicity events. PHENIX has carried out a series of studies of d+Au collisions at 200 GeV to see if such correlations persist at lower energies compared to those at the LHC. Results of a study of long-range correlations and flow are presented for d+Au collisions. Data from Au+Au collisions collected during the beam energy scan (BES) was used to determine both quark and nucleon number scaling. The HBT method was used to determine radii of the fireball at kinetic freezeout. Implications for the nuclear EOS are discussed. Also results of a search for “dark photons” are presented. Recent PHENIX highlights on heavy flavor, electromagnetic probes, spin and plans for PHENIX upgrades were presented in other talks at this conference.
Keywords	Science ; Q ; Physics ; QC1-999
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	EDP Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Recent highlights from the PHENIX heavy ion program

Hill J.C.

EPJ Web of Conferences, Vol 95, p

2015 Volume 03015

Abstract	It is accepted that a QGP can be formed in relativistic collisions of heavy nuclei (A+A). Recently long-range correlations have been observed in p+A collisions at the LHC in high multiplicity events. PHENIX has carried out a series of studies of d+Au collisions at 200 GeV to see if such correlations persist at lower energies compared to those at the LHC. Results of a study of long-range correlations and flow are presented for d+Au collisions. Data from Au+Au collisions collected during the beam energy scan (BES) was used to determine both quark and nucleon number scaling. The HBT method was used to determine radii of the fireball at kinetic freezeout. Implications for the nuclear EOS are discussed. Also results of a search for “dark photons” are presented. Recent PHENIX highlights on heavy flavor, electromagnetic probes, spin and plans for PHENIX upgrades were presented in other talks at this conference.
Keywords	Science ; Q ; Physics ; QC1-999
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	EDP Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Developing a core outcome set for community and primary care musculoskeletal services: A consensus approach.

Burgess, R / Lewis, M / McRobert, C / Hill, J C

Musculoskeletal science & practice

2021 Volume 55, Page(s) 102415

Abstract: Background: At present there is no core outcome set (COS) for use in community and primary care Musculoskeletal (MSK) services across the UK. Services are therefore collecting different MSK outcomes and metrics in different ways and at different times. ... ...

Abstract	Background: At present there is no core outcome set (COS) for use in community and primary care Musculoskeletal (MSK) services across the UK. Services are therefore collecting different MSK outcomes and metrics in different ways and at different times. Standardising MSK data collection is essential in order for fair and impactful benchmarking to improve the quality of care delivered to the millions of patients presenting each year with MSK disorders. Objective: To gain consensus on a proposed set of metrics that could be used to develop a COS for use in routine practice in community and primary care MSK services in the UK and to make recommendations to inform a future national MSK audit. Methods: A consensus process involving researchers, healthcare professionals and patients. Previous research generated an initial list of proposed metrics. This proposal was then taken to wider stakeholder consensus via an online survey designed for both healthcare professionals and MSK service users. Results: 199 respondents completed the survey, 166 healthcare professionals and 33 service users (25/33 eligible to answer all items within the survey). Metrics that reached strong consensus were; age, pain site, comorbidities, duration of symptoms, work status, work absence, work absence duration. No Patient Reported Outcome Measures (PROMs) met strong consensus and all Patient Reported Experience Measures (PREMs) other than timeliness/convenience met strong consensus criteria. Conclusion: 7 baseline factors and 9 PREM domains reached strong consensus. The MSK-HQ PROM was the highest rated outcome measure so was also recommended for inclusion in an MSK COS.
MeSH term(s)	Consensus ; Humans ; Outcome Assessment, Health Care ; Patient Reported Outcome Measures ; Primary Health Care ; Surveys and Questionnaires
Language	English
Publishing date	2021-06-15
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2021.102415
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Article ; Online: Using tranexamic acid for an additional 24 hours postoperatively in hip and knee arthroplasty saves money: a cost analysis from the TRAC-24 randomized control trial.

Karayiannis, Paul N / Agus, Ashley / Bryce, Leanne / Hill, J C / Beverland, David

Bone & joint open

2022 Volume 3, Issue 7, Page(s) 536–542

Abstract: Aims: Tranexamic acid (TXA) is now commonly used in major surgical operations including orthopaedics. The TRAC-24 randomized control trial (RCT) aimed to assess if an additional 24 hours of TXA postoperatively in primary total hip (THA) and total knee ... ...

