Base of thumb osteoarthritis (BTOA) in UK interface services-a cohort and survey based study to assess current practice.
Identifieur interne : 000353 ( Main/Exploration ); précédent : 000352; suivant : 000354Base of thumb osteoarthritis (BTOA) in UK interface services-a cohort and survey based study to assess current practice.
Auteurs : Benjamin J F. Dean [Royaume-Uni] ; Stefan Kluzek [Royaume-Uni] ; Andrew J. Carr [Royaume-Uni] ; Sally Hopewell [Royaume-Uni] ; Duncan Richards [Royaume-Uni] ; Nicholas Riley ; Andrew Cuff ; Catrin E. Hawthorn ; Helen Robson ; Neil Marshall ; Katharine Netherton ; Chandrasekhar Dekka ; Andrea Ravindra ; Hannah Davies ; Subashini Bathini ; Elaine Willmore ; Corinne Birch ; Helen Thompson ; Caroline Coulthard ; Sarah Joyce ; Janet M. Buckle ; Brian Downey ; Louise Thompson ; Jan Beaumont ; Lisa-Marie Barrington-Ford ; Helen F. Patten ; Emma Bamford ; Caroline Clements ; Falguni Hathi ; Sarah Rodgers ; Jennifer Maryan ; Joseph S. Godwin ; Lorenzo Masci ; Harry Kardamilas ; Emer Krievs ; Renata Titurusova ; Fiona Cashin ; Miriam ParkinsonSource :
- Rheumatology (Oxford, England) [ 1462-0332 ] ; 2020.
Abstract
AIM
Base of thumb osteoarthritis (BTOA) is a common age-related disease which has a significant negative impact upon quality of life, while little is known about structure and pathways of interface services. Our aim was to assess disease burden, referral pathways, service structure and management pathways in UK interface services.
PATIENTS & METHODS
A structured questionnaire was carried out with a participating clinician at each centre to detail the local guidelines and management of BTOA. Five patients referred with BTOA were prospectively identified in each of 32 United Kingdom (UK) interface centres.
RESULTS
Most centres (72%) had a local guideline and a standardised treatment regime consisting of education (100%), joint protection (100%), range of motion exercises (84%), strengthening exercises (88%), splintage (100%) and use of assistive devices (78%). No centre routinely offered a steroid injection at the first appointment and no centre had a specific threshold for offering an injection. Injection delivery was variable. Most patients had not been referred previously (82%). Most patients used analgesia (72%) but a minority of patients had been treated with a splint (46%), therapy (43%) and steroid injection (27%) prior to their latest attendance.
CONCLUSION
Most BTOA patients newly referred to interface services have been treated with analgesics and have not received comprehensive multimodal intervention. The management of BTOA at interface services is standardised in terms of education, splintage and therapy. However, there is a lack of standardisation in terms of both the threshold for, timing and mode of delivery of injection therapy.
DOI: 10.1093/rheumatology/keaa884
PubMed: 33369643
Affiliations:
- Royaume-Uni
- Angleterre, Nottinghamshire, Oxfordshire
- Nottingham, Oxford
- Université d'Oxford, Université de Nottingham
Links toward previous steps (curation, corpus...)
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Dean</name><affiliation wicri:level="4"><nlm:affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</nlm:affiliation><orgName type="university">Université d'Oxford</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName></affiliation></author><author><name sortKey="Kluzek, Stefan" sort="Kluzek, Stefan" uniqKey="Kluzek S" first="Stefan" last="Kluzek">Stefan Kluzek</name><affiliation wicri:level="4"><nlm:affiliation>University of Nottingham.</nlm:affiliation><country>Royaume-Uni</country><placeName><settlement type="city">Nottingham</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Nottinghamshire</region></placeName><orgName type="university">Université de Nottingham</orgName></affiliation></author><author><name sortKey="Carr, Andrew J" sort="Carr, Andrew J" uniqKey="Carr A" first="Andrew J" last="Carr">Andrew J. 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Thompson</name><affiliation><nlm:affiliation>East Lancashire Hospitals NHS Trust.</nlm:affiliation><wicri:noCountry code="no comma">East Lancashire Hospitals NHS Trust.</wicri:noCountry><wicri:noCountry code="no comma">East Lancashire Hospitals NHS Trust.</wicri:noCountry></affiliation></author><author><name sortKey="Coulthard, Caroline" sort="Coulthard, Caroline" uniqKey="Coulthard C" first="Caroline" last="Coulthard">Caroline Coulthard</name><affiliation><nlm:affiliation>St Peter's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">St Peter's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">St Peter's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Joyce, Sarah" sort="Joyce, Sarah" uniqKey="Joyce S" first="Sarah" last="Joyce">Sarah Joyce</name><affiliation><nlm:affiliation>Surrey iMSK.</nlm:affiliation><wicri:noCountry code="no comma">Surrey iMSK.</wicri:noCountry><wicri:noCountry code="no comma">Surrey iMSK.</wicri:noCountry></affiliation></author><author><name sortKey="Buckle, Janet M" sort="Buckle, Janet M" uniqKey="Buckle J" first="Janet M" last="Buckle">Janet M. 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Patten</name><affiliation><nlm:affiliation>Sussex MSK partnership.</nlm:affiliation><wicri:noCountry code="no comma">Sussex MSK partnership.