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The development of clinical recommendations to improve experiences of chronic pain after cancer treatment for people living with and beyond cancer (2023)
Presentation / Conference
Armoogum, J., Llewellyn, A., Foster, C., McCabe, C., & Harcourt, D. (2023, August). The development of clinical recommendations to improve experiences of chronic pain after cancer treatment for people living with and beyond cancer. Presented at International Psycho-Oncology Society (IPOS) World Congress, 2023, Milan, Italy

Title: The development of clinical recommendations to improve experiences of chronic pain after cancer treatment for people living with and beyond cancer Objectives/purpose: Development of clinical recommendations to improve experiences of chronic... Read More about The development of clinical recommendations to improve experiences of chronic pain after cancer treatment for people living with and beyond cancer.

Sensory training system for use at home by people with complex regional pain syndrome in England: Protocol for a proof-of-concept study (2023)
Journal Article
Coggins, J., Grieve, S., Hart, D., Llewellyn, A., Palmer, M., Boichat, C., & McCabe, C. (2023). Sensory training system for use at home by people with complex regional pain syndrome in England: Protocol for a proof-of-concept study. BMJ Open, 13(5), Article e070920. https://doi.org/10.1136/bmjopen-2022-070920

INTRODUCTION: Complex regional pain syndrome (CRPS) is a disabling and distressing chronic pain condition characterised by a range of sensory, motor, autonomic and trophic symptoms. UK guidelines recommend therapy interventions to help normalise touc... Read More about Sensory training system for use at home by people with complex regional pain syndrome in England: Protocol for a proof-of-concept study.

Optimising management of complex regional pain syndrome to improve clinical outcomes throughout the therapy care pathway in England: Protocol for a qualitative interview and observational study with patients and clinicians (2023)
Journal Article
Coggins, J., McCabe, C., Walsh, N., Pearson, J., Rolls, C., Collins, C., & Llewellyn, A. (2023). Optimising management of complex regional pain syndrome to improve clinical outcomes throughout the therapy care pathway in England: Protocol for a qualitative interview and observational study with patients and clinicians. Musculoskeletal Care, 21(3), 871-877. https://doi.org/10.1002/msc.1764

Introduction: Complex Regional Pain Syndrome (CRPS) is a disabling and distressing chronic pain condition characterised by a range of sensory, motor, autonomic and trophic symptoms. Guidelines recommend early referral for therapies that promote movem... Read More about Optimising management of complex regional pain syndrome to improve clinical outcomes throughout the therapy care pathway in England: Protocol for a qualitative interview and observational study with patients and clinicians.

The challenges of managing Complex Regional Pain Syndrome throughout the care pathway - reporting therapists' perspectives (2022)
Presentation / Conference
Coggins, J., McCabe, C., Walsh, N., Pearon, J., Rolls, C., Collins, C., & Llewellyn, A. (2022, September). The challenges of managing Complex Regional Pain Syndrome throughout the care pathway - reporting therapists' perspectives. Poster presented at International Association for the Study of Pain 2022 World Congress on Pain, Toronto, Canada

Background and Aims Complex Regional Pain Syndrome (CRPS) is a severe chronic pain condition which usually occurs following limb trauma[1] and causes significant burden to individuals and society. The UK has a small number of specialist CRPS centres... Read More about The challenges of managing Complex Regional Pain Syndrome throughout the care pathway - reporting therapists' perspectives.

Delphi study to define core clinical outcomes for inclusion in a complex regional pain syndrome international research registry and data bank (2022)
Journal Article
Llewellyn, A., Buckle, L., Grieve, S., Birklein, F., Brunner, F., Goebel, A., …McCabe, C. (2023). Delphi study to define core clinical outcomes for inclusion in a complex regional pain syndrome international research registry and data bank. PAIN, 164(3), 543-554. https://doi.org/10.1097/j.pain.0000000000002729

ABSTRACT: Complex regional pain syndrome (CRPS) clinical trials have historically captured a diverse range of outcomes. A minimum set of CRPS patient-reported outcomes has been agreed for inclusion in a future CRPS international clinical research reg... Read More about Delphi study to define core clinical outcomes for inclusion in a complex regional pain syndrome international research registry and data bank.

Peoples’ experiences of painful diabetic neuropathy: A qualitative interview study (2021)
Journal Article
McCabe, C., Cramp, F., Gauntlett-Gilbert, J., & Davies, B. (2021). Peoples’ experiences of painful diabetic neuropathy: A qualitative interview study. Pain and Rehabilitation, 50, 14-21

Objective Painful diabetic neuropathy (PDN) is a common complication of diabetes. This study explored the experience and impact of living with PDN. Design People with PDN were recruited through local NHS clinics and by national advertisement in di... Read More about Peoples’ experiences of painful diabetic neuropathy: A qualitative interview study.

‘We tend to get pad happy’: A qualitative study of health practitioners’ perspectives on the quality of continence care for older people in hospital (2021)
Journal Article
Percival, J., Abbott, K., Allain, T., Bradley, R., Cramp, F., Donovan, J. L., …Cotterill, N. (2021). ‘We tend to get pad happy’: A qualitative study of health practitioners’ perspectives on the quality of continence care for older people in hospital. BMJ Open Quality, 10(2), Article e001380. https://doi.org/10.1136/bmjoq-2021-001380

Bladder and bowel control difficulties affect 20% and 10% of the UK population, respectively, touch all age groups and are particularly prevalent in the older (65+ years) population. However, the quality of continence care is often poor, compromising... Read More about ‘We tend to get pad happy’: A qualitative study of health practitioners’ perspectives on the quality of continence care for older people in hospital.

Florence Nightingale's legacy for clinical academics: A framework analysis of a clinical professorial network and a model for clinical academia (2021)
Journal Article
Pattison, N., Deaton, C., McCabe, C., Coates, V., Johnston, B., Nolan, F., …Briggs, M. (2022). Florence Nightingale's legacy for clinical academics: A framework analysis of a clinical professorial network and a model for clinical academia. Journal of Clinical Nursing, 31(3-4), 353-361. https://doi.org/10.1111/jocn.15756

Background: Clinical academic nursing roles are rare, and clinical academic leadership positions even more scarce. Amongst the United Kingdom (UK) academia, only 3% of nurses who are employed within universities are clinically active. Furthermore, ac... Read More about Florence Nightingale's legacy for clinical academics: A framework analysis of a clinical professorial network and a model for clinical academia.

