🆕 How does age of death vary across England and Wales? There is wide variation at local authority level in the proportion of people who die aged under 75 – from 50% in Tower Hamlets, to only 22% in Dorset. Read the analysis by @sarahscobie.bsky.social and @stutibagri.bsky.social: buff.ly/20unIxr

NEWSFLASH: The report for BEPOP wave 2 has now been published, find it here: research.ncl.ac.uk/ageresearchg...

Our NIHR Newcastle BRC funded MET-PREVENT trial now published - no improvement in physical performance or quality of life with 4 maths of metformin in older people with sarcopenia and frailty (but lots of side effects) @nihr.bsky.social @medicalsciencesncl.bsky.social @nihrnewcastlebrc.bsky.social

The number of patients entering clinical trials in the UK fell by 27% from 2018 to 2023 and new industry trials declined 38%. To revive clinical research we need to streamline systems and dismantle bureaucracy, writes @masudhusain.bsky.social www.bmj.com/content/388/...

📣 Attention! ❗ CALL FOR ABSTRACTS! ❗ We'd love to hear about all the innovation you're doing in #AddingLifeToYears for our older people. ☀️ Submit an abstract for our national Conference here: tinyurl.com/AgileAbstract

🚀 We're looking for 2 Assistant Professors to work at the new Bennett School of Public Policy. They'll play a leading role in helping to establish a new M.Phil in Digital Policy & also in relation to the existing successful M.Phil in Public Policy. Apply by 10 March '25 www.jobs.cam.ac.uk/job/50248/

Norfolk Sunday Morning

Funders expect evidence of 'promise' (the intervention is likely to work) when considering whether to fund an RCT, pilot, or feasibility study. But there is no shared understanding of how we should do this. We have been funded by @nihr.bsky.social to develop guidance to help.

Brace of knife for medial knee OA? Unloader brace or high tibial osteotomy in the treatment of the young patient with medial knee osteoarthritis: a randomized controlled trial #OpenAccess in Acta 👇👇👇 https://buff.ly/3QgMqYH

Incidence, treatment, and mortality of ankle fractures: a Danish population-based cohort study Per H Gundtoft, Alma B Pedersen, Bjarke Viberg buff.ly/UFaAEAz #AnkleFracture #FootandAnkle #Fractures #Incidence #MalleollusFracture #Mortality #Population

Identifying recovery trajectories following primary total shoulder arthroplasty: a cohort study of 3,358 patients from the Dutch Arthroplasty Register Mirthe H W van Veghel, Liza N van Steenbergen, Cornelis P J Visser, B Willem Schreurs, Gerjon Hannink buff.ly/gXpTQqe #Arthroplasty #Shoulder

Feasibility study of a physical activity intervention for people receiving cancer treatment in hospitals. Some recruitment challenges but also some positive findings for this goal-setting based programme. www.physiotherapyjournal.com/article/S003...

DW. A study in 72 people have lumbar fusion surgery; why do a non-randomised study of "REACT rehabilitation pathway includes prehabilitation, early mobilization and avoidance of unsubstantiated postoperative restrictions"? The data cannot be interpreted. link.springer.com/article/10.1...

DW. Health economic studies in rehabilitation are possible. This study found adding a pre-discharge occupational therapist's home visit improved outcomes with fewer falls and a significant cost saving to the health service for patients after hip fracture. doi.org/10.1177/0269... #neurorehab

Latest scoping review I've read on hospital-aquired deconditioning. More is being published now but still so much work needed for positive practice change. Super helpful read. bmjopen.bmj.com/content/15/1...

Why is remote monitoring on virtual wards for people with frailty so hard? Our new @thisinstitute.bsky.social paper investigates, finding multiple challenges ranging from procurement to work system design and clinician and patient preference. academic.oup.com/ageing/artic...

Antidote to Blue Monday (pity I was at work in Coventry instead)

Happy Christmas all from Co. Kerry. 🎄🧑‍🎄

I just watched Home Alone 2...Christmas essential in Chez Smith...has anyone counted how many injuries would 'really' mean you're immediately considered for Major Trauma Centre admission. Way worse than Home Alone 1 (that was last night). Happy Christmas all 🎄🧑‍🎄🎄🧑‍🎄

Nice end to the 2024 academic year - the GRRAND (Getting Recovery Right After Neck Dissection) trial registration now out. Looking forward to rolling this out with @nihr.bsky.social in 2025 www.isrctn.com/ISRCTN13855775

Our paper ‘An analysis of publicly available NHS information leaflets for patients with shoulder osteoarthritis’ has been published, have a read. @tobysmith.bsky.social dx.doi.org/10.1002/msc....

Identification of latent classes of randomized controlled trials based on integrity and reporting characteristics - @jclinepi.bsky.social www.jclinepi.com/article/S089...