</wicri:noCountry><wicri:noCountry code="no comma">Sussex MSK partnership.</wicri:noCountry></affiliation></author><author><name sortKey="Bamford, Emma" sort="Bamford, Emma" uniqKey="Bamford E" first="Emma" last="Bamford">Emma Bamford</name><affiliation><nlm:affiliation>University Hospitals of Derby and Burton.</nlm:affiliation><wicri:noCountry code="no comma">University Hospitals of Derby and Burton.</wicri:noCountry><wicri:noCountry code="no comma">University Hospitals of Derby and Burton.</wicri:noCountry></affiliation></author><author><name sortKey="Clements, Caroline" sort="Clements, Caroline" uniqKey="Clements C" first="Caroline" last="Clements">Caroline Clements</name><affiliation><nlm:affiliation>OASIS East, Abbey Manor Medical Practice.</nlm:affiliation><wicri:noCountry code="subField">Abbey Manor Medical Practice</wicri:noCountry></affiliation></author><author><name sortKey="Hathi, Falguni" sort="Hathi, Falguni" uniqKey="Hathi F" first="Falguni" last="Hathi">Falguni Hathi</name><affiliation><nlm:affiliation>Bexley MSK Integrated Service.</nlm:affiliation><wicri:noCountry code="no comma">Bexley MSK Integrated Service.</wicri:noCountry><wicri:noCountry code="no comma">Bexley MSK Integrated Service.</wicri:noCountry></affiliation></author><author><name sortKey="Rodgers, Sarah" sort="Rodgers, Sarah" uniqKey="Rodgers S" first="Sarah" last="Rodgers">Sarah Rodgers</name><affiliation><nlm:affiliation>Northern General Hospital Sheffield.</nlm:affiliation><wicri:noCountry code="no comma">Northern General Hospital Sheffield.</wicri:noCountry><wicri:noCountry code="no comma">Northern General Hospital Sheffield.</wicri:noCountry></affiliation></author><author><name sortKey="Maryan, Jennifer" sort="Maryan, Jennifer" uniqKey="Maryan J" first="Jennifer" last="Maryan">Jennifer Maryan</name><affiliation><nlm:affiliation>Leeds Teaching Hospitals.</nlm:affiliation><wicri:noCountry code="no comma">Leeds Teaching Hospitals.</wicri:noCountry><wicri:noCountry code="no comma">Leeds Teaching Hospitals.</wicri:noCountry></affiliation></author><author><name sortKey="Godwin, Joseph S" sort="Godwin, Joseph S" uniqKey="Godwin J" first="Joseph S" last="Godwin">Joseph S. Godwin</name><affiliation><nlm:affiliation>Thurrock Health Hub.</nlm:affiliation><wicri:noCountry code="no comma">Thurrock Health Hub.</wicri:noCountry><wicri:noCountry code="no comma">Thurrock Health Hub.</wicri:noCountry></affiliation></author><author><name sortKey="Masci, Lorenzo" sort="Masci, Lorenzo" uniqKey="Masci L" first="Lorenzo" last="Masci">Lorenzo Masci</name><affiliation><nlm:affiliation>Healthshare London.</nlm:affiliation><wicri:noCountry code="no comma">Healthshare London.</wicri:noCountry><wicri:noCountry code="no comma">Healthshare London.</wicri:noCountry></affiliation></author><author><name sortKey="Kardamilas, Harry" sort="Kardamilas, Harry" uniqKey="Kardamilas H" first="Harry" last="Kardamilas">Harry Kardamilas</name><affiliation><nlm:affiliation>Care UK Bucks MuSIC.</nlm:affiliation><wicri:noCountry code="no comma">Care UK Bucks MuSIC.</wicri:noCountry><wicri:noCountry code="no comma">Care UK Bucks MuSIC.</wicri:noCountry></affiliation></author><author><name sortKey="Krievs, Emer" sort="Krievs, Emer" uniqKey="Krievs E" first="Emer" last="Krievs">Emer Krievs</name><affiliation><nlm:affiliation>NHS Lothian.</nlm:affiliation><wicri:noCountry code="no comma">NHS Lothian.</wicri:noCountry><wicri:noCountry code="no comma">NHS Lothian.</wicri:noCountry></affiliation></author><author><name sortKey="Titurusova, Renata" sort="Titurusova, Renata" uniqKey="Titurusova R" first="Renata" last="Titurusova">Renata Titurusova</name><affiliation><nlm:affiliation>MSK Interface Service, Sirona Care and Health, Cossham Hospital, Bristol.</nlm:affiliation><wicri:noCountry code="subField">Bristol</wicri:noCountry></affiliation></author><author><name sortKey="Cashin, Fiona" sort="Cashin, Fiona" uniqKey="Cashin F" first="Fiona" last="Cashin">Fiona Cashin</name><affiliation><nlm:affiliation>Royal Liverpool and Broadgreen University Hospital Trust.</nlm:affiliation><wicri:noCountry code="no comma">Royal Liverpool and Broadgreen University Hospital Trust.</wicri:noCountry><wicri:noCountry code="no comma">Royal Liverpool and Broadgreen University Hospital Trust.</wicri:noCountry></affiliation></author><author><name sortKey="Parkinson, Miriam" sort="Parkinson, Miriam" uniqKey="Parkinson M" first="Miriam" last="Parkinson">Miriam Parkinson</name><affiliation><nlm:affiliation>Hand Therapy Services East Lancashire Hospitals NHS Trust.</nlm:affiliation><wicri:noCountry code="no comma">Hand Therapy Services East Lancashire Hospitals NHS Trust.</wicri:noCountry><wicri:noCountry code="no comma">Hand Therapy Services East Lancashire Hospitals NHS Trust.</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33369643</idno><idno type="pmid">33369643</idno><idno type="doi">10.1093/rheumatology/keaa884</idno><idno type="wicri:Area/Main/Corpus">000069</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000069</idno><idno type="wicri:Area/Main/Curation">000069</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000069</idno><idno type="wicri:Area/Main/Exploration">000069</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Base of thumb osteoarthritis (BTOA) in UK interface services-a cohort and survey based study to assess current practice.