Visual illusions modulate body perception disturbance and pain in Complex Regional Pain Syndrome: A randomized trial (2021)
Journal Article
Lewis, J. S., Newport, R., Taylor, G., Smith, M., & McCabe, C. S. (2021). Visual illusions modulate body perception disturbance and pain in Complex Regional Pain Syndrome: A randomized trial. European Journal of Pain, 25(7), 1551-1563. https://doi.org/10.1002/ejp.1766

Background: Effective treatment of longstanding Complex Regional Pain Syndrome (CRPS) is a challenge, as causal mechanisms remain elusive. People with CRPS frequently report distorted subjective perceptions of their affected limb. Evidence of pain re... Read More about Visual illusions modulate body perception disturbance and pain in Complex Regional Pain Syndrome: A randomized trial.

Physical appearance and well-being in adults with incurable cancer: A thematic analysis (2020)
Journal Article
Tollow, P., Ogden, J., McCabe, C. S., & Harcourt, D. (2023). Physical appearance and well-being in adults with incurable cancer: A thematic analysis. BMJ Supportive and Palliative Care, 13(e1), e163-e169. https://doi.org/10.1136/bmjspcare-2020-002632

Objectives: Existing research has established the importance of appearance concerns for individuals with cancer and identified appearance as an important factor in dying with dignity. No research, however, has explored in depth the role of appearance... Read More about Physical appearance and well-being in adults with incurable cancer: A thematic analysis.

What are the holistic experiences of adults living long-term with the consequences of cancer and its treatment? A qualitative evidence synthesis (2020)
Journal Article
Rogers, K., McCabe, C., & Dowling, S. (2021). What are the holistic experiences of adults living long-term with the consequences of cancer and its treatment? A qualitative evidence synthesis. European Journal of Oncology Nursing, 50, Article 101864. https://doi.org/10.1016/j.ejon.2020.101864

© 2020 Elsevier Ltd Purpose: The number of people living with and beyond cancer is increasing; a significant number of these people will experience the long-term and late effects of cancer and its treatment. Research into this group has been identifi... Read More about What are the holistic experiences of adults living long-term with the consequences of cancer and its treatment? A qualitative evidence synthesis.

The patient perspective of nurse-led care in early rheumatoid arthritis: A systematic review of qualitative studies with thematic analysis (2020)
Journal Article
Sweeney, A. M. T., McCabe, C., Flurey, C. A., Robson, J. C., Berry, A., Richards, P., & Ndosi, M. (2021). The patient perspective of nurse-led care in early rheumatoid arthritis: A systematic review of qualitative studies with thematic analysis. Journal of Clinical Nursing, 30(1-2), 145-160. https://doi.org/10.1111/jocn.15531

Introduction: Management of rheumatoid arthritis has changed dramatically over the last decade and is characterised by early start of intensive treatment and tight monitoring of disease activity until remission. The role of nurse-led care at early... Read More about The patient perspective of nurse-led care in early rheumatoid arthritis: A systematic review of qualitative studies with thematic analysis.

Beliefs, motives and gains associated with physical activity in people with osteoarthritis (2020)
Journal Article
Berry, A., McCabe, C. S., Halls, S., Muir, S., & Walsh, N. (2021). Beliefs, motives and gains associated with physical activity in people with osteoarthritis. Musculoskeletal Care, 19(1), 52-58. https://doi.org/10.1002/msc.1507

Objectives Osteoarthritis (OA) affects approximately 8.75 million people in the United Kingdom. Physical activity is recommended as a core treatment, yet 44% of people with OA are inactive. Motivation and self‐efficacy for exercise are considered to... Read More about Beliefs, motives and gains associated with physical activity in people with osteoarthritis.

The role of non-medical therapeutic approaches in the rehabilitation of Complex Regional Pain Syndrome (2020)
Journal Article
Boichat, C., Llewellyn, A., Grieve, S., & McCabe, C. (2020). The role of non-medical therapeutic approaches in the rehabilitation of Complex Regional Pain Syndrome. Current Treatment Options in Rheumatology, 6, 299-311. https://doi.org/10.1007/s40674-020-00156-9

Purpose of the review: Non-medical therapeutic approaches are fundamental to the management of Complex Regional Pain Syndrome (CRPS) in order to promote the best outcome for patients. This review focuses on three key approaches underpinning CRPS reha... Read More about The role of non-medical therapeutic approaches in the rehabilitation of Complex Regional Pain Syndrome.

What is the incidence of complex regional pain syndrome (CRPS) Type I within four months of a wrist fracture in the adult population? A systematic review (2020)
Journal Article
Rolls, C., McCabe, C., Llewellyn, A., & Jones, G. T. (2020). What is the incidence of complex regional pain syndrome (CRPS) Type I within four months of a wrist fracture in the adult population? A systematic review. Hand Therapy, 25(2), 45-55. https://doi.org/10.1177/1758998320910179

© The Author(s) 2020. Introduction: Complex regional pain syndrome (CRPS) is a severe chronic pain condition, the symptoms of which may develop following trauma to a limb. Despite wrist fracture being a common antecedent, estimates of the incidence o... Read More about What is the incidence of complex regional pain syndrome (CRPS) Type I within four months of a wrist fracture in the adult population? A systematic review.

The contribution of motor commands to the perturbations induced by sensorimotor conflicts in fibromyalgia (2020)
Journal Article
Brun, C., McCabe, C. S., & Mercier, C. (2020). The contribution of motor commands to the perturbations induced by sensorimotor conflicts in fibromyalgia. Neuroscience, 434, 55-65. https://doi.org/10.1016/j.neuroscience.2020.03.017

Individuals with pain report higher sensory disturbances during sensorimotor conflicts compared to pain-free individuals. In the pain field, it is frequently assumed that disturbances arise from a discordance between sensory and efference copies (def... Read More about The contribution of motor commands to the perturbations induced by sensorimotor conflicts in fibromyalgia.

What are the holistic experiences of adults living long-term with the consequences of cancer and its treatment? A qualitative evidence synthesis. (2020)
Presentation / Conference
Rogers, K., McCabe, C., & Dowling, S. (2020, February). What are the holistic experiences of adults living long-term with the consequences of cancer and its treatment? A qualitative evidence synthesis. Poster presented at British Psychosocial Oncology Society Conference, Edinburgh, UK

Background The number of people living with and beyond cancer is increasing (Linden, Love, Bowman and Maher, 2016). The nature of cancer and its treatment means a significant number of these people will experience the long-term and late effects of... Read More about What are the holistic experiences of adults living long-term with the consequences of cancer and its treatment? A qualitative evidence synthesis..

