{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T08:05:39Z","timestamp":1779437139330,"version":"3.53.1"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004337","name":"st. george\u2019s, university of london","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004337","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Musculoskeletal"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Musculoskeletal (MSK) conditions, including rheumatic musculoskeletal diseases (RMDs), are leading causes of persistent pain, disability, reduced quality of life, impaired work participation and increased healthcare utilisation. Despite therapeutic advances, pain remains challenging to assess and manage because unidimensional measures may miss multidimensional impact, and person-centred, mechanism-informed, equitable approaches are inconsistently implemented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study explored stakeholder perspectives on (1) gaps and limitations in current MSK pain assessment; (2) priorities for improving MSK pain management across pharmacological, non-pharmacological, digital and procedural\/surgical approaches and (3) service and research priorities needed to deliver equitable, person-centred, mechanism-informed care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We conducted an anonymised online survey (Google Forms) between July and September 2025 across UK Musculoskeletal Translational Research Collaboration (TRC) networks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Adults (\u2a7e18\u2009years) able to read English were invited via TRC mailing lists, partner newsletters and professional networks. Open-ended questions explored experiences of pain assessment and management, perceived gaps and priorities for improvement and research. Free-text responses were exported, cleaned and analysed in NVivo using inductive reflexive thematic analysis (Braun and Clarke), supported by peer debriefing and an audit trail. Descriptive statistics summarised participant roles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty-five participants responded, with 54.3% patients, 40% healthcare providers and 5.7% researchers. Five overarching themes were identified: (1) appreciation of pain mechanisms to guide management, (2) holistic and person-centred care, (3) need for individualised treatment plans, (4) limitations of current pain assessment methods and (5) underestimation of pain\u2019s broader impact. Subthemes highlighted complementary therapies, digital resources and telehealth, self-management education, equitable access, multidomain assessments and clinician capacity to deliver comprehensive biopsychosocial care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Stakeholders in this TRC-network sample prioritised individualised, holistic and mechanism-informed MSK pain management integrating pharmacological, non-pharmacological and digital strategies while addressing equity and access. Findings support moving beyond single-item intensity measures, strengthening self-management, and adopt biopsychosocial approaches. These hypothesis-generating insights should be validated in broader, more diverse samples.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1759720x261447164","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T08:48:26Z","timestamp":1779180506000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Stakeholder perspectives on musculoskeletal pain assessment and management in the UK: a qualitative study"],"prefix":"10.1177","volume":"18","author":[{"given":"Thasmiya Khaja Israr","family":"Ahmed","sequence":"first","affiliation":[{"name":"Division of Health and Medical Sciences, Department of Medicine, City St George\u2019s, University of London, Cranmer Terrace, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Hadyanto","sequence":"additional","affiliation":[{"name":"Division of Health and Medical Sciences, Department of Medicine, City St George\u2019s, University of London, Cranmer Terrace, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheela","family":"Medahunsi","sequence":"additional","affiliation":[{"name":"UK MSK Translational Research Collaboration, NIHR Office for Clinical Research Infrastructure (NOCRI), NIHR Coordinating Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6963-6475","authenticated-orcid":false,"given":"Nidhi","family":"Sofat","sequence":"additional","affiliation":[{"name":"Division of Health and Medical Sciences, Department of Medicine, City St George\u2019s, University of London, Tooting Campus, Cranmer Terrace, London SW17 0RE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"World Health Organization. Musculoskeletal health. Geneva: WHO https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/musculoskeletal-conditions (2022 accessed 18 November 2025)."},{"issue":"6","key":"e_1_3_4_3_2","article-title":"Global, regional, and national burden of low back pain, 1990\u20132020, its attributable risk factors, and projections to 2050: a systematic analysis of the global burden of disease study 2021","volume":"5","author":"Cross M","year":"2023","unstructured":"Cross M, Buchbinder R, Hartvigsen J, et al. Global, regional, and national burden of low back pain, 1990\u20132020, its attributable risk factors, and projections to 2050: a systematic analysis of the global burden of disease study 2021. Lancet Rheumatol 2023; 5(6): e316\u2013e329.","journal-title":"Lancet Rheumatol"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(23)00163-7"},{"key":"e_1_3_4_5_2","unstructured":"Arthritis UK. The state of musculoskeletal health 2024: arthritis and other musculoskeletal conditions in numbers. Chesterfield (UK): Arthritis UK https:\/\/www.arthritis-uk.org\/media\/embkyapu\/the-state-of-musculoskeletal-health-2024.pdf (2024 accessed 18 November 2025)."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304747"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpain.2024.1362757"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001939"},{"key":"e_1_3_4_9_2","unstructured":"National Institute for Health and Care Research. UK Musculoskeletal Translational Research Collaboration (MSK TRC). London: NIHR https:\/\/www.nihr.ac.uk\/about-us\/what-we-do\/infrastructure\/translational-research-collaborations\/musculosceletal (2024 accessed 14 Nov 2025)."},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.01.008"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-024-03608-5"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2024.111362"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000933"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2020.09.029"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2023.08.006"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10153203"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1670"},{"key":"e_1_3_4_21_2","unstructured":"National Institute for Health and Care Excellence. Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain (NG193). London: NICE https:\/\/www.nice.org.uk\/guidance\/ng193 (2021 accessed 18 November 2025)."},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2021-220249"},{"key":"e_1_3_4_23_2","article-title":"Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice","volume":"10","author":"Valderas JM","year":"2021","unstructured":"Valderas JM, Gibbons C, Porter I, et al. Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice. Cochrane Database Syst Rev 2021; 10: CD011589.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002217"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101193"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-022-00305-2"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13X675412"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0141076818769477"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-023-02430-4"},{"key":"e_1_3_4_30_2","unstructured":"NHS Inform. Managing your mental health when you have chronic pain. Scotland: NHS Inform https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/mental-health\/mental-health-self-help-guides\/chronic-pain-self-help-guide\/ (2025 accessed 18 November 2025)."},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.2196\/37869"}],"container-title":["Therapeutic Advances in Musculoskeletal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1759720X261447164","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1759720X261447164","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1759720X261447164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T07:19:21Z","timestamp":1779434361000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1759720X261447164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":30,"alternative-id":["10.1177\/1759720X261447164"],"URL":"https:\/\/doi.org\/10.1177\/1759720x261447164","relation":{},"ISSN":["1759-720X","1759-7218"],"issn-type":[{"value":"1759-720X","type":"print"},{"value":"1759-7218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"article-number":"1759720X261447164"}}