Abstract	Aims: Tranexamic acid (TXA) is now commonly used in major surgical operations including orthopaedics. The TRAC-24 randomized control trial (RCT) aimed to assess if an additional 24 hours of TXA postoperatively in primary total hip (THA) and total knee arthroplasty (TKA) reduced blood loss. Contrary to other orthopaedic studies to date, this trial included high-risk patients. This paper presents the results of a cost analysis undertaken alongside this RCT. Methods: TRAC-24 was a prospective RCT on patients undergoing TKA and THA. Three groups were included: Group 1 received 1 g intravenous (IV) TXA perioperatively and an additional 24-hour postoperative oral regime, Group 2 received only the perioperative dose, and Group 3 did not receive TXA. Cost analysis was performed out to day 90. Results: Group 1 was associated with the lowest mean total costs, followed by Group 2 and then Group 3. The differences between Groups 1 and 3 (-£797.77 (95% confidence interval -1,478.22 to -117.32) were statistically significant. Extended oral dosing reduced costs for patients undergoing THA but not TKA. The reduced costs in Groups 1 and 2 resulted from reduced length of stay, readmission rates, emergency department attendances, and blood transfusions. Conclusion: This study demonstrated significant cost savings when using TXA in primary THA or TKA. Extended oral dosing reduced costs further in THA but not TKA. Cite this article:
Language	English
Publishing date	2022-07-07
Publishing country	England
Document type	Journal Article
ISSN	2633-1462
ISSN (online)	2633-1462
DOI	10.1302/2633-1462.37.BJO-2021-0213.R1
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Book ; Online: Dreams and Education (RLE Edu K)

Hill, J C

(Routledge Library Editions: Education)

2013

Abstract: ... Written at a time when the psychology of education was still in its infancy, this volume explains the scientific interpretation of dreams. The importance of the Dream Mind in normal behaviour, and in the production and appreciation of ... ...

Series title	Routledge Library Editions: Education
Abstract	Written at a time when the psychology of education was still in its infancy, this volume explains the scientific interpretation of dreams. The importance of the Dream Mind in normal behaviour, and in the production and appreciation of literature and art, is illustrated by numerous examples. Educational methods in the home and at school are reviewed in the light of this 'new' knowledge.
Language	English
Size	Online-Ressource (120 p)
Publisher	Taylor and Francis
Publishing place	Hoboken
Document type	Book ; Online
Note	Description based upon print version of record
ISBN	9780415696975 ; 0415696976
Database	Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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Book ; Online: Dreams and education

Hill, J. C

(Routledge Library Editions: Education)

2012

Abstract: Written at a time when the psychology of education was still in its infancy, this volume explains the scientific interpretation of dreams. The importance of the Dream Mind in normal behaviour, and in the production and appreciation of literature and art, ...

Author's details	J.C. Hill
Series title	Routledge Library Editions: Education
Abstract	Written at a time when the psychology of education was still in its infancy, this volume explains the scientific interpretation of dreams. The importance of the Dream Mind in normal behaviour, and in the production and appreciation of literature and art, is illustrated by numerous examples. Educational methods in the home and at school are reviewed in the light of this 'new' knowledge
Language	English
Size	Online-Ressource
Publisher	Routledge
Publishing place	London
Document type	Book ; Online
Note	First published: London : Methuen & Co., 1926 ; Includes index ; Includes original t.p
ISBN	1283587475 ; 9780203138632 ; 9780415696975 ; 9781136492440 ; 9781283587471 ; 0203138635 ; 0415696976 ; 1136492445
Database	Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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Article ; Online: The Relationship Between Canal Diameter and the Dorr Classification.

Karayiannis, P N / Cassidy, R S / Hill, J C / Dorr, L D / Beverland, D E

The Journal of arthroplasty

2020 Volume 35, Issue 11, Page(s) 3204–3207

Abstract: Background: Particularly in broach-only uncemented total hip arthroplasty, a narrow femoral canal presents a technical challenge. Traditionally such femurs have been considered to be Dorr A. To our knowledge, however, no study has reported on the ... ...

Abstract	Background: Particularly in broach-only uncemented total hip arthroplasty, a narrow femoral canal presents a technical challenge. Traditionally such femurs have been considered to be Dorr A. To our knowledge, however, no study has reported on the relationship between isthmus width and the Dorr classification. Methods: We reviewed 500 high-quality, hard copy radiographs. Dorr classification and isthmus canal width were measured using an electronic caliper by 5 independent observers with intraobserver and interobserver error calculated. For this study, we defined a narrow canal as being ≤10 mm at its narrowest point (isthmus). Results: Eight percent (40) were Dorr A, 85% (424) Dorr B, and 7% (36) Dorr C. With respect to isthmus width for Dorr A, 63% (25) were ≤10 mm compared to just 13% (55) of Dorr B. However, overall because there were more Dorr B femurs, 69% of those with an isthmus of ≤10 mm were Dorr B. Conclusion: In this population, almost 70% of patients with an isthmus ≤10 mm were Dorr B, with only 30% being Dorr A. When using a broach-only technique, isthmus width should be routinely measured on the preoperative anteroposterior radiographs so as to alert the surgeon to potential problems.
MeSH term(s)	Arthroplasty, Replacement, Hip ; Femur/diagnostic imaging ; Femur/surgery ; Hip Prosthesis ; Humans ; Radiography ; Retrospective Studies
Language	English
Publishing date	2020-06-01
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632770-9
ISSN	1532-8406 ; 0883-5403
ISSN (online)	1532-8406
ISSN	0883-5403
DOI	10.1016/j.arth.2020.05.066
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Article ; Online: Optimising physiotherapy for people with lateral elbow tendinopathy - Results of a mixed-methods pilot and feasibility randomised controlled trial (OPTimisE).