</title><author><name sortKey="Dean, Benjamin J F" sort="Dean, Benjamin J F" uniqKey="Dean B" first="Benjamin J F" last="Dean">Benjamin J F. Dean</name><affiliation wicri:level="4"><nlm:affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</nlm:affiliation><orgName type="university">Université d'Oxford</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName></affiliation></author><author><name sortKey="Kluzek, Stefan" sort="Kluzek, Stefan" uniqKey="Kluzek S" first="Stefan" last="Kluzek">Stefan Kluzek</name><affiliation wicri:level="4"><nlm:affiliation>University of Nottingham.</nlm:affiliation><country>Royaume-Uni</country><placeName><settlement type="city">Nottingham</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Nottinghamshire</region></placeName><orgName type="university">Université de Nottingham</orgName></affiliation></author><author><name sortKey="Carr, Andrew J" sort="Carr, Andrew J" uniqKey="Carr A" first="Andrew J" last="Carr">Andrew J. Carr</name><affiliation wicri:level="4"><nlm:affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</nlm:affiliation><orgName type="university">Université d'Oxford</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName></affiliation></author><author><name sortKey="Hopewell, Sally" sort="Hopewell, Sally" uniqKey="Hopewell S" first="Sally" last="Hopewell">Sally Hopewell</name><affiliation wicri:level="4"><nlm:affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</nlm:affiliation><orgName type="university">Université d'Oxford</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName></affiliation></author><author><name sortKey="Richards, Duncan" sort="Richards, Duncan" uniqKey="Richards D" first="Duncan" last="Richards">Duncan Richards</name><affiliation wicri:level="4"><nlm:affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</nlm:affiliation><orgName type="university">Université d'Oxford</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName></affiliation></author><author><name sortKey="Riley, Nicholas" sort="Riley, Nicholas" uniqKey="Riley N" first="Nicholas" last="Riley">Nicholas Riley</name><affiliation><nlm:affiliation>Nuffield Orthopaedic Centre, Oxford, OX3 7LD.</nlm:affiliation><wicri:noCountry code="subField">OX3 7LD</wicri:noCountry></affiliation></author><author><name sortKey="Cuff, Andrew" sort="Cuff, Andrew" uniqKey="Cuff A" first="Andrew" last="Cuff">Andrew Cuff</name><affiliation><nlm:affiliation>Connect Health Yorkshire.</nlm:affiliation><wicri:noCountry code="no comma">Connect Health Yorkshire.</wicri:noCountry><wicri:noCountry code="no comma">Connect Health Yorkshire.</wicri:noCountry></affiliation></author><author><name sortKey="Hawthorn, Catrin E" sort="Hawthorn, Catrin E" uniqKey="Hawthorn C" first="Catrin E" last="Hawthorn">Catrin E. Hawthorn</name><affiliation><nlm:affiliation>Carmarthenshire CMAT service, Can Hywel Dda University Health Board.</nlm:affiliation><wicri:noCountry code="subField">Can Hywel Dda University Health Board</wicri:noCountry></affiliation></author><author><name sortKey="Robson, Helen" sort="Robson, Helen" uniqKey="Robson H" first="Helen" last="Robson">Helen Robson</name><affiliation><nlm:affiliation>Connect Health South Tyneside.</nlm:affiliation><wicri:noCountry code="no comma">Connect Health South Tyneside.</wicri:noCountry><wicri:noCountry code="no comma">Connect Health South Tyneside.</wicri:noCountry></affiliation></author><author><name sortKey="Marshall, Neil" sort="Marshall, Neil" uniqKey="Marshall N" first="Neil" last="Marshall">Neil Marshall</name><affiliation><nlm:affiliation>Connect Health Nottinghamshire.</nlm:affiliation><wicri:noCountry code="no comma">Connect Health Nottinghamshire.</wicri:noCountry><wicri:noCountry code="no comma">Connect Health Nottinghamshire.</wicri:noCountry></affiliation></author><author><name sortKey="Netherton, Katharine" sort="Netherton, Katharine" uniqKey="Netherton K" first="Katharine" last="Netherton">Katharine Netherton</name><affiliation><nlm:affiliation>Connect Health Hammersmith and Fulham.</nlm:affiliation><wicri:noCountry code="no comma">Connect Health Hammersmith and Fulham.</wicri:noCountry><wicri:noCountry code="no comma">Connect Health Hammersmith and Fulham.</wicri:noCountry></affiliation></author><author><name sortKey="Dekka, Chandrasekhar" sort="Dekka, Chandrasekhar" uniqKey="Dekka C" first="Chandrasekhar" last="Dekka">Chandrasekhar Dekka</name><affiliation><nlm:affiliation>Connect Health Herts Valley.</nlm:affiliation><wicri:noCountry code="no comma">Connect Health Herts Valley.</wicri:noCountry><wicri:noCountry code="no comma">Connect Health Herts Valley.</wicri:noCountry></affiliation></author><author><name sortKey="Ravindra, Andrea" sort="Ravindra, Andrea" uniqKey="Ravindra A" first="Andrea" last="Ravindra">Andrea Ravindra</name><affiliation><nlm:affiliation>Connect Health Merton.</nlm:affiliation><wicri:noCountry code="no comma">Connect Health Merton.</wicri:noCountry><wicri:noCountry code="no comma">Connect Health Merton.</wicri:noCountry></affiliation></author><author><name sortKey="Davies, Hannah" sort="Davies, Hannah" uniqKey="Davies H" first="Hannah" last="Davies">Hannah Davies</name><affiliation><nlm:affiliation>Connect Health Orsett.</nlm:affiliation><wicri:noCountry code="no comma">Connect Health Orsett.