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Clinical Effectiveness Group

Research - Publications


Change in healthcare utilisation after surgical treatment: observational study of routinely collected patient data from primary and secondary care 
Alexander J. Fowler, Bhavi Trivedi, Kambiz Boomla, Rupert Pearse, John Prowle. British Journal of Anaesthesia, 2022

Dual-antithrombotic therapy and gastroprotection in atrial fibrillation: An observational primary care study 
Charis Xuan Xie, John Robson, Crystal Williams, Chris Carvalho, Stuart Rison, Zahra Raisi-Estabragh. BJGP, 2022

Are children with obesity at school entry more likely to have a diagnosis of a musculoskeletal condition? Findings from a systematic review
Nicola Firman, Marta Wilk, Gill Harper, Carol Dezateux. BMJ Paediatrics Open, 2022

Linking cohort data and Welsh routine health records to investigate children at risk of delayed primary vaccination 
Suzanne Walton, Mario Cortina-Borja, Carol Dezateux, Lucy J. Griffiths, Karen Tingay, Ashley Akbari, Amrita Bandyopadhyay, Ronan A. Lyons, Richard Roberts, Helen Bedford. Vaccine, 2022

Pharmacist-led multidisciplinary approach in preventing strokes in people with atrial fibrillation
M Patel, S Ali, J Robson, R Clements, A Theodoulou, P Wright, M Kearney, R Patel, A Sohaib, S Antoniou. European Journal of Cardiovascular Nursing, 2022.

Measuring continuity of care in general practice: a comparison of two methods using routinely collected data
Sally Hull, Crystal Williams, Peter Schofield, Kambiz Boomla, Mark Ashworth. BJGP, 2022. Read the news story.

Reducing SABA overprescribing in asthma: lessons from a Quality Improvement prescribing project in East London
Anna De Simoni, Hajar Hajmohammadi, Paul Pfeffer, James Cole, Chris Griffiths, Sally Hull. BJGP, 2022. Read the news story.

Experiences and behaviours of patients with asthma requesting prescriptions from primary care during medication shortages linked to the COVID-19-lockdown: insights from a qualitative analysis of a UK asthma online community
Nadya L Ow, Sara Sadek Attalla, Gwyneth Davies, Chris Griffiths, Anna De Simoni. BJGP Open, 2022.

Association between short-term NOx exposure and asthma exacerbations in East London: A time series regression model
Hajar Hajmohammadi, Paul Pfeffer, Anna De Simoni, James Cole, Chris Griffiths, Sally Hull, Benjamin Heydecker. Science Direct, 2022.

Characterisation of type 2 diabetes subgroups and their association with ethnicity and clinical outcomes: a UK real-world data study using the East London Database
Rohini Mathur, Sally Hull, Sam Hodgson, Sarah Finer. BJGP, 2022. Read the news story.


Gaps in antihypertensive and statin treatments and benefits of optimisation: a modelling study in a 1 million ethnically diverse urban population in UK
Runguo Wu, Stuart Christopher Gorthorn Rison, Zahra Raisi-Estabragh, Isabel Dostal, Chris Carvalho, John Robson, Borislava Mihaylova. BMJ Open, 2021. Read the news story.

Evaluation of the ASSIGN open-source deterministic address-matching algorithm for allocating Unique Property Reference Numbers to general practitioner-recorded patient addresses
Gill Harper, David Stables, Paul Simon, Kelvin Smith, John Robson, Carol Dezateux, Zaheer Ahmed. International Journal of Population Data Science, 2021. Read the news story.

Which young women are not being vaccinated against HPV? Cross-sectional analysis of a UK national cohort study
Helen Bedford, Nicola Firman, Jo Waller, Laura Marlow, Alice Forster and Carol Dezateux. Vaccine, 2021. Read the news story.

NHS Health Checks: an observational study of equity and outcomes 2009-2017
John Robson, Cesar Garriga, Carol Coupland, Julia Hippisley-Cox. BJGP, 2021. Read the news story.

Application of a risk stratification tool for familial hypercholesterolaemia in primary care: an observational cross-sectional study in an unselected urban population
Chris Carvalho, Crystal Williams, Zahra Raisi-Estabragh, Stuart Rison, Riyaz S Patel, Adam Timmis, John Robson. BMJ Heart, 2021. Read the news story.

Determining the level of social distancing necessary to avoid future COVID-19 epidemic waves: a modelling study for North East London. 
Nathan Cheetham, William Waites, Irene Ebyarimpa, Werner Leber, Katie Brennan & Jasmina Panovska-Griffiths.
Nature, 2021.