Bodily changes and sensory sensitivity in complex regional pain syndrome and fibromyalgia (2020)
Journal Article
Ten Brink, A. F., Peters, L., Kompouli, P., Jordan, A., McCabe, C. S., Goebel, A., & Bultitude, J. H. (2020). Bodily changes and sensory sensitivity in complex regional pain syndrome and fibromyalgia. PAIN, 161(6), 1361-1370. https://doi.org/10.1097/j.pain.0000000000001830

Complex regional pain syndrome (CRPS) and fibromyalgia are chronic pain conditions of unexplained origins. In addition to symptoms in the diagnostic criteria, patients can report changes to vision and other sensations or bodily functions. It is uncle... Read More about Bodily changes and sensory sensitivity in complex regional pain syndrome and fibromyalgia.

Successful and unsuccessful recruitment and retainment strategies in a UK multicentre drug trial for a rare chronic pain condition which performed above target (2019)
Journal Article
Bisla, J., Ambler, G., Frank, B., Gulati, S., Hocken, P., James, M., …Goebel, A. (2020). Successful and unsuccessful recruitment and retainment strategies in a UK multicentre drug trial for a rare chronic pain condition which performed above target. British Journal of Pain, 14(3), 171-179. https://doi.org/10.1177/2049463719893399

Introduction: Recruitment into trials in rare chronic pain conditions can be challenging, so such trials consequently are underpowered or fail. Methods: Drawing from our experience in conducting, to date, the largest academic trial in a rare chronic... Read More about Successful and unsuccessful recruitment and retainment strategies in a UK multicentre drug trial for a rare chronic pain condition which performed above target.

The experience of persistent pain in adult cancer survivors: A qualitative evidence synthesis (2019)
Journal Article
Armoogum, J., Harcourt, D., Foster, C., Llewellyn, A., & McCabe, C. S. (2020). The experience of persistent pain in adult cancer survivors: A qualitative evidence synthesis. European Journal of Cancer Care, 29(1), Article e13192. https://doi.org/10.1111/ecc.13192

Objective This qualitative evidence synthesis aimed to identify, review and synthesise qualitative research describing the experience of persistent pain in adult cancer survivors. Methods A systematic literature search was conducted between Dec... Read More about The experience of persistent pain in adult cancer survivors: A qualitative evidence synthesis.

Cancer survivors with persistent pain: Filling in the gaps (2019)
Presentation / Conference
Armoogum, J., McCabe, C., Harcourt, D., Foster, C., & Llewellyn, A. (2019, November). Cancer survivors with persistent pain: Filling in the gaps. Poster presented at UK Oncology Nursing Society (UKONS), Telford, UK

What is the incidence of Complex Regional Pain Syndrome type I within four months of a wrist fracture in the adult population? A systematic review (2019)
Presentation / Conference
Rolls, C., McCabe, C., Llewellyn, A., & Jones, G. (2019, September). What is the incidence of Complex Regional Pain Syndrome type I within four months of a wrist fracture in the adult population? A systematic review. Poster presented at EFIC Congress 2019, Valencia, Spain

Background and Aims There is wide variation in the estimated incidence of Complex Regional Pain Syndrome (CRPS) prior to the development of the 2010 Budapest diagnostic criteria. Our aim is to establish the incidence of CRPS within four months of a... Read More about What is the incidence of Complex Regional Pain Syndrome type I within four months of a wrist fracture in the adult population? A systematic review.

Complex regional pain syndrome: An international survey of clinical practice (2019)
Journal Article
Grieve, S., Llewellyn, A., Jones, L., Manns, S., Glanville, V., & McCabe, C. (2019). Complex regional pain syndrome: An international survey of clinical practice. European Journal of Pain, 23(10), 1890-1903. https://doi.org/10.1002/ejp.1463

Background: Published guidelines promote best practice in complex regional pain syndrome (CRPS) treatment and management; however, these recommendations are not always applied in clinical practice. Understanding existing care internationally will hel... Read More about Complex regional pain syndrome: An international survey of clinical practice.

A multi-centre study to explore the feasibility and acceptability of collecting data for complex regional pain syndrome clinical studies using a core measurement set: Study protocol (2019)
Journal Article
Vaughan-Spickers, N., Vatine, J. J., Hirata, H., Grieve, S., Brunner, F., Buckle, L., …McCabe, C. (2019). A multi-centre study to explore the feasibility and acceptability of collecting data for complex regional pain syndrome clinical studies using a core measurement set: Study protocol. Musculoskeletal Care, https://doi.org/10.1002/msc.1408

© 2019 John Wiley & Sons, Ltd. Objectives: This international, multicentre study will inform the final data collection tools and processes which will comprise the first international, clinical research registry for complex regional pain syndrome (C... Read More about A multi-centre study to explore the feasibility and acceptability of collecting data for complex regional pain syndrome clinical studies using a core measurement set: Study protocol.

Protocol: An e-Delphi study to define internationally agreed core clinical outcome measures for Complex Regional Pain Syndrome clinical research studies (2019)
Presentation / Conference
Llewellyn, A., Birklein, F., Brunner, F., Goebel, A., Grieve, S., Buckle, L., & McCabe, C. (2019, April). Protocol: An e-Delphi study to define internationally agreed core clinical outcome measures for Complex Regional Pain Syndrome clinical research studies. Poster presented at UWE Centre for Health and Clinical Research Showcase Conference, Bristol, England

Background & objectives: Complex Regional Pain Syndrome (CRPS) is a severe chronic pain condition characterised by a wide range of sensory, motor and autonomic abnormalities, usually in a single limb. CRPS clinical studies have historically used a... Read More about Protocol: An e-Delphi study to define internationally agreed core clinical outcome measures for Complex Regional Pain Syndrome clinical research studies.

Understanding the biopsychosocial impacts of living with Complex Regional Pain Syndrome (2019)
Presentation / Conference
Llewellyn, A., Sweeting, M., & McCabe, C. (2019, April). Understanding the biopsychosocial impacts of living with Complex Regional Pain Syndrome. Poster presented at UWE Centre for Health and Clinical Research Showcase Conference, Bristol, England

Background: Complex Regional Pain Syndrome (CRPS) is a disabling pain condition which commonly follows trauma to a limb, although the exact aetiology is currently unknown. It is characterised by severe, unremitting pain; autonomic, motor and sensor... Read More about Understanding the biopsychosocial impacts of living with Complex Regional Pain Syndrome.

