Publications by authors named "Debra Dulake"

Article Synopsis
  • Involving research users in priority setting is crucial for patient-centered outcomes and maximizing research impact.
  • The Musculoskeletal Disorders Research Advisory Group used the CHNRI method, which consists of four stages and two surveys, to identify and prioritize research uncertainties related to musculoskeletal disorders.
  • Key research priorities identified include developing new treatments, improving treatment targeting and early diagnosis, preventing issues, and better managing pain, highlighting a need for further understanding of underlying mechanisms.
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Article Synopsis
  • The UK's "Getting It Right First Time" program emphasizes that fibromyalgia management should primarily occur within primary care, but effective health system organization remains uncertain.
  • Two online surveys revealed that NHS services for fibromyalgia are inconsistent, with only a few professionals reporting structured care pathways, while diagnosis varies greatly among healthcare providers.
  • Major issues identified include a perceived lack of available services, and qualitative themes emerged, highlighting challenges faced by patients, such as feeling labeled, burdened, and deprioritized in the healthcare system.
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Chronic pain is the leading cause of life years lived with disability worldwide. The aetiology of most chronic pain conditions has remained poorly understood and there is a dearth of effective therapies. The WHO ICD-11 has categorised unexplained chronic pain states as 'chronic primary pains' (CPP), which are further defined by their association with significant distress and/or dysfunction.

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Article Synopsis
  • Fibromyalgia syndrome (FMS) is a prevalent chronic pain condition, and recent research highlights the potential involvement of serum immunoglobulin Gs (IgGs), leading to challenges in management due to a lack of clear mechanisms.
  • An international expert group conducted a multi-phase research prioritization exercise that resulted in 39 interim recommendations for future studies on FMS, emphasizing the importance of autoantibody investigation, trial design, and therapeutic interventions.
  • The process aimed to direct research towards useful applications for patients, ensuring that the findings are relevant for patients, healthcare professionals, and funding organizations interested in FMS.
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