</wicri:noCountry><wicri:noCountry code="no comma">Connect Health Orsett.</wicri:noCountry></affiliation></author><author><name sortKey="Bathini, Subashini" sort="Bathini, Subashini" uniqKey="Bathini S" first="Subashini" last="Bathini">Subashini Bathini</name><affiliation><nlm:affiliation>Connect Health Camden.</nlm:affiliation><wicri:noCountry code="no comma">Connect Health Camden.</wicri:noCountry><wicri:noCountry code="no comma">Connect Health Camden.</wicri:noCountry></affiliation></author><author><name sortKey="Willmore, Elaine" sort="Willmore, Elaine" uniqKey="Willmore E" first="Elaine" last="Willmore">Elaine Willmore</name><affiliation><nlm:affiliation>Gloucestershire Hospitals NHS Foundation Trust.</nlm:affiliation><wicri:noCountry code="no comma">Gloucestershire Hospitals NHS Foundation Trust.</wicri:noCountry><wicri:noCountry code="no comma">Gloucestershire Hospitals NHS Foundation Trust.</wicri:noCountry></affiliation></author><author><name sortKey="Birch, Corinne" sort="Birch, Corinne" uniqKey="Birch C" first="Corinne" last="Birch">Corinne Birch</name><affiliation><nlm:affiliation>Somerset Partnership.</nlm:affiliation><wicri:noCountry code="no comma">Somerset Partnership.</wicri:noCountry><wicri:noCountry code="no comma">Somerset Partnership.</wicri:noCountry></affiliation></author><author><name sortKey="Thompson, Helen" sort="Thompson, Helen" uniqKey="Thompson H" first="Helen" last="Thompson">Helen Thompson</name><affiliation><nlm:affiliation>East Lancashire Hospitals NHS Trust.</nlm:affiliation><wicri:noCountry code="no comma">East Lancashire Hospitals NHS Trust.</wicri:noCountry><wicri:noCountry code="no comma">East Lancashire Hospitals NHS Trust.</wicri:noCountry></affiliation></author><author><name sortKey="Coulthard, Caroline" sort="Coulthard, Caroline" uniqKey="Coulthard C" first="Caroline" last="Coulthard">Caroline Coulthard</name><affiliation><nlm:affiliation>St Peter's Hospital.</nlm:affiliation><wicri:noCountry code="no comma">St Peter's Hospital.</wicri:noCountry><wicri:noCountry code="no comma">St Peter's Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Joyce, Sarah" sort="Joyce, Sarah" uniqKey="Joyce S" first="Sarah" last="Joyce">Sarah Joyce</name><affiliation><nlm:affiliation>Surrey iMSK.</nlm:affiliation><wicri:noCountry code="no comma">Surrey iMSK.</wicri:noCountry><wicri:noCountry code="no comma">Surrey iMSK.</wicri:noCountry></affiliation></author><author><name sortKey="Buckle, Janet M" sort="Buckle, Janet M" uniqKey="Buckle J" first="Janet M" last="Buckle">Janet M. Buckle</name><affiliation><nlm:affiliation>Healthshare Oxfordshire.</nlm:affiliation><wicri:noCountry code="no comma">Healthshare Oxfordshire.</wicri:noCountry><wicri:noCountry code="no comma">Healthshare Oxfordshire.</wicri:noCountry></affiliation></author><author><name sortKey="Downey, Brian" sort="Downey, Brian" uniqKey="Downey B" first="Brian" last="Downey">Brian Downey</name><affiliation><nlm:affiliation>UHLB MCAS service.</nlm:affiliation><wicri:noCountry code="no comma">UHLB MCAS service.</wicri:noCountry><wicri:noCountry code="no comma">UHLB MCAS service.</wicri:noCountry></affiliation></author><author><name sortKey="Thompson, Louise" sort="Thompson, Louise" uniqKey="Thompson L" first="Louise" last="Thompson">Louise Thompson</name><affiliation><nlm:affiliation>Poole Hospital.</nlm:affiliation><wicri:noCountry code="no comma">Poole Hospital.</wicri:noCountry><wicri:noCountry code="no comma">Poole Hospital.</wicri:noCountry></affiliation></author><author><name sortKey="Beaumont, Jan" sort="Beaumont, Jan" uniqKey="Beaumont J" first="Jan" last="Beaumont">Jan Beaumont</name><affiliation><nlm:affiliation>OT Hand Clinics, Dumfries and Galloway NHS Trust.</nlm:affiliation><wicri:noCountry code="subField">Dumfries and Galloway NHS Trust</wicri:noCountry></affiliation></author><author><name sortKey="Barrington Ford, Lisa Marie" sort="Barrington Ford, Lisa Marie" uniqKey="Barrington Ford L" first="Lisa-Marie" last="Barrington-Ford">Lisa-Marie Barrington-Ford</name><affiliation><nlm:affiliation>East Cheshire NHS Trust.</nlm:affiliation><wicri:noCountry code="no comma">East Cheshire NHS Trust.</wicri:noCountry><wicri:noCountry code="no comma">East Cheshire NHS Trust.</wicri:noCountry></affiliation></author><author><name sortKey="Patten, Helen F" sort="Patten, Helen F" uniqKey="Patten H" first="Helen F" last="Patten">Helen F. Patten</name><affiliation><nlm:affiliation>Sussex MSK partnership.</nlm:affiliation><wicri:noCountry code="no comma">Sussex MSK partnership.</wicri:noCountry><wicri:noCountry code="no comma">Sussex MSK partnership.</wicri:noCountry></affiliation></author><author><name sortKey="Bamford, Emma" sort="Bamford, Emma" uniqKey="Bamford E" first="Emma" last="Bamford">Emma Bamford</name><affiliation><nlm:affiliation>University Hospitals of Derby and Burton.</nlm:affiliation><wicri:noCountry code="no comma">University Hospitals of Derby and Burton.</wicri:noCountry><wicri:noCountry code="no comma">University Hospitals of Derby and Burton.</wicri:noCountry></affiliation></author><author><name sortKey="Clements, Caroline" sort="Clements, Caroline" uniqKey="Clements C" first="Caroline" last="Clements">Caroline Clements</name><affiliation><nlm:affiliation>OASIS East, Abbey Manor Medical Practice.