Publications by authors named "Urwin M"
Achieving the hip fracture Best Practise Tariff during the COVID-19 pandemic.
J Frailty Sarcopenia Falls
March 2022
Objectives: Achieving the hip fracture best practice tariff is associated with decreased mortality rates. The aim of this study is to evaluate the impact of Covid-19 pandemic on achieving Best Practice Tariff.
Methods: We retrospectively reviewed all adult hip fractures admitted to our unit between March and June 2020.
Background: Discharge letters were routinely sent to the patient's general practitioner (primary care physician, family physician) by a care of the elderly consultant. In the past (the 'old' system), copies were also sent to the patients, or their carer, as well as other healthcare professionals if necessary, but not routinely to pharmacists.
Method: The consultant's practice changed in March 2005 to a 'new' system and the practice-based pharmacists received copies of discharge letters for patients discharged from the two community hospitals.
Background: There is little UK-based evidence on the prevalence and predictors of knee pain associated with disability across all adult ages. We aimed to estimate the prevalence of 'clinically significant' knee pain, identify and assess the population impact of independent risk factors, and estimate levels of healthcare need.
Methods: A cross-sectional survey of three general practice populations was conducted.
Study Objective: To maximise the response rate in a community survey among ethnic minorities by combining postal questionnaires and interviews and to evaluate the validity of combining results from these different methods.
Design: A cross-sectional community survey of a local population using postal questionnaires with interview questionnaires for non-respondents. Postal questionnaires were in English and interview questionnaires were prepared in South Asian languages.
Study Design: Multiphase cross-sectional survey of musculoskeletal pain.
Objectives: To estimate the prevalence of all reported and clinically significant spinal pain. To identify independent predictors of spinal pain.
Local surveillance of influenza in the United Kingdom: from sentinel general practices to sentinel cities?
Commun Dis Public Health
March 2002
Surveillance of influenza in England and Wales utilises a disparate geographical network of general practices to provide clinical data in the form of weekly consultation rates for influenza and 'influenza-like illness'. This network accurately detects and monitors seasonal influenza activity at national and supra-regional levels. Localised regional and sub-regional epidemics are less easily detected.
View Article and Find Full Text PDFObjective: To assess the prevalence of musculoskeletal symptoms among the major ethnic minority populations of Greater Manchester.
Method: The study group was a community sample of 2117 adults from the Indian, Pakistani, Bangladeshi, and African Caribbean communities. Questionnaires administered by post and by an interviewer were used to assess the presence of any musculoskeletal pain, pain in specific joints, and the level of physical function.
Background: Epidemiologically-based rheumatology healthcare needs assessment requires an understanding of the incidence and prevalence of musculoskeletal disorders in the community, of the reasons why people consult in primary care, and of the proportion of people who would benefit from referral to secondary care and paramedical services. This paper reports the first phase of such a needs assessment exercise.
Specific Objective: To estimate the relative frequency of musculoskeletal pain in different, and multiple, anatomical sites in the adult population.