The experience of persistent pain in adult cancer survivors: A qualitative evidence synthesis (2019)
Presentation / Conference
Armoogum, J., McCabe, C., Harcourt, D., Foster, C., & Llewellyn, A. (2019, February). The experience of persistent pain in adult cancer survivors: A qualitative evidence synthesis. Poster presented at British Psychosocial Oncology Society (BPOS) Conference, Chester, England

Background Nearly 40% of cancer survivors have persistent pain, however, little is known about their experiences1. This is increasingly recognised in psychosocial oncology and persistent pain is a National Cancer Research Institute top 10 research... Read More about The experience of persistent pain in adult cancer survivors: A qualitative evidence synthesis.

An exploration of the experiences of women treated with radiotherapy for breast cancer: Learning from recent and historical cohorts to identify enduring needs (2019)
Journal Article
Llewellyn, A., Howard, C., & McCabe, C. (2019). An exploration of the experiences of women treated with radiotherapy for breast cancer: Learning from recent and historical cohorts to identify enduring needs. European Journal of Oncology Nursing, 39, 47-54. https://doi.org/10.1016/j.ejon.2019.01.002

Purpose: Recent decades have seen improvements in UK breast cancer services and treatments. Despite this, it is recognised that a range of patients’ psychological and emotional needs remain unmet, both at the time of treatment and into survivorship... Read More about An exploration of the experiences of women treated with radiotherapy for breast cancer: Learning from recent and historical cohorts to identify enduring needs.

Standards for the diagnosis and management of Complex Regional Pain Syndrome: Results of a European Pain Federation task force (2019)
Journal Article
Goebel, A., Barker, C., Birklein, F., Brunner, F., Casale, R., Eccleston, C., …Wells, C. (2019). Standards for the diagnosis and management of Complex Regional Pain Syndrome: Results of a European Pain Federation task force. European Journal of Pain, 23(4), 641-651. https://doi.org/10.1002/ejp.1362

Background: Complex Regional Pain Syndrome is a painful and disabling post-traumatic primary pain disorder. Acute and chronic CRPS are major clinical challenges. In Europe progress is hampered by significant heterogeneity in clinical practice. We sou... Read More about Standards for the diagnosis and management of Complex Regional Pain Syndrome: Results of a European Pain Federation task force.

Maintained physical activity and physiotherapy in the management of distal arm pain: A randomised controlled trial (2019)
Journal Article
Jones, G. T., Macfarlane, G. J., Walker-Bone, K., Burton, K., Heine, P., McCabe, C., …Coggon, D. (2019). Maintained physical activity and physiotherapy in the management of distal arm pain: A randomised controlled trial. RMD Open, 5(1), Article e000810. https://doi.org/10.1136/rmdopen-2018-000810

Objectives: The epidemiology of distal arm pain and back pain are similar. However, management differs considerably: for back pain, rest is discouraged, whereas patients with distal arm pain are commonly advised to rest and referred to physiotherapy.... Read More about Maintained physical activity and physiotherapy in the management of distal arm pain: A randomised controlled trial.

Measurement properties of the SF-MPQ-2 neuropathic qualities subscale in persons with CRPs: Validity, responsiveness, and Rasch analysis (2018)
Journal Article
Packham, T. L., Bean, D., Johnson, M. H., MacDermid, J. C., Grieve, S., McCabe, C. S., & Norman Harden, R. (2019). Measurement properties of the SF-MPQ-2 neuropathic qualities subscale in persons with CRPs: Validity, responsiveness, and Rasch analysis. Pain Medicine, 20(4), 799-809. https://doi.org/10.1093/pm/pny202

© 2018 American Academy of Pain Medicine. All rights reserved. Objectives. The purpose of this study was to conduct classical psychometric evaluation and Rasch analysis on the Neuropathic Qualities subscale of the Short-Form McGill Pain Questionnaire... Read More about Measurement properties of the SF-MPQ-2 neuropathic qualities subscale in persons with CRPs: Validity, responsiveness, and Rasch analysis.

Sensory disturbances induced by sensorimotor conflicts are higher in complex regional pain syndrome and fibromyalgia compared to arthritis and healthy people, and positively relate to pain intensity (2018)
Journal Article
Brun, C., Mercier, C., Grieve, S., Palmer, S., Bailey, J., & McCabe, C. S. (2019). Sensory disturbances induced by sensorimotor conflicts are higher in complex regional pain syndrome and fibromyalgia compared to arthritis and healthy people, and positively relate to pain intensity. European Journal of Pain, 23(3), 483-494. https://doi.org/10.1002/ejp.1322

© 2018 European Pain Federation - EFIC® Background: Sensorimotor conflicts are well known to induce sensory disturbances. However, explanations as to why patients with chronic pain are more sensitive to sensorimotor conflicts remain elusive. The main... Read More about Sensory disturbances induced by sensorimotor conflicts are higher in complex regional pain syndrome and fibromyalgia compared to arthritis and healthy people, and positively relate to pain intensity.

Goals for rehabilitation: What are the priorities of patients with Complex Regional Pain Syndrome? (2018)
Presentation / Conference
Llewellyn, A., Birklein, F., Brunner, F., Gobeil, F., Harden, R. N., Knudsen, L., …McCabe, C. (2018, September). Goals for rehabilitation: What are the priorities of patients with Complex Regional Pain Syndrome?. Poster presented at International Association for the Study of Pain 17th World Congress on Pain, Boston, USA

AIM OF INVESTIGATION Established UK guidelines for the management of Complex Regional Pain Syndrome (CRPS) advocate physical and vocational rehabilitation as one of the primary pillars of care1. In this context, rehabilitation services commonly see... Read More about Goals for rehabilitation: What are the priorities of patients with Complex Regional Pain Syndrome?.