</nlm:affiliation><wicri:noCountry code="subField">Abbey Manor Medical Practice</wicri:noCountry></affiliation></author><author><name sortKey="Hathi, Falguni" sort="Hathi, Falguni" uniqKey="Hathi F" first="Falguni" last="Hathi">Falguni Hathi</name><affiliation><nlm:affiliation>Bexley MSK Integrated Service.</nlm:affiliation><wicri:noCountry code="no comma">Bexley MSK Integrated Service.</wicri:noCountry><wicri:noCountry code="no comma">Bexley MSK Integrated Service.</wicri:noCountry></affiliation></author><author><name sortKey="Rodgers, Sarah" sort="Rodgers, Sarah" uniqKey="Rodgers S" first="Sarah" last="Rodgers">Sarah Rodgers</name><affiliation><nlm:affiliation>Northern General Hospital Sheffield.</nlm:affiliation><wicri:noCountry code="no comma">Northern General Hospital Sheffield.</wicri:noCountry><wicri:noCountry code="no comma">Northern General Hospital Sheffield.</wicri:noCountry></affiliation></author><author><name sortKey="Maryan, Jennifer" sort="Maryan, Jennifer" uniqKey="Maryan J" first="Jennifer" last="Maryan">Jennifer Maryan</name><affiliation><nlm:affiliation>Leeds Teaching Hospitals.</nlm:affiliation><wicri:noCountry code="no comma">Leeds Teaching Hospitals.</wicri:noCountry><wicri:noCountry code="no comma">Leeds Teaching Hospitals.</wicri:noCountry></affiliation></author><author><name sortKey="Godwin, Joseph S" sort="Godwin, Joseph S" uniqKey="Godwin J" first="Joseph S" last="Godwin">Joseph S. Godwin</name><affiliation><nlm:affiliation>Thurrock Health Hub.</nlm:affiliation><wicri:noCountry code="no comma">Thurrock Health Hub.</wicri:noCountry><wicri:noCountry code="no comma">Thurrock Health Hub.</wicri:noCountry></affiliation></author><author><name sortKey="Masci, Lorenzo" sort="Masci, Lorenzo" uniqKey="Masci L" first="Lorenzo" last="Masci">Lorenzo Masci</name><affiliation><nlm:affiliation>Healthshare London.</nlm:affiliation><wicri:noCountry code="no comma">Healthshare London.</wicri:noCountry><wicri:noCountry code="no comma">Healthshare London.</wicri:noCountry></affiliation></author><author><name sortKey="Kardamilas, Harry" sort="Kardamilas, Harry" uniqKey="Kardamilas H" first="Harry" last="Kardamilas">Harry Kardamilas</name><affiliation><nlm:affiliation>Care UK Bucks MuSIC.</nlm:affiliation><wicri:noCountry code="no comma">Care UK Bucks MuSIC.</wicri:noCountry><wicri:noCountry code="no comma">Care UK Bucks MuSIC.</wicri:noCountry></affiliation></author><author><name sortKey="Krievs, Emer" sort="Krievs, Emer" uniqKey="Krievs E" first="Emer" last="Krievs">Emer Krievs</name><affiliation><nlm:affiliation>NHS Lothian.</nlm:affiliation><wicri:noCountry code="no comma">NHS Lothian.</wicri:noCountry><wicri:noCountry code="no comma">NHS Lothian.</wicri:noCountry></affiliation></author><author><name sortKey="Titurusova, Renata" sort="Titurusova, Renata" uniqKey="Titurusova R" first="Renata" last="Titurusova">Renata Titurusova</name><affiliation><nlm:affiliation>MSK Interface Service, Sirona Care and Health, Cossham Hospital, Bristol.</nlm:affiliation><wicri:noCountry code="subField">Bristol</wicri:noCountry></affiliation></author><author><name sortKey="Cashin, Fiona" sort="Cashin, Fiona" uniqKey="Cashin F" first="Fiona" last="Cashin">Fiona Cashin</name><affiliation><nlm:affiliation>Royal Liverpool and Broadgreen University Hospital Trust.</nlm:affiliation><wicri:noCountry code="no comma">Royal Liverpool and Broadgreen University Hospital Trust.</wicri:noCountry><wicri:noCountry code="no comma">Royal Liverpool and Broadgreen University Hospital Trust.</wicri:noCountry></affiliation></author><author><name sortKey="Parkinson, Miriam" sort="Parkinson, Miriam" uniqKey="Parkinson M" first="Miriam" last="Parkinson">Miriam Parkinson</name><affiliation><nlm:affiliation>Hand Therapy Services East Lancashire Hospitals NHS Trust.</nlm:affiliation><wicri:noCountry code="no comma">Hand Therapy Services East Lancashire Hospitals NHS Trust.</wicri:noCountry><wicri:noCountry code="no comma">Hand Therapy Services East Lancashire Hospitals NHS Trust.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Rheumatology (Oxford, England)</title><idno type="eISSN">1462-0332</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>Base of thumb osteoarthritis (BTOA) is a common age-related disease which has a significant negative impact upon quality of life, while little is known about structure and pathways of interface services. Our aim was to assess disease burden, referral pathways, service structure and management pathways in UK interface services.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS & METHODS</b></p><p>A structured questionnaire was carried out with a participating clinician at each centre to detail the local guidelines and management of BTOA. Five patients referred with BTOA were prospectively identified in each of 32 United Kingdom (UK) interface centres.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Most centres (72%) had a local guideline and a standardised treatment regime consisting of education (100%), joint protection (100%), range of motion exercises (84%), strengthening exercises (88%), splintage (100%) and use of assistive devices (78%). No centre routinely offered a steroid injection at the first appointment and no centre had a specific threshold for offering an injection. Injection delivery was variable. Most patients had not been referred previously (82%). Most patients used analgesia (72%) but a minority of patients had been treated with a splint (46%), therapy (43%) and steroid injection (27%) prior to their latest attendance.