Health inequalities worsen with the drop in hospital referrals: a response to the article by Rachel Mulholland et al. on the ‘Impact of COVID-19 on accident and emergency attendances and planned hospital admissions in Scotland’
Sally Hull, Crystal Williams, Ian Basnett, Neil Ashman.
Journal of the Royal Society of Medicine, 2021.


Reducing missed appointments in general practice: evaluation of a quality improvement programme in East London
Tom MarghamCrystal WilliamsJack Steadman and Sally Hull. BJGP, 2020.

Reducing the use of inhaled corticosteroids in mild-moderate COPD: an observational study in east London
James N. Cole, Rohini A. Mathur and Sally A. Hull. Nature, 2020. 

Progress in using the electronic health record to improve primary care.
John RobsonKambiz Boomla and Sally A Hull. 
BJGP, 2020.

Prevalence of suspected COVID-19 infection in patients from ethnic minority populations: a cross-sectional study in primary care.
Sally A HullCrystal WilliamsMark AshworthChris CarvalhoKambiz Boomla. BJGP, 2020.

Superusers' Engagement in Asthma Online Communities: Asynchronous Web-Based Interview Study.
De Simoni A, Shah AT, Fulton O, Parkinson J, Sheikh A, Panzarasa P, Pagliari C, Coulson NS, Griffiths CJ. J Med Internet Res. 2020.

Promising peak flow diary compliance with an electronic peak flow meter and linked smartphone app
Antalffy T, De Simoni A, Griffiths CJ. NPJ Prim Care Respir Med. 2020.

Do virtual renal clinics improve access to kidney care? A preliminary impact evaluation of a virtual clinic in East London
S. A. Hull, V. Rajabzadeh, N. Thomas, S. Hoong, G. Dreyer, H. Rainey and N. Ashman. BMC, 2020.

Obesity Predicts Liver Function Testing and Abnormal Liver Results
Wenhao Li, Kate Homer, Sally Hull, Kambiz Boomla, John Robson, and William Alazawi. Obesity, 2020.


Publications pre-2020 are filed under the following themes:

Cardiovascular Disease/Prevention

Improving cardiovascular disease risk communication in NHS Health Checks: a qualitative study [PDF 1,137KB]
Hawking M, Timmis A, Wilkins F, Potter JL, Robson J. BMJ Open 2019.

Preventing strokes in people with atrial fibrillation by improving ABC
Jagjot Kaur Chahal, Sotiris Antoniou, Mark Earley, Shabana Ali, Khalid Saja, Harjit Singh, Peter K MacCallum, John Robson. BMJ Open, 2019.

Using the electronic health record to build a culture of practice safety, April 2018 [PDF 468KB]
Tom Margham, Natalie Symes and Sally A Hull. BJGP, 2018.

The NHS Health Check: an evaluation of the first four years, Nov 2017 [PDF 964KB]
Robson J, Dostal I, Sheikh A, Eldridge S, Madurasinghe V, Griffiths C, Coupland C, Hippisley-Cox J. BMJ Open, 2016.

NHS Health Check comorbidity and management: an observational matched study, Dec 2016 [PDF 218KB]
Robson J, Dostal I, Madurasinghe V, Sheikh A, Hull SA, Boomla K, Griffiths C, Eldridge S. BJGP, 2016.

Statin Prescribing for primary prevention of cardiovascular disease, Aug 2015 [PDF 251KB]
Homer K, Boomla K, Hull SA, Dostal I, Mathur R, Robson J. BJGP, 2015.

The NHS Health Check Programme: Implementation in east London 2009-2011, April 2015 [PDF 928KB]
Robson J, Dostal I, Madurasinghe V, Sheikh A, Hull SA, Boomla K, Page H, Griffiths C, Eldridge S. BMJ Open, 2015.

Clinical value of chest pain presentation and prodomes on the assessment of cardiovascular disease: a cohort study, April 2015 [PDF 576KB]
Robson J, Ayerbe L, Mathur R, Addo J, Wragg A. BMJ Open, 2015.

Improving anticoagulation in atrial fibrillation, May 2014 [PDF 191KB]
Robson J, Dostal I, Mathur R, Sohanpal R, Hull S, Antoniou S, MacCallum P, Schilling R, Ayerbe L, Boomla K. BJGP, 2014.

Improving cardiovascular disease using managed networks in general practice: an observational study, May 2014 [PDF 170KB]
Robson J, Hull SA, Mathur R, Boomla K. BJGP, 2014.

Patient safety and estimation of renal function in patients prescribed new oral anticoagulants for stroke prevention in atrial fibrillation: a cross-sectional study, 2013 [PDF 1,080KB]
MacCallum PK, Mathur R, Hull SA, Saja K, Green L, Morris JK, Ashman N. BMJ Open, 2013.