Complex Regional Pain Syndrome: An international survey of clinical practice (2018)
Presentation / Conference
Grieve, S., Llewellyn, A., Jones, L., Manns, S., Glanville, V., & McCabe, C. (2018, September). Complex Regional Pain Syndrome: An international survey of clinical practice. Poster presented at International Association for the Study of Pain 17th World Congress on Pain, Boston, USA

AIM OF INVESTIGATION Complex Regional Pain Syndrome (CRPS) is a highly distressing, persistent pain condition that occurs in a limb predominantly after trauma. There is no cure but early intervention should significantly improve outcomes1. Currently... Read More about Complex Regional Pain Syndrome: An international survey of clinical practice.

Investigating patient outcomes following an intensive multidisciplinary rehabilitation programme, for the treatment of Complex Regional Pain Syndrome (CRPS) at a UK National specialist centre for pain (2018)
Presentation / Conference
Firkins, A., Llewellyn, A., Hall, J., Gauntlett-Gilbert, J., & McCabe, C. (2018, September). Investigating patient outcomes following an intensive multidisciplinary rehabilitation programme, for the treatment of Complex Regional Pain Syndrome (CRPS) at a UK National specialist centre for pain. Poster presented at International Association for the Study of Pain 17th World Congress on Pain, Boston, USA

AIM OF INVESTIGATION Complex Regional Pain Syndrome (CRPS) is a condition characterised by highly distressing, persistent pain, which is usually trauma-induced but the associated pain is out of proportion to the initiating event. A number of mechani... Read More about Investigating patient outcomes following an intensive multidisciplinary rehabilitation programme, for the treatment of Complex Regional Pain Syndrome (CRPS) at a UK National specialist centre for pain.

Exploring the Relationships Between Altered Body Perception, Limb Position Sense, and Limb Movement Sense in Complex Regional Pain Syndrome (2018)
Journal Article
Brun, C., Giorgi, N., Pinard, A. M., Gagné, M., McCabe, C., & Mercier, C. (2019). Exploring the Relationships Between Altered Body Perception, Limb Position Sense, and Limb Movement Sense in Complex Regional Pain Syndrome. Journal of Pain, 20(1), 17-27. https://doi.org/10.1016/j.jpain.2018.07.008

© 2018 The Authors Chronic pain is often accompanied by patient-reported distorted body perception and an altered kinesthesia (referring to the senses of limb position and limb movement), but the association between these deficits is unknown. The obj... Read More about Exploring the Relationships Between Altered Body Perception, Limb Position Sense, and Limb Movement Sense in Complex Regional Pain Syndrome.

Motor and sensory disturbances induced by sensorimotor conflicts during passive and active movements in healthy participants (2018)
Journal Article
Brun, C., Gagné, M., McCabe, C. S., & Mercier, C. (2018). Motor and sensory disturbances induced by sensorimotor conflicts during passive and active movements in healthy participants. PLoS ONE, 13(8), e0203206. https://doi.org/10.1371/journal.pone.0203206

© 2018 Brun et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credi... Read More about Motor and sensory disturbances induced by sensorimotor conflicts during passive and active movements in healthy participants.

The German version of the Bath Body Perception Disturbance Scale (BBPDS-D): Translation, cultural adaptation and linguistic validation on patients with complex regional pain syndrome (2018)
Journal Article
Tschopp, M., Swanenburg, J., Wertli, M. W., Langenfeld, A., McCabe, C. S., Lewis, J., …Brunner, F. (2018). The German version of the Bath Body Perception Disturbance Scale (BBPDS-D): Translation, cultural adaptation and linguistic validation on patients with complex regional pain syndrome. Schmerz, 32(3), 195-200. https://doi.org/10.1007/s00482-018-0294-6

© 2018, Deutsche Schmerzgesellschaft e.V. Published by Springer Medizin Verlag GmbH, ein Teil von Springer Nature - all rights reserved. Background: Besides the classical clinical manifestations, body perception disturbances are common among patients... Read More about The German version of the Bath Body Perception Disturbance Scale (BBPDS-D): Translation, cultural adaptation and linguistic validation on patients with complex regional pain syndrome.

Cost-utility of maintained physical activity and physiotherapy in the management of distal arm pain: An economic evaluation of data from a randomized controlled trial (2018)
Journal Article
Neilson, A., Jones, G., Macfarlane, G., Walker-Bone, K., Burton, K., Heine, P., …McNamee, P. (2018). Cost-utility of maintained physical activity and physiotherapy in the management of distal arm pain: An economic evaluation of data from a randomized controlled trial. Family Practice, 36(2), 179-186. https://doi.org/10.1093/fampra/cmy047

© 2018 The Author(s). Published by Oxford University Press. All rights reserved. Background Arm pain is common, costly to health services and society. Physiotherapy referral is standard management, and while awaiting treatment, advice is often given... Read More about Cost-utility of maintained physical activity and physiotherapy in the management of distal arm pain: An economic evaluation of data from a randomized controlled trial.

Digital behaviour change interventions to facilitate physical activity in osteoarthritis: A systematic review (2018)
Journal Article
Berry, A., McCabe, C., Muir, S., & Walsh, N. (2018). Digital behaviour change interventions to facilitate physical activity in osteoarthritis: A systematic review. Physical Therapy Reviews, 23(3), 197-206. https://doi.org/10.1080/10833196.2018.1470747

© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group. Background: Digital behaviour change interventions (DBCIs) might offer an opportunity to support people with osteoarthritis (OA) to self-manage and monitor their levels of physic... Read More about Digital behaviour change interventions to facilitate physical activity in osteoarthritis: A systematic review.

Complex regional pain syndrome acute care pathways in England: Do they exist and what do they look like? (2018)
Journal Article
Gillespie, S., Cowell, F., McCabe, C., & Goebel, A. (2018). Complex regional pain syndrome acute care pathways in England: Do they exist and what do they look like?. Hand Therapy, 23(3), 95-99. https://doi.org/10.1177/1758998318764182

© The Author(s) 2018. Introduction: Complex Regional Pain Syndrome is a condition with a high degree of morbidity and health costs to the National Health Service (NHS), characterised by persistent pain, sensory, motor, trophic and autonomic signs and... Read More about Complex regional pain syndrome acute care pathways in England: Do they exist and what do they look like?.