Super start to the day seeing the @nnuh.bsky.social @nihr.bsky.social Clinical Research Team to deliver REPPORT Christmas goodies. They are still our lead recruiters! (We have goodies to all so no preferential treatment, promise)

WHO launches new clinical trials guidance – What do I need to know? A #guidance establishing a global framework on best practices for clinical trials #Research #Science #RCT #Evidence #Methodology #Training #Care #Health Register to the Webinar 👇 zoom.us/webinar/regi...

'Poor access to rehabilitation for people with long-term conditions is driving the gap in healthy life expectancy.' CSP policy lead @tashaowusu.bsky.social guest blogs @rcphysicians.bsky.social, sharing how universal access to rehab is key to reducing health inequalities. #RightToRehab

Sociology needs to think more about pain, and it also needs to think more about the fundamental processes that ground our most cherished concepts....

Off to Bristol for the day for the final @bristoluni.bsky.social MyKneePlan @nihr.bsky.social co-production meeting. Excited about seeing the final programme to improve preoperative care for people awaiting knee replacement

What is @the-under-study.bsky.social? Find out more:

bmjopen.bmj.com/content/14/1... - still convinced we promote physical activity to people whilst in hospital & teaching or motivating people to spend more time on their feet if they can. Still lots to do but this paper is good 'food for thought'

Went to the Norfolk coast. Lovely. Went onto the 'other social media channel' & realised it's got ugly over the last week.

Just what was needed after first week of term. Looking forward to 2024-25.

What’s new in #osteoporosis management? Leading the fight in primary care bjgp.org/content/74/7... #KeeleMSK

Opportunity for researcher-led applications to the NIHR Better Methods, Better Research Programme t.co/Lu3Nr95jnk

Combination of long-term conditions & sarcopenia with UK Biobank data - (1) drug/alcohol misuse & osteoarthritis; (2) connective tissue disease & osteoporosis in men = relative excess risk of interaction of 3.91 & 2.27 in age-adjusted models bmjopen.bmj.com/content/14/9...

Does it give you a 'mucus cough' or alleviate a 'mucus cough'?

Evaluation of anterior vertebral body height restoration rate associated with clinical outcomes of percutaneous kyphoplasty for osteoporotic vertebral fractures bmcmusculoskeletdisord.biomedcentral.com/articles/10....

Whilst total hip replacement is proposed for more physically active people to promote better return to pre-injury HRQoL & function, this was not evident in this UK cohort of 250...reiterates to me the importance of rehab to optimise surgery link.springer.com/article/10.1...

The Academic Centre for Healthy Ageing is a once in a generation chance to build a globally-recognised centre for research into ageing serving the diverse populations of North East London. Come help us build that vision through our PhD programme - deadline next Friday acha.qmul.ac.uk/fairer-dtp/

Exciting protocol now out: AI-assisted image analysis & diagnostic accuracy of front-line clinicians in fracture detection on plain X-rays bmjopen.bmj.com/content/14/9...

Higher BMI, longer time from injury to surgery & younger age at time of surgery negatively associated with achievement of minimal importance change levels for KOOS score after ACL reconstruction - Swedish registry data analysis bmjopen.bmj.com/content/14/9...

Valuable review paper on the current status of general approaches to diagnostic imaging for suspected periprosthetic joint infection. link.springer.com/article/10.1...

Massive study just out from the TwinsUK cohort (N=3022 twins) reporting no association between individual Quantitative Sensory Testing (QST) modalities & chronic pain diagnoses bmjopen.bmj.com/content/14/9...

Valuable paper & insights on health professional's perceptions of rehab for frail older people in the community journals.sagepub.com/doi/full/10....

In our work to address social isolation we found that the critical social infrastructure in communities were parks, high streets & libraries. They're essential for community life but this isn't so much a libraries crisis but stems from insufficient funding for councils www.bbc.com/news/article...

1st joint Annual Scientific Meeting of the Irish Pain Society & Northern Irish Pain Society on 19th October. Abstract submission still open to 10th Sept: irishpainsociety.ie/ips-nips-asm...

Delighted to share this new paper: "Public perspective on potential treatment intervention harm in clinical trials—terminology and communication" led by Dr Rachel Phillips. Really interesting findings demonstrate the importance of patient & public involvement in this field rdcu.be/dSwEa

ARMA's new report LAUNCHED TODAY reveals that too many ICBs are not prioritising MSK services, impacting millions. MSK should be on every ICB agenda. 📊Full report here: arma.uk.net/icb

International survey investigating carer training for people following bony fracture leaving hospital. Please complete if you treat these patients warwick.co1.qualtrics.com/jfe/form/SV_...

Delighted to see the growth in interest in the Candidacy framework as a way of understanding access to healthcare. This very interesting article proposes a Candidacy 2.0 for chronic conditions and is well worth a read. link.springer.com/article/10.1...