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Most BTOA patients newly referred to interface services have been treated with analgesics and have not received comprehensive multimodal intervention. The management of BTOA at interface services is standardised in terms of education, splintage and therapy. However, there is a lack of standardisation in terms of both the threshold for, timing and mode of delivery of injection therapy.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33369643</PMID><DateRevised><Year>2020</Year><Month>12</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1462-0332</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Dec</Month><Day>28</Day></PubDate></JournalIssue><Title>Rheumatology (Oxford, England)</Title><ISOAbbreviation>Rheumatology (Oxford)</ISOAbbreviation></Journal><ArticleTitle>Base of thumb osteoarthritis (BTOA) in UK interface services-a cohort and survey based study to assess current practice.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">keaa884</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1093/rheumatology/keaa884</ELocationID><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">Base of thumb osteoarthritis (BTOA) is a common age-related disease which has a significant negative impact upon quality of life, while little is known about structure and pathways of interface services. Our aim was to assess disease burden, referral pathways, service structure and management pathways in UK interface services.</AbstractText><AbstractText Label="PATIENTS & METHODS" NlmCategory="METHODS">A structured questionnaire was carried out with a participating clinician at each centre to detail the local guidelines and management of BTOA. Five patients referred with BTOA were prospectively identified in each of 32 United Kingdom (UK) interface centres.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Most centres (72%) had a local guideline and a standardised treatment regime consisting of education (100%), joint protection (100%), range of motion exercises (84%), strengthening exercises (88%), splintage (100%) and use of assistive devices (78%). No centre routinely offered a steroid injection at the first appointment and no centre had a specific threshold for offering an injection. Injection delivery was variable. Most patients had not been referred previously (82%). Most patients used analgesia (72%) but a minority of patients had been treated with a splint (46%), therapy (43%) and steroid injection (27%) prior to their latest attendance.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Most BTOA patients newly referred to interface services have been treated with analgesics and have not received comprehensive multimodal intervention. The management of BTOA at interface services is standardised in terms of education, splintage and therapy. However, there is a lack of standardisation in terms of both the threshold for, timing and mode of delivery of injection therapy.</AbstractText><CopyrightInformation>© The Author(s) 2020. Published by Oxford University Press on behalf of the British Society for Rheumatology.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dean</LastName><ForeName>Benjamin J F</ForeName><Initials>BJF</Initials><AffiliationInfo><Affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kluzek</LastName><ForeName>Stefan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>University of Nottingham.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carr</LastName><ForeName>Andrew J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hopewell</LastName><ForeName>Sally</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Richards</LastName><ForeName>Duncan</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), Botnar Research Centre, University of Oxford, OX3 7LD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Riley</LastName><ForeName>Nicholas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Nuffield Orthopaedic Centre, Oxford, OX3 7LD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cuff</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Connect Health Yorkshire.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hawthorn</LastName><ForeName>Catrin E</ForeName><Initials>CE</Initials><AffiliationInfo><Affiliation>Carmarthenshire CMAT service, Can Hywel Dda University Health Board.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Robson</LastName><ForeName>Helen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Connect Health South Tyneside.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marshall</LastName><ForeName>Neil</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Connect Health Nottinghamshire.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Netherton</LastName><ForeName>Katharine</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Connect Health Hammersmith and Fulham.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dekka</LastName><ForeName>Chandrasekhar</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Connect Health Herts Valley.