Clinical and cost-effectiveness of the STAR care pathway compared to usual care for patients with chronic pain after total knee replacement: Study protocol for a UK randomised controlled trial (2018)
Journal Article
Wylde, V., Bertram, W., Beswick, A., Blom, A., Bruce, J., Burston, A., …Gooberman-Hill, R. (in press). Clinical and cost-effectiveness of the STAR care pathway compared to usual care for patients with chronic pain after total knee replacement: Study protocol for a UK randomised controlled trial. Trials,

Background Approximately 20% of patients experience chronic pain after total knee replacement. There is little evidence for effective interventions for the management of this pain, and current healthcare provision is patchy and inconsistent. Given... Read More about Clinical and cost-effectiveness of the STAR care pathway compared to usual care for patients with chronic pain after total knee replacement: Study protocol for a UK randomised controlled trial.

Are you better? A multi-centre study of patient-defined recovery from Complex Regional Pain Syndrome (2017)
Journal Article
Harden, R. N., Llewellyn, A., McCabe, C., Hibberd, Y., White, P., Davies, L., …Moskovitz, P. (2018). Are you better? A multi-centre study of patient-defined recovery from Complex Regional Pain Syndrome. European Journal of Pain, 22(3), 551-564. https://doi.org/10.1002/ejp.1138

© 2017 European Pain Federation - EFIC® Background: Complex Regional Pain Syndrome (CRPS) symptoms can significantly differ between patients, fluctuate over time, disappear or persist. This leads to problems in defining recovery and in evaluating the... Read More about Are you better? A multi-centre study of patient-defined recovery from Complex Regional Pain Syndrome.

Low-dose intravenous immunoglobulin treatment for long-standing complex regional pain syndrome a randomized trial (2017)
Journal Article
Goebel, A., Bisla, J., Carganillo, R., Frank, B., Gupta, R., Kelly, J., …Ambler, G. (2017). Low-dose intravenous immunoglobulin treatment for long-standing complex regional pain syndrome a randomized trial. Annals of Internal Medicine, 167(7), 476-483. https://doi.org/10.7326/M17-0509

© 2017 American College of Physicians. Background: Two small trials suggest that low-dose intravenous immunoglobulin (IVIg) may improve the symptoms of complex regional pain syndrome (CRPS), a rare posttraumatic pain condition.Objective: To confirm t... Read More about Low-dose intravenous immunoglobulin treatment for long-standing complex regional pain syndrome a randomized trial.

Sensory disturbances, but not motor disturbances, induced by sensorimotor conflicts are increased in the presence of acute pain (2017)
Journal Article
Brun, C., Gagné, M., McCabe, C., & Mercier, C. (2017). Sensory disturbances, but not motor disturbances, induced by sensorimotor conflicts are increased in the presence of acute pain. Frontiers in Integrative Neuroscience, 11(14), https://doi.org/10.3389/fnint.2017.00014

© 2017 Brun, Gagné, McCabe and Mercier. Incongruence between our motor intention and the sensory feedback of the action (sensorimotor conflict) induces abnormalities in sensory perception in various chronic pain populations, and to a lesser extent in... Read More about Sensory disturbances, but not motor disturbances, induced by sensorimotor conflicts are increased in the presence of acute pain.

Recommendations for a first Core Outcome Measurement set for complex regional PAin syndrome Clinical sTudies (COMPACT) (2017)
Journal Article
Harden, R. N., Grieve, S., Perez, R. S., Birklein, F., Brunner, F., Bruehl, S., …McCabe, C. S. (2017). Recommendations for a first Core Outcome Measurement set for complex regional PAin syndrome Clinical sTudies (COMPACT). PAIN, 158(6), 1083-1090. https://doi.org/10.1097/j.pain.0000000000000866

© 2017 by the International Association for the Study of Pain. Complex regional pain syndrome (CRPS) is a persistent pain condition that remains incompletely understood and challenging to treat. Historically, a wide range of different outcome measure... Read More about Recommendations for a first Core Outcome Measurement set for complex regional PAin syndrome Clinical sTudies (COMPACT).

An evaluation of the Florence Nightingale Foundation scholarships (2017)
Journal Article
Rose, M., McCabe, C., Tod, A., & Giordano, R. (2017). An evaluation of the Florence Nightingale Foundation scholarships. Nursing Standard, 31(21), 40-44. https://doi.org/10.7748/ns.2017.e10706

The Florence Nightingale Foundation (FNF) is a charity that awards scholarships in leadership, travel and research to nurses, midwives and other healthcare professionals to promote excellence in practice. The FNF offers mentoring support to scholars,... Read More about An evaluation of the Florence Nightingale Foundation scholarships.

Understanding the physical and mental functioning of those with persistent and resolved Complex Regional Pain Syndrome to help inform treatment approaches (2016)
Presentation / Conference
McCabe, C., Llewellyn, A., Hibberd, Y., White, P., Davies, L., Marinus, J., …Moskovitz, P. A. (2016, May). Understanding the physical and mental functioning of those with persistent and resolved Complex Regional Pain Syndrome to help inform treatment approaches. Poster presented at British Pain Society Annual Scientific Meeting, Harrogate, UK

Background Pain is bio-psychosocial in nature. Recognising the inter-relationship of physical and psychological factors in Complex Regional Pain Syndrome (CRPS) has clinical implications for treating this often poorly understood chronic pain condit... Read More about Understanding the physical and mental functioning of those with persistent and resolved Complex Regional Pain Syndrome to help inform treatment approaches.

Patient-directed therapy during in-patient stroke rehabilitation: Stroke survivors' views of feasibility and acceptability (2015)
Journal Article
Horne, M., Thomas, N., McCabe, C., Selles, R., Vail, A., Tyrrell, P., & Tyson, S. (2015). Patient-directed therapy during in-patient stroke rehabilitation: Stroke survivors' views of feasibility and acceptability. Disability and Rehabilitation, 37(25), 2344-2349. https://doi.org/10.3109/09638288.2015.1024341

© 2015 Informa UK Ltd. All rights reserved. Purpose: Patient-led therapy, in which patients work outside therapy sessions without direct supervision, is a possible way to increase the amount of therapy stroke patients' receive without increasing staf... Read More about Patient-directed therapy during in-patient stroke rehabilitation: Stroke survivors' views of feasibility and acceptability.

Investigating reports of complex regional pain syndrome: An analysis of HPV-16/18-adjuvanted vaccine post-licensure data (2015)
Journal Article
Huygen, F., Verschueren, K., McCabe, C., Stegmann, J. U., Zima, J., Mahaux, O., …Angelo, M. (2015). Investigating reports of complex regional pain syndrome: An analysis of HPV-16/18-adjuvanted vaccine post-licensure data. EBioMedicine, 2(9), 1114-1121. https://doi.org/10.1016/j.ebiom.2015.07.003

© 2015. Complex regional pain syndrome (CRPS) is a chronic pain disorder that typically follows trauma or surgery. Suspected CRPS reported after vaccination with human papillomavirus (HPV) vaccines led to temporary suspension of proactive recommendat... Read More about Investigating reports of complex regional pain syndrome: An analysis of HPV-16/18-adjuvanted vaccine post-licensure data.

