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Contact Information:

Dr Danielle van der Windt
01782 734830
d.van.der.windt@keele.ac.uk


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Be Part of Research - Trial Details - PANDA-S: Prognostic AND Diagnostic Assessment of Shoulder pain
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PANDA-S: Prognostic AND Diagnostic Assessment of Shoulder pain

Not Recruiting

Open to: All Genders

Age: Adult

Keele Oxford

Medical Conditions

Shoulder pain

This information is provided directly by researchers and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information.


Shoulder problems affect about one in five of adults and are often very painful, affecting sleep, work, and everyday life. In England, about 1.5 million people visit their GP for shoulder pain annually, of whom two in five experience on-going pain. Most patients receive treatment from GPs or physiotherapists, but 7 times more patients are having surgery compared with 10 years ago, but there is no evidence that surgery provides better results than other treatments. This study aims to develop and evaluate a better approach (‘stratified care’) to assessing the likely cause (diagnosis) and future outcome (prognosis) of shoulder problems, so that GPs and physiotherapists can ensure that patients are matched to the treatment most likely to improve their shoulder pain.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

15 Feb 2019 30 Jun 2021

Publications

2021 Protocol article in https://pubmed.ncbi.nlm.nih.gov/34535486/ (added 21/09/2021)

We will recruit 1000 patients consulting a GP or self-referral physiotherapy service with shoulder pain, and offer them a comprehensive clinical assessment and ultrasound scan. GPs and physiotherapists will continue to treat their patients in the way they feel is best. We will collect information on pain, disability and quality of life using questionnaires over 3 years. We will also collect information on pain and disability using an app developed in collaboration with our Research Users Group, over 3 months. We will investigate which information from the clinical assessment helps us tell which patients will recover quickly, and which patients develop long-term problems. We will also interview patients and healthcare professionals in order to investigate how they interpret diagnostic and prognostic information, and how they use this information to make decisions regarding further treatment and referral.


All patients registered at participating general practices or attending self-referral physiotherapy services, aged 18 years or over, presenting with a new episode of shoulder-related pain will be invited to take part. A new episode will be defined as no shoulder-related consultation, no injection, surgery, or physiotherapy-led exercise for shoulder pain, in the last 6 months.

You can take part if:



You may not be able to take part if:


1. Present to the GP or physiotherapist with symptoms or signs indicative of serious pathology (e.g. fractures, infection), have shoulder pain caused by stroke-related subluxation2. Diagnosis of inflammatory arthritis, including rheumatoid arthritis, and polymyalgia rheumatica3. Shoulder pain caused by cervical pathology4. Considered by the GP or physiotherapist to be vulnerable (severe physical and/or mental health problems, dementia)5. Unable to complete written questionnaires in English


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Arthritis Research UK Primary Care Centre (lead centre)
    Research Institute for Primary Care and Health Sciences Keele University
    Keele
    ST5 5BG
  • Primary Care Clinical Trials Unit, Nuffield Department of Primary Health Care Sciences
    University of Oxford Radcliffe Observatory Quarter Woodstock Road
    Oxford
    OX2 6GG

All participants will receive the same treatment that they would have received if they had not participated in the study, so there are no additional risks or benefits to taking part. This research aims to benefit patients and the NHS by:
• Improving information and advice for patients about the possible causes and best ways to assess and treat shoulder pain
• Supporting healthcare professionals to better advise patients which treatment is best for them
• Improving targeting of treatment options, and reducing unnecessary investigations and treatments in those who don’t need them
• Reducing long-term pain, disability, and work loss due to shoulder pain

Where is the study run from?
The study will be run from, and led by, the Arthritis Research UK Primary Care Centre and Keele Clinical Trials Unit based at Keele University with an additional centre run from The Nuffield Centre for Primary Care and Health Sciences at Oxford University.

Dr Danielle van der Windt
01782 734830
d.van.der.windt@keele.ac.uk



The study is sponsored by University of Keele and funded by ARTHRITIS RESEARCH UK; Grant Codes: ..,NIHR Central Commissioning Facility (CCF); Grant Codes: RP-PG-0615-20002.



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What will you do next?
Read full details for Trial ID: ISRCTN46948079

Or CPMS 38630

Last updated 21 September 2021

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