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ravindra</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Connect Health Merton.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davies</LastName><ForeName>Hannah</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Connect Health Orsett.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bathini</LastName><ForeName>Subashini</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Connect Health Camden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Willmore</LastName><ForeName>Elaine</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Gloucestershire Hospitals NHS Foundation Trust.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Birch</LastName><ForeName>Corinne</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Somerset Partnership.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thompson</LastName><ForeName>Helen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>East Lancashire Hospitals NHS Trust.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Coulthard</LastName><ForeName>Caroline</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>St Peter's Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Joyce</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Surrey iMSK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buckle</LastName><ForeName>Janet M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Healthshare Oxfordshire.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Downey</LastName><ForeName>Brian</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>UHLB MCAS service.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thompson</LastName><ForeName>Louise</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Poole Hospital.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beaumont</LastName><ForeName>Jan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>OT Hand Clinics, Dumfries and Galloway NHS Trust.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barrington-Ford</LastName><ForeName>Lisa-Marie</ForeName><Initials>LM</Initials><AffiliationInfo><Affiliation>East Cheshire NHS Trust.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Patten</LastName><ForeName>Helen F</ForeName><Initials>HF</Initials><AffiliationInfo><Affiliation>Sussex MSK partnership.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bamford</LastName><ForeName>Emma</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>University Hospitals of Derby and Burton.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Clements</LastName><ForeName>Caroline</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>OASIS East, Abbey Manor Medical Practice.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hathi</LastName><ForeName>Falguni</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Bexley MSK Integrated Service.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodgers</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Northern General Hospital Sheffield.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maryan</LastName><ForeName>Jennifer</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Leeds Teaching Hospitals.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Godwin</LastName><ForeName>Joseph S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Thurrock Health Hub.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Masci</LastName><ForeName>Lorenzo</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Healthshare London.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kardamilas</LastName><ForeName>Harry</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Care UK Bucks MuSIC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Krievs</LastName><ForeName>Emer</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>NHS Lothian.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Titurusova</LastName><ForeName>Renata</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>MSK Interface Service, Sirona Care and Health, Cossham Hospital, Bristol.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cashin</LastName><ForeName>Fiona</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Royal Liverpool and Broadgreen University Hospital Trust.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parkinson</LastName><ForeName>Miriam</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Hand Therapy Services East Lancashire Hospitals NHS Trust.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>12</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Rheumatology (Oxford)</MedlineTA><NlmUniqueID>100883501</NlmUniqueID><ISSNLinking>1462-0324</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">NHS</Keyword><Keyword MajorTopicYN="N">UK</Keyword><Keyword MajorTopicYN="N">management</Keyword><Keyword MajorTopicYN="N">osteoarthritis</Keyword><Keyword MajorTopicYN="N">pathways</Keyword><Keyword MajorTopicYN="N">thumb base</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>08</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>11</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>12</Month><Day>28</Day><Hour>13</Hour><Minute>15</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>12</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>12</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33369643</ArticleId><ArticleId IdType="pii">6053800</ArticleId><ArticleId