'What I Really Needed Was the Truth'. Exploring the Information Needs of People with Complex Regional Pain Syndrome (2015)
Journal Article
Grieve, S., Adams, J., & Mccabe, C. (2016). 'What I Really Needed Was the Truth'. Exploring the Information Needs of People with Complex Regional Pain Syndrome. Musculoskeletal Care, 14(1), 15-25. https://doi.org/10.1002/msc.1107

© 2016 John Wiley & Sons, Ltd. Background: UK guidelines indicate that individuals with complex regional pain syndrome (CRPS) require information and education to support self-management. The present qualitative study explored the specific informat... Read More about 'What I Really Needed Was the Truth'. Exploring the Information Needs of People with Complex Regional Pain Syndrome.

Establishing the characteristics for patients with chronic Complex Regional Pain Syndrome: The value of the CRPS-UK Registry (2015)
Journal Article
McCabe, C., Shenker, N., Goebel, A., Rockett, M., Batchelor, J., Jones, G. T., …McCabe, C. (2015). Establishing the characteristics for patients with chronic Complex Regional Pain Syndrome: The value of the CRPS-UK Registry. British Journal of Pain, 9(2), 122-128. https://doi.org/10.1177/2049463714541423

© The British Pain Society 2014. Objective: The long-term prognosis of patients with Complex Regional Pain Syndrome (CRPS) is unknown with no reported prospective studies from the United Kingdom longer than 18 months. The CRPS-UK Network aims to stud... Read More about Establishing the characteristics for patients with chronic Complex Regional Pain Syndrome: The value of the CRPS-UK Registry.

Reliability and validity of the range of motion scale (roms) in patients with abnormal postures (2015)
Journal Article
van Hilten, J. J., van de Warrenburg, B. P., Tijssen, M. A., van der Plas, A. A., Munts, A. G., Mccabe, C. S., …van Hilten, J. (2015). Reliability and validity of the range of motion scale (roms) in patients with abnormal postures. Pain Medicine, 16(3), 488-493. https://doi.org/10.1111/pme.12541

© 2015 American Academy of Pain Medicine. Objective: Sustained abnormal postures (i.e., fixed dystonia) are the most frequently reported motor abnormalities in complex regional pain syndrome (CRPS), but these symptoms may also develop after periphera... Read More about Reliability and validity of the range of motion scale (roms) in patients with abnormal postures.

Phase II pragmatic randomized controlled trial of patient-led therapies mMirror therapy and lower-limb exercises) during inpatient stroke rehabilitation (2015)
Journal Article
Tyson, S., Wilkinson, J., Thomas, N., Selles, R., McCabe, C., Tyrrell, P., & Vail, A. (2015). Phase II pragmatic randomized controlled trial of patient-led therapies mMirror therapy and lower-limb exercises) during inpatient stroke rehabilitation. Neurorehabilitation and Neural Repair, 29(9), 818-826. https://doi.org/10.1177/1545968314565513

© American Society of Neurorehabilitation. Background and objective. Patient-led therapy has the potential to increase the amount of therapy patients undertake during stroke rehabilitation and to enhance recovery. Our objective was to assess the feas... Read More about Phase II pragmatic randomized controlled trial of patient-led therapies mMirror therapy and lower-limb exercises) during inpatient stroke rehabilitation.

Maintained physical activity and physiotherapy in the management of distal upper limb pain - A protocol for a randomised controlled trial (the arm pain trial) (2014)
Journal Article
Heine, P. J., Palmer, K. T., Macfarlane, G. J., Jones, G. T., Jones, G. T., Mertens, K., …McConnachie, A. (2014). Maintained physical activity and physiotherapy in the management of distal upper limb pain - A protocol for a randomised controlled trial (the arm pain trial). BMC Musculoskeletal Disorders, 15(1), 71. https://doi.org/10.1186/1471-2474-15-71

Background: Distal upper limb pain (pain affecting the elbow, forearm, wrist, or hand) can be non-specific, or can arise from specific musculoskeletal disorders. It is clinically important and costly, the best approach to clinical management is uncle... Read More about Maintained physical activity and physiotherapy in the management of distal upper limb pain - A protocol for a randomised controlled trial (the arm pain trial).

Pain and fatigue (2013)
Book Chapter
McCabe, C., Haigh, R., Cohen, H., & Hewlett, S. (2013). Pain and fatigue. In R. Watts, P. Conaghan, C. Denton, H. Foster, J. Isaacs, & U. Muller-Ladner (Eds.), Oxford Textbook of Rheumatology (93-99). Oxford: Oxford University Press

Evaluation of a prototype tool for communicating body perception disturbances in complex regional pain syndrome (2013)
Journal Article
McCabe, C. S., Moss, T. P., Turton, A. J., Turton, A., Palmer, M., Grieve, S., …McCabe, C. (2013). Evaluation of a prototype tool for communicating body perception disturbances in complex regional pain syndrome. Frontiers in Human Neuroscience, 7(AUG), https://doi.org/10.3389/fnhum.2013.00517

Patients with Complex Regional Pain Syndrome (CRPS) experience distressing changes in body perception. However representing body perception is a challenge. A digital media tool for communicating body perception disturbances was developed. A proof of... Read More about Evaluation of a prototype tool for communicating body perception disturbances in complex regional pain syndrome.

Sensorimotor incongruence and body perception: An experimental investigation (2013)
Journal Article
Mccabe, C. S., Foell, J., Bekrater-Bodmann, R., McCabe, C., & Flor, H. (2013). Sensorimotor incongruence and body perception: An experimental investigation. Frontiers in Human Neuroscience, 7(JUN), https://doi.org/10.3389/fnhum.2013.00310

Objectives: Several studies have shown that mirrored arm or leg movements can induce altered body sensations. This includes the alleviation of chronic pain using congruent mirror feedback and the induction of abnormal sensation in healthy participant... Read More about Sensorimotor incongruence and body perception: An experimental investigation.