Ethnicity and stroke risk in patients with atrial fibrillation, May 2013 [PDF 274KB]
Mathur R, Pollara E, Hull SA, Schofield P, Ashworth M, Robson J. Heart, 2013.

Cardiovascular multimorbidity: the effect of ethnicity on prevalence and risk factor management, May 2011 [PDF 144KB]
Mathur R, Hull SA, Badrick E, Robson J. BJGP, 2011.

Derivation, validation, and evaluation of a new QRISK model to estimate lifetime risk of cardiovascular disease: cohort study using QResearch database, 2010 [PDF 155KB]
Hippisley-Cox J, Coupland C, Robson J, Brindle P. BMJ, 2010.



Reduction in self monitoring of blood glucose in type 2 diabetes, April 2015 [PDF 218KB]
Robson J, Smithers H, Chowdhury T, Bennett-Richards P, Keene D, Dostal I, Mathur R, Dunne J, Hull SA, Boomla K.  BJGP, 2015

Improving outcomes for Type 2 diabetic patients using general practice networks, Aug 2013 [PDF 1,072KB]
Hull SA, Chowdhury T, Mathur R, Robson J.  BMJ Qual Saf, 2014

Ethnic and social disparity in glycaemic control in type 2 diabetes: cohort study in general practice 2004-9, 2012 [PDF 1,003KB]
James GD, Baker P, Badrick E, Mathur R, Hull SA, Robson J.  J R Soc Med, 2012

Quantifying the risk of type 2 diabetes in East London using the QDscore: a cross-sectional analysis, Oct 2012 [PDF 364KB]
Mathur R, Noble D, Smith D, Greenhalgh T, Robson J.  BJGP, 2012

Feasibility study of geospatial mapping of chronic disease risk to inform public health commissioning, Feb 2012 [PDF 1,813KB]
Noble D, Smith D, Mathur R, Robson J, Greenhalgh T.  BMJ Open, 2012


Using chronic kidney disease trigger tools for safety and learning: a qualitative evaluation in East London primary care
Nicola Thomas, Vian Rajabzadeh and Sally Hull. BJGP, 2019.

Ethnic differences in the progression of chronic kidney disease and risk of death in a UK diabetic population: an observational cohort study, Feb 2018 [PDF 600KB]
Mathur R, Dreyer G, Yaqoob MM, Hull SA. BMJ, Open 2018

National Chronic Kidney Disease Audit // National Report: Part 2 December 2017 [PDF 3,538KB]
Kim LG, Cleary F, Wheeler DC, Caplin B, Nitsch D, Hull SA. National CKD Audit, 2017

How do primary care doctors in England and Wales code and manage people with chronic kidney disease? Results from the National Chronic Kidney Disease Audit [PDF 187KB]
Kim LG, Cleary F, Wheeler DC, Caplin B, Nitsch D, Hull SA. Nephrol Dial Transplant, 2017

Evaluating ethnic differences in the prescription of NSAIDs for CKD, July 2014 [PDF 84KB]
Hull SA, Mathur R, Dreyer G, Yaqoob MM.  BJGP, 2014

Progression of CKD in a multi-ethnic community cohort of patients with diabetes mellitus, March 2013 [PDF 187KB]
Dreyer G, Hull SA, Mathur R, 
 Chesser A, Yaqoob MM.  Diabetic Medicine, 2013

A cohort study on the rate of progression of diabetic chronic kidney disease in different ethnic groups, 2013 [PDF 167KB]
Ali O, Mohiuddin A, Mathur R, Dreyer G, Hull SA, Yaqoob MM. BMJ Open, 2013


respiratory disease

Four patients with a history of acute exacerbations of COPD: implementing the CHEST/Canadian Thoracic Society Guidelines, May 2015 [PDF 503KB]
Tsiligianni I, Goodridge D, Marciniuk D, Hull SA, Bourbeau J.  Primary Care Respiratory Medicine, 2015

Improving outcomes for people with COPD by developing networks of general practices, Aug 2014 [PDF 535KB]
Hull SA, Mathur R, Lloyd-Owen S, Round T, Robson J.  Primary Care Respiratory Medicine, 2014

Impact of asthma on educational attainment in a socioeconomically deprived population, Nov 2012 [PDF 158KB]
Sturdy P, Bremner S, Harper G, Mayhew L, Eldridge S, Eversley J, Sheikh A, Hunter S, Boomla K, Feder G, Prescott K, Griffiths C. PLOS One, 2012

Effect of ethnicity on the prevalence, severity, and management of COPD in general practice, Feb 2012 [PDF 128KB]
Martin A, Badrick E, Mathur R, Hull SA. BJGP, 2012


Implementation Science

Population and patient factors affecting emergency department attendance in London, Jan 2018 [PDF 1,160KB]
Hull SA, Homer K, Boomla K, Robson J, Ashworth M. BJGP, Online First 2018