IdType="doi">10.1093/rheumatology/keaa884</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Nottinghamshire</li><li>Oxfordshire</li></region><settlement><li>Nottingham</li><li>Oxford</li></settlement><orgName><li>Université d'Oxford</li><li>Université de Nottingham</li></orgName></list><tree><noCountry><name sortKey="Bamford, Emma" sort="Bamford, Emma" uniqKey="Bamford E" first="Emma" last="Bamford">Emma Bamford</name><name sortKey="Barrington Ford, Lisa Marie" sort="Barrington Ford, Lisa Marie" uniqKey="Barrington Ford L" first="Lisa-Marie" last="Barrington-Ford">Lisa-Marie Barrington-Ford</name><name sortKey="Bathini, Subashini" sort="Bathini, Subashini" uniqKey="Bathini S" first="Subashini" last="Bathini">Subashini Bathini</name><name sortKey="Beaumont, Jan" sort="Beaumont, Jan" uniqKey="Beaumont J" first="Jan" last="Beaumont">Jan Beaumont</name><name sortKey="Birch, Corinne" sort="Birch, Corinne" uniqKey="Birch C" first="Corinne" last="Birch">Corinne Birch</name><name sortKey="Buckle, Janet M" sort="Buckle, Janet M" uniqKey="Buckle J" first="Janet M" last="Buckle">Janet M. Buckle</name><name sortKey="Cashin, Fiona" sort="Cashin, Fiona" uniqKey="Cashin F" first="Fiona" last="Cashin">Fiona Cashin</name><name sortKey="Clements, Caroline" sort="Clements, Caroline" uniqKey="Clements C" first="Caroline" last="Clements">Caroline Clements</name><name sortKey="Coulthard, Caroline" sort="Coulthard, Caroline" uniqKey="Coulthard C" first="Caroline" last="Coulthard">Caroline Coulthard</name><name sortKey="Cuff, Andrew" sort="Cuff, Andrew" uniqKey="Cuff A" first="Andrew" last="Cuff">Andrew Cuff</name><name sortKey="Davies, Hannah" sort="Davies, Hannah" uniqKey="Davies H" first="Hannah" last="Davies">Hannah Davies</name><name sortKey="Dekka, Chandrasekhar" sort="Dekka, Chandrasekhar" uniqKey="Dekka C" first="Chandrasekhar" last="Dekka">Chandrasekhar Dekka</name><name sortKey="Downey, Brian" sort="Downey, Brian" uniqKey="Downey B" first="Brian" last="Downey">Brian Downey</name><name sortKey="Godwin, Joseph S" sort="Godwin, Joseph S" uniqKey="Godwin J" first="Joseph S" last="Godwin">Joseph S. Godwin</name><name sortKey="Hathi, Falguni" sort="Hathi, Falguni" uniqKey="Hathi F" first="Falguni" last="Hathi">Falguni Hathi</name><name sortKey="Hawthorn, Catrin E" sort="Hawthorn, Catrin E" uniqKey="Hawthorn C" first="Catrin E" last="Hawthorn">Catrin E. Hawthorn</name><name sortKey="Joyce, Sarah" sort="Joyce, Sarah" uniqKey="Joyce S" first="Sarah" last="Joyce">Sarah Joyce</name><name sortKey="Kardamilas, Harry" sort="Kardamilas, Harry" uniqKey="Kardamilas H" first="Harry" last="Kardamilas">Harry Kardamilas</name><name sortKey="Krievs, Emer" sort="Krievs, Emer" uniqKey="Krievs E" first="Emer" last="Krievs">Emer Krievs</name><name sortKey="Marshall, Neil" sort="Marshall, Neil" uniqKey="Marshall N" first="Neil" last="Marshall">Neil Marshall</name><name sortKey="Maryan, Jennifer" sort="Maryan, Jennifer" uniqKey="Maryan J" first="Jennifer" last="Maryan">Jennifer Maryan</name><name sortKey="Masci, Lorenzo" sort="Masci, Lorenzo" uniqKey="Masci L" first="Lorenzo" last="Masci">Lorenzo Masci</name><name sortKey="Netherton, Katharine" sort="Netherton, Katharine" uniqKey="Netherton K" first="Katharine" last="Netherton">Katharine Netherton</name><name sortKey="Parkinson, Miriam" sort="Parkinson, Miriam" uniqKey="Parkinson M" first="Miriam" last="Parkinson">Miriam Parkinson</name><name sortKey="Patten, Helen F" sort="Patten, Helen F" uniqKey="Patten H" first="Helen F" last="Patten">Helen F. Patten</name><name sortKey="Ravindra, Andrea" sort="Ravindra, Andrea" uniqKey="Ravindra A" first="Andrea" last="Ravindra">Andrea Ravindra</name><name sortKey="Riley, Nicholas" sort="Riley, Nicholas" uniqKey="Riley N" first="Nicholas" last="Riley">Nicholas Riley</name><name sortKey="Robson, Helen" sort="Robson, Helen" uniqKey="Robson H" first="Helen" last="Robson">Helen Robson</name><name sortKey="Rodgers, Sarah" sort="Rodgers, Sarah" uniqKey="Rodgers S" first="Sarah" last="Rodgers">Sarah Rodgers</name><name sortKey="Thompson, Helen" sort="Thompson, Helen" uniqKey="Thompson H" first="Helen" last="Thompson">Helen Thompson</name><name sortKey="Thompson, Louise" sort="Thompson, Louise" uniqKey="Thompson L" first="Louise" last="Thompson">Louise Thompson</name><name sortKey="Titurusova, Renata" sort="Titurusova, Renata" uniqKey="Titurusova R" first="Renata" last="Titurusova">Renata Titurusova</name><name sortKey="Willmore, Elaine" sort="Willmore, Elaine" uniqKey="Willmore E" first="Elaine" last="Willmore">Elaine Willmore</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Dean, Benjamin J F" sort="Dean, Benjamin J F" uniqKey="Dean B" first="Benjamin J F" last="Dean">Benjamin J F. Dean</name></region><name sortKey="Carr, Andrew J" sort="Carr, Andrew J" uniqKey="Carr A" first="Andrew J" last="Carr">Andrew J. Carr</name><name sortKey="Hopewell, Sally" sort="Hopewell, Sally" uniqKey="Hopewell S" first="Sally" last="Hopewell">Sally Hopewell</name><name sortKey="Kluzek, Stefan" sort="Kluzek, Stefan" uniqKey="Kluzek S" first="Stefan" last="Kluzek">Stefan Kluzek</name><name sortKey="Richards, Duncan" sort="Richards, Duncan" uniqKey="Richards D" first="Duncan" last="Richards">Duncan Richards</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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