Imaging and clinical evidence of sensorimotor problems in CRPS: Utilizing novel treatment approaches (2013)
Journal Article
McCabe, C. S., Nelson, S., Bailey, J., Bailey, J., Nelson, S. J., Lewis, J., & McCabe, C. (2013). Imaging and clinical evidence of sensorimotor problems in CRPS: Utilizing novel treatment approaches. Journal of Neuroimmune Pharmacology, 8(3), 564-575. https://doi.org/10.1007/s11481-012-9405-9

Inflammation and altered autonomic function are diagnostic signs and symptoms of Complex Regional Pain Syndrome. In the acute stages these are commonly at their most florid accompanied by severe pain and reduced function. Understandably this has dire... Read More about Imaging and clinical evidence of sensorimotor problems in CRPS: Utilizing novel treatment approaches.

Clinical evidence of parietal cortex dysfunction and correlation with extent of allodynia in CRPS type 1 (2013)
Journal Article
Cohen, H., McCabe, C., Harris, N., Hall, J., Lewis, J., & Blake, D. R. (2013). Clinical evidence of parietal cortex dysfunction and correlation with extent of allodynia in CRPS type 1. European Journal of Pain, 17(4), 527-538. https://doi.org/10.1002/j.1532-2149.2012.00213.x

Background: Unusual symptoms such as digit misidentification and neglect-like phenomena have been reported in complex regional pain syndrome (CRPS), which we hypothesized could be explained by parietal lobe dysfunction. Methods: Twenty-two patients w... Read More about Clinical evidence of parietal cortex dysfunction and correlation with extent of allodynia in CRPS type 1.

Coping with chronic complex regional pain syndrome: Advice from patients for patients (2013)
Journal Article
Rodham, K., McCabe, C., Pilkington, M., & Regan, L. (2013). Coping with chronic complex regional pain syndrome: Advice from patients for patients. Chronic Illness, 9(1), 29-42. https://doi.org/10.1177/1742395312450178

Objective: To explore what advice people currently living with chronic complex regional pain syndrome would offer to another person coming to terms with a diagnosis of chronic complex regional pain syndrome.Methods: Semi-structured interviews with 21... Read More about Coping with chronic complex regional pain syndrome: Advice from patients for patients.

Transitioning from a hospital rehabilitation programme to home: Exploring the experiences of people with complex regional pain syndrome (2012)
Journal Article
Rodham, K., Boxell, E., McCabe, C., Cockburn, M., & Waller, E. (2012). Transitioning from a hospital rehabilitation programme to home: Exploring the experiences of people with complex regional pain syndrome. Psychology and Health, 27(10), 1150-1165. https://doi.org/10.1080/08870446.2011.647820

Complex regional pain syndrome (CRPS) is difficult to diagnose and is characterised by burning pain in one or more limbs. Treatment is palliative not curative and focuses on improving function. This requires patients to make long-term changes to thei... Read More about Transitioning from a hospital rehabilitation programme to home: Exploring the experiences of people with complex regional pain syndrome.

CRPS: Diagnosis, management and the nurse's role (2012)
Journal Article
Grieve, S., & McCabe, C. (2012). CRPS: Diagnosis, management and the nurse's role. Nurse Prescribing, 10(9), 439-445

Complex Regional Pain Syndrome (CRPS) is a little known condition which may be rarely encountered by the nursing profession. This may lead to a delay in diagnosis and the initiation of important rehabilitation strategies. This article aims to raise... Read More about CRPS: Diagnosis, management and the nurse's role.

Clinical evidence of parietal cortex dysfunction and correlation with extent of allodynia in Complex Regional Pain Syndrome (CRPS) Type 1 (2012)
Journal Article
Cohen, H., McCabe, C., Harris, N., Hall, J., Lewis, J., & Blake, D. (2012). Clinical evidence of parietal cortex dysfunction and correlation with extent of allodynia in Complex Regional Pain Syndrome (CRPS) Type 1. European Journal of Pain, 17(4), 527-538. https://doi.org/10.1002/j.1532-2149.2012.00213.x

- What's already known about this topic? There is increasing neuroimaging evidence of parietal lobe involvement in CRPS. Severe tactile allodynia and unusual symptoms such as body dysmorphia and finger agnosia have also been documented. - What does t... Read More about Clinical evidence of parietal cortex dysfunction and correlation with extent of allodynia in Complex Regional Pain Syndrome (CRPS) Type 1.

Using graded motor imagery for complex regional pain syndrome in clinical practice: Failure to improve pain (2012)
Journal Article
Johnson, S., Hall, J., Barnet, S., Draper, M., Derbyshire, G., Haynes, L., …Goebel, A. (2012). Using graded motor imagery for complex regional pain syndrome in clinical practice: Failure to improve pain. European Journal of Pain, 16(4), 550-561. https://doi.org/10.1002/j.1532-2149.2011.00064.x

There is good evidence from studies conducted in a single-centre research setting for the efficacy of graded motor imagery (GMI) treatment, a complex physiotherapy intervention, to reduce pain in long-standing complex regional pain syndrome (CRPS). H... Read More about Using graded motor imagery for complex regional pain syndrome in clinical practice: Failure to improve pain.

Phantoms in rheumatology (2009)
Book Chapter
McCabe, C., Haigh, R., Shenker, N., Lewis, J., & Blake, D. R. (2009). Phantoms in rheumatology. In D. Felson, & H. Schaible (Eds.), Pain in Osteoarthritis. Wiley-Blackwell

Rheumatology telephone helplines: Patient and health professional requirements (2004)
Presentation / Conference
Brown, S. J., McCabe, C., Hewlett, S., McDowell, J., Cushnaghan, J., Breslin, A., …Carmichael, C. R. (2004, November). Rheumatology telephone helplines: Patient and health professional requirements. Poster presented at American College of Rheumatology Annual Conference, San Antonio, USA

Rheumatology telephone helplines: An activity analysis (2000)
Journal Article
McCabe, C., MacDowell, J., Cushnaghan, J., Butts, S., Hewlett, S., Stafford, S., …Breslin, A. (2000). Rheumatology telephone helplines: An activity analysis. Rheumatology, 39, 1390-1395

Background: Anecdotal evidence suggests that the services offered by rheumatology telephone helplines in the UK vary widely between NHS Trusts because of the lack of national or European guidelines. Objective: To conduct an activity analysis of s... Read More about Rheumatology telephone helplines: An activity analysis.