New ways of working; delivering better care for people with long-term conditions [PDF 864KB]
Tzortziou Brown V, Patel I, Thomas N, Tomlinson J, Roberts R, Rayner H, Ashman N, Hull SA. London Journal of Primary Care, 2017

The impact of a social prescribing service on patients in primary care: a mixed methods evaluation [PDF 575KB]
Carnes D, Sohanpal R, Frostick C, Hull SA, Mathur R, Netuveli G, Tong J, Hutt P, Bertotti M. BMC Health Services Research, 2017

Building managed primary care practice networks to deliver better clinical care: a qualitative semi-structured interview study, April 2017 [PDF 133KB]
Pawa J, Robson J, Hull SA. BJGP, Online First, 2017

Improving MMR Vaccination rates: herd immunity is a realistic goal, 2011 [PDF 551KB]
Cockman P, Dawson L, Mathur R, Hull SA.  BMJ, 2011


Health Inequalities and Ethnicity

Does the ethnic density effect extend to obesity? A cross-sectional study of 415 166 adults in east London.
Shailen Sutaria, Rohini Mathur, Sally A Hull. BMJ Open, 2019.

Inequality is hidden in plain sight
John Robson, Alexander Miller, Jayne TaylorKambiz BoomlaSally HullCarol Dezateux.

The relationship of ethnicity to the prevalence and management of hypertension and associated chronic kidney disease [PDF 378KB]
Hull SA, Dreyer G, Badrick E, Chesser A, Yaqoob MM. BMC Nephrology, 2011.

Ethnic differences in smoking intensity and COPD risk: an observational study in primary care [PDF 454KB]
Gilkes A, Hull SA, Durbaba S, Schofield P, Ashworth M, Mathur R, White P. NPJ Primary Care Respiratory Medicine, 2017.

Is individual smoking behaviour influenced by area-level ethnic density? A cross-sectional electronic health database study of inner south-east London [PDF 696KB]
Mathur R, Schofield P, Smith D, Gilkes A, White P, Hull SA. ERJ, 2017.

Ethnic differences in primary care management of diabetes and cardiovascular disease in people with SMI, Aug 2012 [PDF 115KB]
Mathur R, Hull SA, Boomla K, Robson J. BJGP, 2012.

Ethnicity and the diagnosis gap in liver disease: a population based study, Nov 2014 [PDF 121KB]
Alazawi W, Mathur R, Abeysekera K, Hull S, Boomla K, Robson J, Foster GR. BJGP, 2014.

Recording ethnicity in primary care, May 2011 [PDF 112KB]
Hull SA, Mathur R, Badrick E, Robson J, Boomla K. BJGP, 2011.

Research into practice ethnic differences in healthcare usage and outcomes, Dec 2014 [PDF 48KB]
Hull SA, Mathur R, Boomla K, Chowdhury TA, Dreyer G, Alazawi W, Robson J. BJGP, 2014.

Health equity audits in general practice: a strategy to reduce health inequalities, 2013 [PDF 258KB]
Badrick E, Hull SA, Mathur R, Shajahan S, Boomla K, Bremner S, Robson J. Primary Health Care Research and Development, 2013.

Collection of Data on Race and Ethnic Group by Physician Practices, July 2010 [PDF 157KB]
Hull SA, Dreyer G, Yaqoob M.  Letter. NEJM, 2010.


Other topics

Opportunistic pulse checks in primary care to improve recognition of atrial fibrillation, May 2018 [PDF 110KB]
Cole J, Torabi P, Dostal I, Homer K, Robson J. BJGP, Online First 2018

"Test me and treat me" attitudes to vitamin D deficiency and supplementation, Jan 2015 [PDF 1,272KB]
Kotta S, Gadhvi D, Jakeways N, Saeed M, Sohanpal R, Hull SA, Famakin O, Martineau A, Griffiths C.  BMJ Open, 2015

Promotion of rapid testing for HIV in primary care (RHIVA2): a cluster-randomised controlled trial, April 2015 [PDF 220KB]
Leber W, McMullen H, Anderson J, Marlin N, Santos AC, Bremner S, Boomla K, et.  The Lancet HIV. 2015

Unmasking quality: exploring meanings of health by doing art, 2015 [PDF 372KB]
Kelly M, Rivas C, Foell J, Llewellyn-Dunn J, England D, Cocciadiferro A, Hull SA. BMC Family Practice, 2015

GP funding formula masks major inequalities for practices in deprived areas [Letter], Dec 2014 [PDF 774KB]
Boomla K, Hull SA, Robson J. BMJ 2014

Health inequalities affect the health of all, Dec 2010 [PDF 76KB]
Hull SA. Editorial. BJGP, 2010




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