Bateman, M / Skeggs, A / Whitby, E / Fletcher-Barrett, V / Stephens, G / Dawes, M / Davis, D / Beckhelling, J / Cooper, K / Saunders, B / Littlewood, C / Vicenzino, B / Foster, N E / Hill, J C

Musculoskeletal science & practice

2023 Volume 69, Page(s) 102905

Abstract: Background: The OPTimisE intervention was developed to address uncertainty regarding the most effective physiotherapy treatment strategy for people with Lateral Elbow Tendinopathy (LET).: Objectives: To assess the feasibility of conducting a fully- ... ...

Abstract	Background: The OPTimisE intervention was developed to address uncertainty regarding the most effective physiotherapy treatment strategy for people with Lateral Elbow Tendinopathy (LET). Objectives: To assess the feasibility of conducting a fully-powered randomised controlled trial (RCT) evaluating whether the OPTimisE intervention is superior to usual physiotherapy treatment for adults with LET. Design: A mixed-methods multi-centred, parallel pilot and feasibility RCT, conducted in three outpatient physiotherapy departments in the UK. Method: Patients were independently randomised 1:1 in mixed blocks, stratified by site, to the OPTimisE intervention or usual care. Outcomes were assessed using pre-defined feasibility progression criteria. Results: 50 patients were randomised (22 Female, 28 Male), mean age 48 years (range 27-75). Consent rate was 71% (50/70), fidelity to intervention 89% (16/18), attendance rate in the OPTimisE group 82% (55/67) vs 85% (56/66) in usual care, outcome measure completion 81% (39/48) at six-month follow-up. There were no related adverse events. Patients and physiotherapists reported that the OPTimisE intervention was acceptable but suggested improvements to the trial design. 49 patients were recruited from physiotherapy referrals vs one from primary care records. Outcome measure return rates were higher when completed online (74%) compared to postal questionnaire (50%). Exploratory analysis showed improvements in both groups over time. Conclusions: It is methodologically feasible to conduct a fully powered RCT comparing the clinical and cost-effectiveness of the OPTimisE intervention versus usual physiotherapy treatment. Considering the similar improvements observed in both groups, careful consideration is needed regarding the priority research question to be addressed in future research.
MeSH term(s)	Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Elbow Tendinopathy ; Feasibility Studies ; Musculoskeletal Diseases ; Physical Therapy Modalities ; Surveys and Questionnaires ; Tendinopathy/therapy ; Treatment Outcome ; Pilot Projects
Language	English
Publishing date	2023-12-30
Publishing country	Netherlands
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2023.102905
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Article ; Online: Evaluation of the First Contact Physiotherapy (FCP) model of primary care: patient characteristics and outcomes.

Stynes, S / Jordan, K P / Hill, J C / Wynne-Jones, G / Cottrell, E / Foster, N E / Goodwin, R / Bishop, A

Physiotherapy

2021 Volume 113, Page(s) 199–208

Abstract: Objective: First Contact Physiotherapy (FCP) is a primary care model where expert musculoskeletal (MSK) physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity. The authors report the quantitative ... ...

Abstract	Objective: First Contact Physiotherapy (FCP) is a primary care model where expert musculoskeletal (MSK) physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity. The authors report the quantitative findings from the FCP National Evaluation (Phase 3) which evaluated the FCP model against success criteria. Design and setting: A mixed-methods 24-month service evaluation involving 40 FCP sites and 240 FCPs across England. Methods: An online platform collected patient-reported experience and outcomes following the FCP consultation and at 1, 2 and 3-months follow-up. These included the Keele STarT MSK Tool, pain intensity (0-10 NRS scale), Musculoskeletal Health Questionnaire (MSK-HQ, range 0-56), and Friends-and-Family Test. Results: Over 13 months, 2825 patients were invited by email and 24% (n=680) completed their initial questionnaire. Their mean age was 56.2 (SD 14.9), 61% were female, ethnicity was 97% white, mean pain intensity was 6.1 (SD 2.13) and mean MSK-HQ score was 33.8 (SD 9.5). At 3-months follow-up (n=370) there was a 2.8 (CI 2.5 to 3.1) mean pain intensity reduction from baseline, a mean 7.1 (6.0 to 8.2) score improvement in MSK-HQ and 64% reporting overall improvement (much better/better) since seeing the FCP. One of the six success criteria was not met; 29% of those in employment reported receiving specific work advice from the FCP (target ≥75%). Conclusion: Ahead of the planned scale-up of the FCP primary care model across the UK, this evaluation provides useful data on patients who access this service, their short-term clinical outcomes and whether key success criteria are being met.
MeSH term(s)	Female ; Humans ; Middle Aged ; Physical Therapists ; Physical Therapy Modalities ; Primary Health Care ; Referral and Consultation ; Surveys and Questionnaires
Language	English
Publishing date	2021-08-06
Publishing country	England
Document type	Journal Article
ZDB-ID	391109-3
ISSN	1873-1465 ; 0031-9406
ISSN (online)	1873-1465
ISSN	0031-9406
DOI	10.1016/j.physio.2021.08.002
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