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Dr Christopher Clark

Clinical Academic Fellow

Email: ku.ca.smp@kralc.rehpotsirhc

Telephone:01884 860205

Based: St Lukes, Smeall Building, St Lukes Campus, Magdalen Road, Exeter, EX1 2LU

Biography

Chris Clark is a rural GP in Witheridge, Mid-Devon with longstanding clinical and research interests in blood pressure measurement, asthma, and quality in primary care. He has been a GP appraiser and RCGP assessor, and currently sits on the Steering Group of the Rural Forum of the Royal College of General Practitioners. In 1999 he joined the Institute of General Practice as a Postgraduate Tutor in Clinical Governance. He was appointed as a Clinical Academic Fellow in the Peninsula Medical School in 2004 and completed an MSc on 'The differential blood pressure sign: A study of its prevalence, validity and prognostic value as a predictor of cardiovascular disease in hypertensive patients in primary care' in 2006. He continues to work on projects in all of his fields of interest, but mainly in hypertension and diabetes. He is involved in a series of systematic reviews and is an active Cochrane Collaboration author. He is now undertaking a PhD looking further into the cardiovascular implications of an inter-arm blood pressure difference, funded initially by a grant from the Scientific Foundation Board of the Royal College of General Practitioners and currently by PenCLAHRC.

Publications

Clark CE, Shore A, Taylor R, Campbell J. A systolic inter-arm blood presssure difference in hypertension is associated with reduced ten year survival: primary care cohort study. BMJ 2012. In press

Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL. Association of a difference in systolic blood pressure between arms with vascular disease and mortality: A systematic review and meta-analysis. Lancet; published online ahead of print 30-1-12 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2961710-8/abstract

Clark CE, Smith LFP, Glynn LG, Taylor RS, Campbell J. Allied health professional-led interventions for improving control of blood pressure in patients with hypertension [Protocol]. Cochrane Database of Systematic Reviews 2011, Issue 11. Art. No.: CD009410. DOI:10.1002/14651858.CD009410.
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009410/full

Clark CE. Inter-arm blood pressure measurement needs to be practical and accurate: commentary. Am J Hypertens 2011; 24 (11): 1189-1190

Clark CE, Smith LFP, Taylor RS, Campbell JL. Nurse-led interventions used to improve control of high blood pressure in people with diabetes: a systematic review and meta analysis. Diabetic Medicine 2011; 28(3): 250-261. http://onlinelibrary.wiley.com/doi/10.1111/j.1464-5491.2010.03204.x/full

Clark CE, Smith LFP, Taylor R, Campbell JL. Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis. Br Med J 2010:341: c3995 http://www.bmj.com/cgi/content/abstract/341/aug23_1/c3995

Clark CE, Smith LFP, Taylor RS, Campbell JL. Nurse-led interventions used to improve control of high blood pressure in people with diabetes: a systematic review and meta analysis. Diabetic Medicine 2011; 28(3): 250-261.

Clark CE, Smith LFP, Taylor R, Campbell JL. Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis. Br Med J 2010:341: c3995
http://www.bmj.com/cgi/content/abstract/341/aug23_1/c3995

Clark CE, Arnold E, Lasserson TJ, Wu T. Herbal interventions for chronic asthma in adults and children: a systematic review and meta-analysis. Prim Care Resp J 2010; Available from: URL: http://dx.doi.org/10.4104/pcrj.2010.00041

Clark CE, Smith LFP, Taylor R, Campbell JL. Nurse led interventions used to improve control of blood pressure in patients with hypertension: A systematic review and meta-analysis. Br Med J 2010> In Press

Clark C, Greaves C, Evans PH, Dickens A, Campbell J. The interarm blood pressure difference in diabetes: a barrier to effective management? Brit J Gen Pract 2009;59:428-32.

Clark CE, Campbell JL, Powell RJ, Thompson J.F. The inter-arm blood pressure difference and peripheral vascular disease: cross-sectional study. Fam Pract 2007; Online Advance Access.

Clark CE, Campbell JL, Powell RJ. The interarm blood pressure difference as predictor of cardiovascular events in patients with hypertension in primary care: cohort study. J Hum Hypertens. 2007; 21 (8):633-638.

Clark CE, Campbell J, Evans PH, Millward A. Prevalence and clinical implications of the inter-arm blood pressure difference: a systematic review. Journal of Human Hypertension 2006. 2006;20(12):923-31

Clark CE. Problem Based Learning: How do the outcomes compare with traditional teaching? Br.J Gen.Pract. 2006;56:722-3.

Arnold E, Clark CE, Lasserson TJ. Herbal interventions for chronic asthma in adults and children: protocol for a review. Cochrane Library 2006;2.

Clark CE. Use of salmeterol/fluticasone combination (Seretide) in an asthma clinic: a pragmatic open study from primary care. Primary Care Respiratory Journal 2003;12(3):86-89.

Clark CE,.Smith LFP. Clinical Governance and Education: The needs of Clinical Governance Leads and General Practitioners in the South West of England. Br.J Clin.Gov 2002;7:261-6.

Clark CE,.Powell RJ. The differential blood pressure sign in general practice: prevalence and prognostic value. Fam.Pract. 2002;19:439-41.

Clark CE. Difference in blood pressure between arms might reflect peripheral vascular disease. BMJ 2001;323:399-400.